I WENT TO ER WITH CHEST PAINS.PAIN IN THE MIDDLE OF MY BACK. I HAD A HEART ATTACK A YEAR AGO SO TIS PAIN WAS THE SAME. I WAS TOLD IT IS MUSCULOSKELETAL. AND PLEURIST:ACUTE WITH OUT EFFUSION OR TUBERCULOSIS. THEY GAVE ME ANAPROX DS 550 MG AND ULTRAM 50MG IT HAS BEEN 24 HOURS THE PAIN IS STILL THERE AND MY HEAD AND LEFT ARM HURTS. SOME NUMNESS IN FKNGERS DO I NEED TO GO BACK TO ER