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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Be Worried About Chest Pain After Getting Punched?

I got punched in the upper right hand side of my chest, basically in the pec area. Now it hurts every time I cough or doing certain movements. This was during a self defence class. The instructors was demonstrating with bare knuckles. I think he got over excited. Should I be worried or will it go away?
Fri, 9 Jan 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion you are having blunt chest trauma due to punch.
And the cause for your chest pain is musculoskeletal only.
But blunt chest trauma can cause following complications.
1. Rib fracture.
2. Pulmonary contusions
3. Pneumothorax
4. Muscular injury.
So get done chest x ray to rule out all these.
If chest x ray is normal then no need to worry much.
You are having muscular pain only.
Try to follow these steps.
1. Avoid heavyweight lifting
2. Avoid strenuous exercise.
3. Avoid movement causing pain.
4. Take good pain killer and muscle relaxant.
5. Apply warm water pad on affected site.
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Should I Be Worried About Chest Pain After Getting Punched?

Thanks for your question on HCM. In my opinion you are having blunt chest trauma due to punch. And the cause for your chest pain is musculoskeletal only. But blunt chest trauma can cause following complications. 1. Rib fracture. 2. Pulmonary contusions 3. Pneumothorax 4. Muscular injury. So get done chest x ray to rule out all these. If chest x ray is normal then no need to worry much. You are having muscular pain only. Try to follow these steps. 1. Avoid heavyweight lifting 2. Avoid strenuous exercise. 3. Avoid movement causing pain. 4. Take good pain killer and muscle relaxant. 5. Apply warm water pad on affected site.