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

150 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.

What causes pain and discomfort near chest and shoulder?

Answered by
Dr. Praveen

General & Family Physician

Practicing since :2008

Answered : 1055 Questions

Posted on Tue, 19 Aug 2014 in Accident and Emergency
Question: ECG and TMT is normal. Still have symptoms sometimes.

Hi Doctor,
I am 28 year old. I had mild pain and discomfort near chest and also had shoulder pain a month ago. I was informed to take ECG and consulted a cardiologist. I was informed that it is normal and this pain is not related to cardio. But was advised to take Lipid profile test and TMT. Again, the TMT was normal -Stage 1 BP 136/84. Stage 2 140/90. Stage 3 144/90. The resting heart rate of 196 bpm XXXXXXX to a maximum of 196 bpm. Also, test negative for Inducible Ischaemia. The doctor informed that my problem is not related to heart at all. Then, advised to meet a Orthopedician. As per Orthopedician, I did physio therapy for 10 days, but still I have pain near chest, pin point pricks and left shoulder pain. At times, it even comes to right side of the chest. So I went to cardiologist again. Doctor told that there is no further investigation required since my TMT was normal a month ago. I have fatigue, dizziness(sometimes) and fear a lot about heart attack. I become panic sometimes. I feel like something wrong is there.
I have attached TMT and Lipid profile report pics.

Is there any concern?
Answered by Dr. Praveen 3 hours later
Brief Answer:
Reports normal.Advise stress relaxation techniques

Detailed Answer:
Hi dear.Its my pleasure to take this opportunity to answer your query.

I have completely read your query and deeply understand your concern.I have gone through your reports and they are absolutely normal.Your lipids, TMT are within normal limits and there is no reason to worry.This means that this pain in non-cardiac origin and I were to attribute the above complaints to excessive stress and irrational fear which manifest as chest pain due to muscle strain/ache, & fatigue.

Heart attack is very uncommon when you have your lipids, blood pressure and glucose under control.I were to advise stress relaxation techniques like yoga, meditation, breathing exercises and regular exercise(brisk walking for 30 to 40 minutes).These reduce your stress & anxiety levels and bring peace of mind.

Hope this helps.Get well soon.

You may ask me if you have any further queries.
Above answer was peer-reviewed by : Dr. Prasad
Follow up: Dr. Praveen 1 hour later
Thanks doctor for valuable suggestions.
Do I need to take further tests? Or is this TMT test enough. Coming to family history, my father had Heart attack. But he was continuous smoker. I am not a smoker nor I have drinking habit. I had told about family history to cardiologist. So he told me take tmt test. But I went twice to cardiologist. He told nothing to worry and told me to check with orthopedician. There I went through physio therapy because he thought I hav pain originating from cervical spine. Since physio therapy was not useful I went to other orthopedician who thinks that it could be shoulder frozen problem. But did not confirm that since I don't hav all the symptoms of frozen shoulder according to him. I do have stress. Right now orthopedician has given few tablets. Let's see. Can you suggest if I am going through right direction?
Answered by Dr. Praveen 3 hours later
Brief Answer:
This is the right direction.Nothing to worry.

Detailed Answer:
Hi dear.Thanks for writing me back.

Indeed that was a detailed history and I appreciate for the entire story that was narrated in a systematic fashion.You may continue the treatment for frozen shoulder(provisional diagnosis) as advised by your orthopedician and at the same time incorporate these stress relaxation techniques.Hope this brings down your pain and anxiety.

Feel free to post me about your health.
Get well soon.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
Follow up: Dr. Praveen 18 days later
Hi Doctor,

I have joined the Yoga classes as I felt that it may clear the breathing problems I had sometimes. I had shortness of breath/difficulty sometimes. So I joined Yoga therapy where a Yoga expert will guide you through Yoga. I have attended three classes as of now. He informed that this is due to lack of sleep and rotational shifts. I feel I have Insomnia as I am able to sleep less. I still get strange feelings like I am not breathing properly and I my mind concentrates only on how I breath. Sometimes the left side of chest(below) and shoulder keeps shaking. This doesnt happen when I am active and concentrating on other things. He has suggested to continue for one month and these problems are only temporary. The pain has reduced after three classes, but it is still there sometimes.

