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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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29 Year Old With Chest Pain, Pain In The Left Arm, Back Pain. Pinched Nerve?

Hi, i'm a 29 year old male, 5'8" 175lbs and have been having slight chest pain, back pain, and ache in my left arm for the last week. All pains have been coming and going. At times I find the pains are completely gone. Physical exertion does not seem to have any effect or increase pain. In some cases it has made the pain ease. I find it bothers me the most when I'm relaxing or lying down. I have been visiting the chiropractor for the last 2 weeks to relieve back pain which for all visits, except the last has relieved the pain completely for at least a day, which leads me to believe that it could be simply a pinched nerve or misaligned rib.
Mon, 6 May 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi,
Thanks for posting your query.
From description it seems to be due to pinched nerve or muscle spasm. Physiotherapy in form of neck and back exercises will be helpful in your case. Doing hot fomatation and applying muscle relaxant gel will be helpful to reduce the pain and spasm. If chest and arm pain associated with sweating and restlessness, get it evaluated to rule out any cardiac cause.
Hope this will helps you.
Regards
Dr Saurabh Gupta
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General & Family Physician Dr. Anuj Dan's  Response
Hi,
Well chest pain can be caused by a wide variety of diseases. But since you say that your chest pain only starts when you are resting and is relieved by physical exertion, the first thing that comes to my mind is prinzmetal angina. It is a somewhat uncommon heart disease and while I may be wrong in my guess I think it would be best to get yourself checked as soon as possible.
The tests your doctor may want to run include echocardiography and coronary angiography.
I hope this helped.
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General & Family Physician Dr. Het Ram Bishnoi 's  Response
Hi, thanks for the query to H.C.M. Forum.
If pain continue for more than 30 seconds and that too excruciating may be a heart pain (may be).
Pain was radiating to left arm ( you have not mentioned whether pain was in jaw or not) again a feature of heart pain.
The pain was also on the back against heart pain.
After seeing your query here I would like to say one thing that this was a muscular pain.
Still you have some doubt than get in blood examination for lipid profile , sugar.
Get in an E C G of heart to rule out its involvement.
Good luck.
Dr. HET
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General & Family Physician Dr. Dr. Palraj. I's  Response
Hello'thanks for your query. The chestpain bacpain andshoulderpain which you have mainly due to musculo skeletal disorder since you have alreandy told that the pain was not aggravated during exertion.But being consiidered your BMI kindly undergo complete cardiac evolution with Ecg',treadmill and echo.Suppose if youare ahard manual worker the pain may be due to radiculopathy which is respond to steroids and antiinflamatorydrugs
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29 Year Old With Chest Pain, Pain In The Left Arm, Back Pain. Pinched Nerve?

Hi, Thanks for posting your query. From description it seems to be due to pinched nerve or muscle spasm. Physiotherapy in form of neck and back exercises will be helpful in your case. Doing hot fomatation and applying muscle relaxant gel will be helpful to reduce the pain and spasm. If chest and arm pain associated with sweating and restlessness, get it evaluated to rule out any cardiac cause. Hope this will helps you. Regards Dr Saurabh Gupta