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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Intermittent Pain In The Left Side Of Chest. Have To Hold Left Arm Up Towards Shoulder When It Occurs. What Could It Be?

I have pain in the left side of my chest. It comes and goes but when it happens it makes me catch my breath and sometimes I have pain down my arm. the pain can last for a short amount of time but has lasted for up to 10 - 20 minutes before subsiding. I have to hold my left arm up towards my shoulder when it occurs.
Sat, 14 Dec 2013
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General & Family Physician 's  Response
HI, thanks for using healthcare magic

Chest pain can be related to any structure in the chest from the skin inwards.

Pain can occur due to : (1) skin conditions such as herpes zoster
(2)pain can originate from the muscles- in this case it would usually be worse with specific movement that involves using that muscle

(3)from bones such as the sternum. There is a condition called costochondrititis that can cause severe pain in the central chest, worse on pressing the area, due to inflammation

(4)heart disease- this is usually central chest pain though it can go towards other areas of the chest. The pain normally comes on in activity and would stop when the person rests. May be associated with shortness of breath, palpitations

(5)lung conditions such as pneumonia, pulmonary embolism

Your pain does not typically sound like heart related pain but it is always best to rule this out with investigations such as an ECG which looks at the heart rate and rhythm. It can also identify if there are areas not getting enough blood.

The pain may be a neuralgia (nerve related pain) or muscle pain.

If the heart disease is ruled out, there is medication that may be helpful for you.

I hope this helps
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Intermittent Pain In The Left Side Of Chest. Have To Hold Left Arm Up Towards Shoulder When It Occurs. What Could It Be?

HI, thanks for using healthcare magic Chest pain can be related to any structure in the chest from the skin inwards. Pain can occur due to : (1) skin conditions such as herpes zoster (2)pain can originate from the muscles- in this case it would usually be worse with specific movement that involves using that muscle (3)from bones such as the sternum. There is a condition called costochondrititis that can cause severe pain in the central chest, worse on pressing the area, due to inflammation (4)heart disease- this is usually central chest pain though it can go towards other areas of the chest. The pain normally comes on in activity and would stop when the person rests. May be associated with shortness of breath, palpitations (5)lung conditions such as pneumonia, pulmonary embolism Your pain does not typically sound like heart related pain but it is always best to rule this out with investigations such as an ECG which looks at the heart rate and rhythm. It can also identify if there are areas not getting enough blood. The pain may be a neuralgia (nerve related pain) or muscle pain. If the heart disease is ruled out, there is medication that may be helpful for you. I hope this helps