Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

188 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Getting sharp pain around breast. Muscle spasm?

Answered by
Dr. Aarti Abraham


Practicing since :1998

Answered : 6011 Questions

Posted on Thu, 31 Jan 2013 in Women's Health
Question: 46 yr old female with a rather sharp pain inside my left breast. It sort of moves around but not to my arm, jaw or back. However, it feels worse when I take a XXXXXXX breath or raise my arm. Might this be a muscle spasm or crap?
Answered by Dr. Aarti Abraham 19 minutes later
Thanks for writing to us
There are various causes of pain in the breast.

Normal premenstrual breast tenderness, which might be more noticeable in the peri menopausal age , as you are around 46. This is not present all through the cycle.

Cyclical breast pain ( cyclical mastalgia ) is when pain persists for more than 7 days each month. It typically occurs in the Upper and outer area of breasts, and is bilateral, often referring to the neck area.

Non cyclical and unilateral pain as in your case could be due to mastitis ( inflammation of the breast ), trauma, thrombophlebitis, breast cysts or breast tumours.

Various conditions outside the breast tissue might present in this way. Costochondritis is pain over the rib, and is often not radiated anywhere, and as you mentioned, is increased by breath intake or movement. Ay other chest wall muscular pain also presents similarly.

Rare causes could include nerve pain, herpes, referred shoulder pain, cardiac pain ( angina ) presenting atypically, Peptic ulcer etc.

Intake of hormone containing medications might cause similar breast pain, but it is also more likely to be bilateral.

As the causes are various, and range from mild to serious ones, you need to consult your Gynecologist, for a thorough check up, examination and palpation of both breasts, surrounding tissue and general examination to rule out other causes. An ultrasound or mammogram might be suggested if the clinical work up indicates that.

Take care and feel free to ask for further clarifications.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Aarti Abraham 16 minutes later
Thanks for the through answers. My main concern was that it would not be heart related, it feels more like a sharpness, kind of sciatica type inside the breast. I just didn't want to panic throughout the night.
Answered by Dr. Aarti Abraham 5 hours later
Cardiac pain normally does not increase with breathing or movement.
However, only a detailed evaluation can rule it out, as it is notorious for atypical presentations.
You could also have a muscular or nerve pain - the description fits that.
Please go for a consultation as soon as possible, so that you are assured.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,   ,   ,  
Medical Procedures
Medical Topics

Recent questions on  Sciatica

doctor1 MD

Dear Doctor, I suffer, besides DM ii, htn,gout , RA and cardiac ailment, with sciatica for which I suppose my doctor has advised me ETOVA 600 mg and Febustat. Could you be kind enough to suggest. I am also taking iron and calcium tablets as well. Thanks.

doctor1 MD

I am a 31 yr old male, and I went into afib a few months ago. the bout only lasted for about 24 hrs and i have not gone into afib since. over the last few weeks my heart has been fluttering often accompanied by tightness of chest and numbness in my left arm. I have checked out with a clean bill of health with my doctors, and I am confused. I believe I found the commom denomonator but I am not sure if these issues can be linked. I am constantly having back issues, and about 2 years ago i went to the chiropractor to find out my spine looks like that of some one who jumps out of planes for a living and i have to go in every so often to get adjusted and treated for sciatica. my afib and flutters only happen after I have aggrivated my back and nerves. my question is: can these be linked, and are your nerves part of the same electrical system that controls your hearts rhythm?

doctor1 MD

Hello Doctor. I'm 25yrs old, 164cm, 61kgs guy from India. I had a acute disc prolapse L4-L5 & sciatica while palying football 3 yrs ago. I went for conservative treatment nerve manipulation. I was back to normal. 3 weeks ago I have got back the same pain due to travelleing on bumppy roads. MRI report Mild rethrolisthesis of L4 over L5 posterior disc bulge with annular tear and mild caidal migration at L5-S1 level. Doctor says L5-S1 problem may lead to Impotence. I'm worried, I'm not yet married. Over the last few months when I masterbate I'm unable to ejaculate in standing position. Only by sleeping on my back i can ejaculate. Please explain my symptoms.

doctor1 MD

I have sciatica, fibromyalgia, bulging disc @ L4-5, degenerative disc disease, severe nerve damage. Question is .. constant diarrhea, I have to wear an adult diaper because of 'leakage', but also I seem to keep getting kidney infections, burning when I urinate, severe lower back pain, nausea. Any ideas on what all this could be? please... I probably misspelled some of this. I apologize

doctor1 MD

I am a 72 year old woman. For the past week I have been getting excruciating thigh muscle cramping thinking it was sciatica . My doc doesn't have office hours today and I want to begin taking magnesium supplement. What is the safe dosage?

doctor1 MD

This is a follow-up to our chat of a few days ago re magnesium to alleviate intense muscle spasms in my thigh. It seems to be helping along with the 2mg Tizanidine . I have spoken with my internist and he agrees that I should see an orthopedist to...

doctor1 MD

I am taking tart cherry juice for sciatica . Will it work?