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Experiencing chest pain. Took tylenol. Cardiogram and blood test normal. Worried for muscular strain

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Practicing since : 1976
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It's been about 3yrs. now that i have experienced a terrible pain in my chest on a very frigid winter day, at almost a
whopping -27celsus. Vividly, i went to the supermarket to buy some groceries, on my way back home i had about
4 - 5 full bags(40-50lbs), i was testing my strength ability, so i walked about 2km with all bags in my right hand and could see that i am leaning a bit on my left side while i was getting very close to home. As soon as i got home, i felt a weird sensation pain eminating from left side(breast area) of the chest. I live through for couple days,thinking that it is something that will eventually go away. The pain happen on a saturday night,then waking up on the monday morning i was just daze and confused getting out of bed. I felt this terribly pain as if i was out on a limb. The pain is not sharp,pressure or intense feeling -- it just felt like a deep inside sensation pain to make someone feel superbly uncomfortable -- fish out of water.
On a cold monday i admit myself in the emergency center hospital, my cardiogram and blood test was fine.
sent me home to take tylenol pain killer. I was so terrify at the moment, thinking that it could be a heart attack,
and i was definitely in a panic zone. Courageously -- to gain back some confident, i walked out of the hospital
to about 3km or so to shovel the snow from my client driveway -- i was recouperating a bit just to keep my head up
high. As soon as i got home the night, i apply deep heat cream around the pain area, and i slept quite comfortable
with a small pillow in the chest area. The degree of the pain was dissipating over time, bear in mind it was totally
gone but just a bit better of varying levels.
I am a seasonal landscaping outdoor employer, therefore i had about 2.5 months off at the time to rest up. The
funny thing about this pain over the 3 year span, is that when i am focus to work then the pain goes away, as if
i'm just as normal. But in standby mode or coming out of rest(sometime) especially in cool,rainy days then the
pain arrive slightly whereas my body can cope with it -- but it is still annoying to say the least.
Sometime now, the pain is mild to moderately sharp or (pressure tense which is the worst) -- not my favorite.
Couple days ago on the sunday, the pain came down again initially the way i felt it in the beginning. I went
to the hospital and all was fine again with the cardiogram and blood test -- just like XXXXXXX vu. Sent home to
take tylenol and consult with family doctor. I think the reason for pain developing again is because recently
i've been paying visits to my family doctor for same issue without any success -- no referral to a specialist
after all this time. I did a physical with him recently, and i was worrying and stress out with some result like
blood pressure & sugar level. I know i was always nervous and pannicky seeing my doctor, i was'nt normal
because i have'nt seen a hint where he his taking care of my chest pain, it was always like a bypass situation
without guiding me in the right direction.
Right now, i feeling a lot better, there is still a bit of a pain to a certain degree. I am using deep penetrating
pain cream, it helps a bit. The pain has subsided considerately prior to the hospital visit. I've never felt it like
this from the first time it occurred. I am desperately in need of help, a don't know where to turn, few weeks ago
i felt like this is the darkest period of my life -- confused, worrying and so lonely. Now i'm looking on the brighter
side, i just want to purge my hope and confidence.
For all this time, Is there an answer for me that will guide me in the right path towards a prospective health
support based on what may be the possible cause of the ongoing pain. I do suspect it is muscle related tear
or strain issue which has'nt recovered throughout all these yrs. Like to know if there are any positive steps
that will lead me to the right place for help?. Can i see experts on my own, without doctor referrals, who can
give some help. Are there any test to see if i have ligament,nerve or muscle degradation?.
Can chiropractors help me?, can acupuncture therapist help me in this kind of situation?.

Posted Tue, 16 Apr 2013 in Lung and Chest disorders
Answered by Dr. Rajiv K Khandelwal 6 hours later

Thank you for your query.

I can understand you dilemma. You mentioned that you had a cardiogram and blood test but you have not mentioned whether X-ray was taken at the initial hospital visit.

