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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Pain In The Center Of The Chest?

I have been having moderate pain just to the right of the center of my check. Breathing also causes pain. I got no sleep last night due to this. It has hurt consistently for two days. I am thinking I may have pulled a muscle when lifting, flipping, then folding 4 six foot tables. I get some relief when I lift my right breast, as I am endowed. I need a Dr's opinion. Based on that opinion will decide if I go to ER or contact my Dr.
Thu, 7 Dec 2017
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Ayurveda Specialist 's  Response
**
Thanks for contacting with your health concern

1. As there is a history of physical exertion:

i .Think of fractured rib.
ii. Think of costochondritis, very common anteriorly
iii. Think of muscle sprain.

. If by adopting
- hot water fomentation
- rest with minimal movements
- chest strapping
- intercostal nerve block
- taking an analgesic, anti-inflammatory enzymes, and muscle relaxant, the pain goes away continue with the same, however, if the pain is not relieved ask for Hb%, WBC, ESR & X-ray Chest

2. Apart from injury, pain could be a pleural pathology. [ask for chest X-ray to exclude pleuritis, pleural effusion, since breathing is also causing pain]

PS. Although most of the times, pain may be the result of minor injury or postural changes, however sometimes there may be an underlying medical condition/situation which needs appropriate treatment.

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What Causes Persistent Pain In The Center Of The Chest?

** Thanks for contacting with your health concern 1. As there is a history of physical exertion: i .Think of fractured rib. ii. Think of costochondritis, very common anteriorly iii. Think of muscle sprain. . If by adopting - hot water fomentation - rest with minimal movements - chest strapping - intercostal nerve block - taking an analgesic, anti-inflammatory enzymes, and muscle relaxant, the pain goes away continue with the same, however, if the pain is not relieved ask for Hb%, WBC, ESR & X-ray Chest 2. Apart from injury, pain could be a pleural pathology. [ask for chest X-ray to exclude pleuritis, pleural effusion, since breathing is also causing pain] PS. Although most of the times, pain may be the result of minor injury or postural changes, however sometimes there may be an underlying medical condition/situation which needs appropriate treatment.