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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain Followed By Shoulder And Arm Pain?

Hello, I have been having a dull aching pain the left side of my chest for several weeks now. The pain often radiates into my left shoulder, my upper left arm, today also to the left side of my neck and across my shoulders. I also experience pain in my abdomen a few inches below by breast bone… a kind of aching pressure that verges on nausea. Some days the pain is more isolated, others more spread about. Can this be related to CAD or a some heart condition? Thanks in advance!
Fri, 20 Jan 2017
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Orthopaedic Surgeon,  's  Response
Hi,

In my opinion I think that is a kind of muscular spasm that happens commonly with some patients due to cervical radiating pain which is relieved by hot foments and physiotherapy or massages with topical gels containing muscle relaxants with some painkiller like NSAIDs (advil) will be effective otherwise if it persists you may ask your physician for some investigations to exclude CAD which I think is not your cause of pain but cardiac pain or heart load signs include a similar kind of pain but it is only refered to your left shoulder. Please consider some positive feedback if the information was helpful.

Hope the above information helps you. Any further clarifications feel free to ask.

Regards,
Dr. Ahmed Aly Hassan
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What Causes Chest Pain Followed By Shoulder And Arm Pain?

Hi, In my opinion I think that is a kind of muscular spasm that happens commonly with some patients due to cervical radiating pain which is relieved by hot foments and physiotherapy or massages with topical gels containing muscle relaxants with some painkiller like NSAIDs (advil) will be effective otherwise if it persists you may ask your physician for some investigations to exclude CAD which I think is not your cause of pain but cardiac pain or heart load signs include a similar kind of pain but it is only refered to your left shoulder. Please consider some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask. Regards, Dr. Ahmed Aly Hassan