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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Breast Area, Shoulder, Ribs, Neck Muscles. Heart X-ray, ECG Normal. Muscular Problem?

I am 41 and have some intermittent sharp shooting pains in left breast area, left shoulder . Had ECG yesterday and all ok, ribs sore to touch as are shoulder/neck muscles. Had very sharp pain today to want to emergency, heart trace 2 hours fine, heart X-ray fine, no enzymes in bloods. Told likely muscular skeletal. The area buns at times and feels full. Does it sound muscular to you?
Mon, 22 Oct 2012
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Internal Medicine Specialist,  's  Response
Hi,
Your description of pain is noncardiac as your ECG it is OK. Therere is pain in shoulder and neck muscles so it sholud be from cervical spine. Please consult a Orthopedic surgeon and get your crvical spine X ray AP and lateral view and if required MRI of spine, once diagnosis is confirmed it may be treated with analgesic and muscle relaxants and local physiotherapy may be SWD or local ultrasound will give relief and neck muscles exercises after you pain improves.
Later on you can do a TMT to rule out any cardiac problem if there is any doubt.
Good luck to you.
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Pain In Breast Area, Shoulder, Ribs, Neck Muscles. Heart X-ray, ECG Normal. Muscular Problem?

Hi, Your description of pain is noncardiac as your ECG it is OK. Therere is pain in shoulder and neck muscles so it sholud be from cervical spine. Please consult a Orthopedic surgeon and get your crvical spine X ray AP and lateral view and if required MRI of spine, once diagnosis is confirmed it may be treated with analgesic and muscle relaxants and local physiotherapy may be SWD or local ultrasound will give relief and neck muscles exercises after you pain improves. Later on you can do a TMT to rule out any cardiac problem if there is any doubt. Good luck to you.