Do you suggest me to undergo any other tests as I have these strange problems which I never had before(prior 2 months).
Or these symptoms of Anxiety? Do I need to see anybody else?
Answered by Dr. Praveen 9 hours later
Brief Answer:
Symptoms due to inadequate sleep.Nothing to worry

Detailed Answer:
Hi dear.Thanks for writing me once again.

I am glad that you have joined yoga and have been noticing a considerable change thereafter.I would suggest you to continue the same.My choice of therapy for breathing problems along with yoga would be pranayama (breathing exercises).

Thanks for Yoga master for rightly pointing out the reason for your insomnia which is probably due to excess of stress due to shifts.Inadequate sleep results in anxiety, fatigue, irritability and chest symptoms.I would sincerely suggest to practice yoga regularly for few more weeks & observe the change within.I strongly feel that your sleep shall be restored gradually since these techniques not only relieve excess stress but also normalize your sleep hormone levels.

There is no reason to panic since your reports are perfectly healthy.No further tests are required.

Hope this answers your query.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  
Lab Tests

Recent questions on  Shoulder pain

doctor1 MD

I m using a Lidoderm patch for (light) shoulder pain. I had a rotator cuff tear surgery in Oct. 2013. At times I get pain in the shoulder (while exercising and/or playing tennis). Is Lidoderm the same as ibuprofen except it is in a patch form? Thanks for replying.

doctor1 MD

Hi Doc I woke up with a nagging pain on my shoulder ball that has run now to my arm and it s due to my sleeping posture and the cooler blowing on me directly :( I have taken zerodol. Got a flight to catch now at 5am Hope I won t snooze off and Will this give me relief ?

doctor1 MD

hi, i went to the ER on saturday due to heart palpitations that started about 2 weeks ago.. and then about a week ago my arms would fall asleep while i was sleeping, waking me up, then on wednesday i woke up with shoulder pain near my collar bone... it still hasnt went away and now i woke up today and the pain has traveled down my arm between my arm pit and elbow on the bottom side of my arm. When i was at the ER they did 2 ecg's, which were normal, blood test, and a chest xray. The doctor had thought it was a blood clot in my lung possibly, but after the blood test came back he said it wasnt. Pretty much i didnt get any answers and im worried. As far as the heart palpitations go, he didnt know what was causing them so he just told me to stop drinking caffeine. Could you please give me any insight as to what you might think it could be. I also quit smoking on wednesday when i woke up with the sholder pain. And im extremely stressed, because when i was at the ER the doctor told me i "could die" (when told i might have a blood clot in the lung) ..i have anxiety as it is.. and hearing that completely stressed me out.. my hear rate was 122 at the hospital because i was so scared, and since then, i havent been able to sleep well, i keep waking up in the middle of the night. I am a 22 year old female.

doctor1 MD

hello... my name is Neha agarwal.. age 26 female.. by occupation a doctor mbbs.. i m having headaches on one side of head all through d day n throughout dis year.. dis headache s dull in nature , as well as i have pain in my shoulder n whole upper n lower arm n neck with dis headache always which never drops to zero but only fluctuates in intensity.. periodically i also have throbbing pain on 1 side of head which s been diagnosed by doctors as migraine, problem is dat dis migraine pain gets releived by medications in a day or two bt d dull aching pain always remains with me n dis s hindering my education as well as my personal life.. pls help me out doctors..

doctor1 MD

Hello Doc, Request your advice here please Medical history 1. Bronchitis asthma 2. Thalassemia Minor 3. Severe Iron deficiency anemia 4. Shoulder pain , muscle pain in shoulder has supraspinatus tear Recently diagnosed Blood pressure and has been...

doctor1 MD

Hi I suffer from health anxiety and it's ruining my life. Ive recently had heart test echo, Monitor for 3 days and treadmill test. If I had a blocked artery in my neck near my collar bone would it have shown up on my tests

doctor1 MD

I have a dull pain in my left abodmen and mid and upper back, sometimes its a spasm. My left shoulder also sometimes hurts or burns. Now i feel the pain radiating to my right side of my abodmen and lower back. I had a baby in XXXXXXX what could...