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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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30 Years Old, Muscle Knot In Abdomen, Breathing Difficulty While Dancing. History Of Anxiety, Panic Attacks. Treatment?

I am a 30 year old female with a history of anxiety and panic attacks. In about the last 6 - 7 months I have noticed when I am in my ZUMBA class and I do one routine where we squat and roatate our upper torso that in my left side at the bottom it feels almost like something hits something causing me to have to catch my breath each time I rotate my torso. I thought at one time it was a rib out of place, went to a chiropractor and she told me it sounded like a muscle knot. I would like to know if it is possible that it is a muscle knot or what could be causing this. I know a symptom of anxiety is the tightness in the ribcage, but I didn t think it would make it feel like its hitting something causing me to have to catch my breath when rotating my torso during exercise.
Mon, 5 May 2014
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Orthopaedic Surgeon,  's  Response
Hello,

I have studied your case.

As per your symptoms cause of tightness can be cardiac related.
There is possibility of cardiac congestion.
I would like to ask some more detail question about your symptoms.

Was there sweating associated with it?
Do you have history of hypertension?

Another possibility due to compression of this nerve root there is pain in your rib and chest.

I will advise you to do MRI thoracic spine, and EMG- NCV [nerve conduction study]
X ray may not show details.
For these symptoms analgesic and neurotropic medication can be started.
Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.
Physiotherapy like ultrasound and interferential therapy will give quick relief.
I will advise to check your vit B12 and vit D3 level.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care
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30 Years Old, Muscle Knot In Abdomen, Breathing Difficulty While Dancing. History Of Anxiety, Panic Attacks. Treatment?

Hello, I have studied your case. As per your symptoms cause of tightness can be cardiac related. There is possibility of cardiac congestion. I would like to ask some more detail question about your symptoms. Was there sweating associated with it? Do you have history of hypertension? Another possibility due to compression of this nerve root there is pain in your rib and chest. I will advise you to do MRI thoracic spine, and EMG- NCV [nerve conduction study] X ray may not show details. For these symptoms analgesic and neurotropic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and interferential therapy will give quick relief. I will advise to check your vit B12 and vit D3 level. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care