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What Causes Pain In Chest And Shoulder While Sitting In A Reclining Position?

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Posted on Wed, 17 Sep 2014
Question: Today, for some reason, when I sit or recline in certain positions, my chest aches, specifically the right chest area, neck and upper right back/shoulder. In these positions, it hurts on the inhale. If I shift into a position I do not feel pain, I feel nothing on the inhale. I do not feel fatigue, in fact, I feel fine aside from this. I've taken some aspirin throughout the day, but the pain is still there. In the last 24 hours, I cannot remember doing anything that would have pulled a muscle. Any insight will be greatly appreciated.
doctor
Answered by Dr. Sudhir (35 minutes later)
Brief Answer:
Pinched nerve might be the reason.

Detailed Answer:
Hello,

Thanks for the query.

In view of pain in particular position, it points towards compression of neurovascular bundle in that position leading to pain.

This may happen in case of cervical rib, age related degeneration around shoulder joint with resultant pressure of nerves or a mild slipped disc putting pressure on nerve in that position.

A clinical examination is good enough to confirm diagnosis.If needed doctor may order imaging investigation.

Most such cases dont need treatment unless symptoms progress.Painkiller (better than aspirin )may help till then , if pain is significant, otherwise no need to take it.

One more thing- I am arising a precautionary alarm of angina.Sometimes heart related pain can present like this.So if there symptoms like easy tiredness, breathlessness, sweating, pain increasing on physical activity, then get a EKG done sooner.I am less worried about this as pain is on right side and also only in particular position.

Hope this help.Please ask if there are doubts.Regards.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir (24 minutes later)
Thank you, Dr. XXXXXXX

I thought about angina, but there just seemed to be no rhyme or reason to the pain. One moment I was fine, they next moment the pain was there and it seemed to linger. In other words, there didn't seem to be any gradual physical regression. Since emailing you, the pain has subsided for the most part. Gone just as quickly as it occurred. If the pain reoccurs, do you recommend Advil over aspirin.
doctor
Answered by Dr. Sudhir (36 minutes later)
Brief Answer:
I recommend Advil

Detailed Answer:
In that cases Angina seems further less likely.

If the pain recurs, I recommend Advil over aspirin.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir (48 minutes later)
Thank you.
doctor
Answered by Dr. Sudhir (17 minutes later)
Brief Answer:
You are welcome.

Detailed Answer:
It was pleasure assisting you.Please take out time to leave a positive feedback.Thanks.
Note: For further follow-up it is advisable to consult an emergency medicine specialist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sudhir

Internal Medicine Specialist

Practicing since :2000

Answered : 1415 Questions

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What Causes Pain In Chest And Shoulder While Sitting In A Reclining Position?

Brief Answer: Pinched nerve might be the reason. Detailed Answer: Hello, Thanks for the query. In view of pain in particular position, it points towards compression of neurovascular bundle in that position leading to pain. This may happen in case of cervical rib, age related degeneration around shoulder joint with resultant pressure of nerves or a mild slipped disc putting pressure on nerve in that position. A clinical examination is good enough to confirm diagnosis.If needed doctor may order imaging investigation. Most such cases dont need treatment unless symptoms progress.Painkiller (better than aspirin )may help till then , if pain is significant, otherwise no need to take it. One more thing- I am arising a precautionary alarm of angina.Sometimes heart related pain can present like this.So if there symptoms like easy tiredness, breathlessness, sweating, pain increasing on physical activity, then get a EKG done sooner.I am less worried about this as pain is on right side and also only in particular position. Hope this help.Please ask if there are doubts.Regards.