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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Severe Pain In Chest Radiating To Upper Back, Shoulder And Arms?

2 weeks ago I was reaching across the table and my back spazzed out (right side), from the buttocks up. I did the usual remedies; heat, cold, pain meds, inflam meds, stretching. It's better (still a slight twinge in said area). yesterday I woke up with a very heavy feeling in my chest which got progressively worst during the day and today. It feels as if I was hit in the chest by something (not someone except maybe HEman (master of the universe). Also today it has migrated to my upper back, shoulders and when I lift my arms it's uncomfortable. If I take a deep breathe it's also uncomfortable.
posted on Thu, 13 Mar 2014
Twitter Tue, 9 May 2017 Answered on
Twitter Wed, 10 May 2017 Last reviewed on
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Pulmonologist,  's  Response
Hello
Thanks for posting at HCM.
I could have helped you better had you mentioned your age, and other associated health issues if any.
Going by your symptoms, here is a possibility of cardiac involvement vs muscular spasms.
To rule or cardiac element, I suggest an ECG and a 2 d echo test. If both the above tests are normal then a treadmill test or a stress test should be done. This will give us sufficient information about the heart, its functioning and possibility of a cardiac element in near future.
If above tests at normal, then you should take antiinflmatory non steroidal medications (NSAIDS) like diclofenac for five days duration.
Wishing you good health
Regards
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What Could Cause Severe Pain In Chest Radiating To Upper Back, Shoulder And Arms?

Hello Thanks for posting at HCM. I could have helped you better had you mentioned your age, and other associated health issues if any. Going by your symptoms, here is a possibility of cardiac involvement vs muscular spasms. To rule or cardiac element, I suggest an ECG and a 2 d echo test. If both the above tests are normal then a treadmill test or a stress test should be done. This will give us sufficient information about the heart, its functioning and possibility of a cardiac element in near future. If above tests at normal, then you should take antiinflmatory non steroidal medications (NSAIDS) like diclofenac for five days duration. Wishing you good health Regards