Hello dear, Chest pain can be caused by various reasons, including minor problem such as indigestion or stress, to serious medical emergencies such as a heart attack. Investigations like X ray chest will be needed to detect any paathology in the Respiratory system & an Electrocardiogram or Stress Echocardiography can detect any dysfunction of the cardiovascular system. Other causes of chest pain include: 1. Strained chest muscles due to overuse 2. Chest muscle injury 3. Short-term, sudden anxiety with rapid breathing 4. Peptic ulcer disease 5. Pain from the digestive tract, such as esophageal reflux Even in the causes involving the digestive tract, pain gets referred to nekck & shoulder due to irritation of diaphragm & phrenic nerve. So, it will be better to consult a Doctor & get a physical examination done to rule out other causes. So that proper management steps could be taken. Let me know if I need to clarify further. You can ask me a direct query on this website using the below link: http://www.healthcaremagic.com/doctors/dr-polash-sannigrahi/64925 Wishing you a Good Health. Thanks & take care.