As the incident happened more than 3 years back it is very difficult to say whether it was just a muscular strain or some ligament injury. Old injuries do trouble a lot. I suggest that you see a physiotherapist who will guide you to take care of the chest muscles which have been injured by lifting the heavy weight. Whether you can see the specialist on your own without a doctor referral depends on the health care system at you place. If physiotherapy does not help then you can seek a chiropractor or an acupuncturist's help.

I hope I have answered your query to your satisfaction. Do revert back in case you need any clarifications or would like to share more facts.

Wishing you all the best.


Rajiv K Khandelwal
Above answer was peer-reviewed by
Follow-up: Experiencing chest pain. Took tylenol. Cardiogram and blood test normal. Worried for muscular strain 2 hours later

Thank you for responding to my dilemma that i'm facing. As a fact i did
have x-ray on the sunday that was fine. Muscle sprain, strain, tear ligaments or
nerve damage etc. that causes chest pain can be fine when apply physical workout to make someone feel as if they're normal again?, i know for most cases that is the opposite, but for me it is different. I live in toronto(canada), couple months ago one day i felt a bit crappy with the chest pain,i could bear it a bit, but still annoying -- which quite often i do tend to have varying degree of discomfort. So on that day, a snowy day( 35cm fall) i was able to hand shovel 10 average size driveway with no pain as if i was normal -- hard physical labor. just can't explain it, maybe when blood flows it block the pain barrier. Are situation like mine tend to be quite common?, rest in chest pain and no significant pain while working.

Based on the situation with carrying the heavy groceries in one hand on
a very cold day, would you strongly suggest the way i felt with a weird pain
that this is more likely a muscle related injury over a long time?. Can these
injuries persist for years?, can chiropractor, acupuncture treatment repair these type of injuries -- for eg. stretch ligament or nerve damage.
CTscan or MRI will aide by showing any kind of muscle damage like ligaments?.
Muscle and joint pain cream like myomed help relief pain of ligaments. Bottom
line, will a chiropractor or acupuncturist diagnose to see if i have damage
ligaments or muscle like tissue based on my situation?. They can tell what's wrong in these kind of area?. true/false.
Answered by Dr. Rajiv K Khandelwal 1 hour later

The history that is provided by you clearly tells that the pain increases when you over exert the muscle group like shovelling the snow. The pain is not there when you are doing your normal chores. By seeing your physiotherapist you should be able to work on these muscle groups and ensure that the pain does not come when you do heavy work.

You can get an MRI done but I do not see much will come out of it. If the pain had been continuous then this modality would have pinpointed to a site.

You can consult a chiropractor who may help you in clearing your doubts but I do not see an acupuncturist being able to diagnose it.

I hope I have clarified your doubts.

Wishing you all the best.


Above answer was peer-reviewed by
Follow-up: Experiencing chest pain. Took tylenol. Cardiogram and blood test normal. Worried for muscular strain 10 hours later

Thanks again. It is the opposite, i do not have pain when i over exert
myself in doing my regular work, like for eg. shovelling snow, grass mowing and
even operating chainsaw tree work duty. Physical work makes me feel good.
Doing nothing, especially in cold climates is not my liking. The chest pain is not
as bad in the summer vs winter, because in the warm summertime i'm in a physical better shape.
I really want you to answer this ques., Based on all that i 've disclose to you,do you have a strong belief that this is muscle related injury problem?, i tend to believe so myself -- but i don't know,i also have doubts.
Are there other experts apart chiropractors that can help me in the right
direction? -- potential "ONES".

Second Ques. Do you have patients in the past with the similar kind of
symptom of mine?.

Answered by Dr. Rajiv K Khandelwal 2 hours later

I am sorry if I misunderstood you regarding the pain on exerting.

Old injuries do trouble a lot during the cold weather. Yes, what you describe is muscle related. Either an orthopedic surgeon or a chiropractor or a physiotherapist can help you with your pain.

Yes, we do see patients with your kind of symptoms however in our part the weather is much warmer than in Toronto.

I hope I have answered both of your queries to your satisfaction.

Wishing you all the best.


Above answer was peer-reviewed by
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