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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Pain In The Chest Be Treated?

Hi my name is Phillip and I wanted to ask well me and my friends were playing football and one of my friends knee landed on my chest right under my heart and it's been hurting for the past three days and I can't stretch my arm with out it hurting and it's like a sharp pain and when I take a deep breath it hurts and my pains been getting worst I wanted to see what you think if it's bruised or if I fractured something or if something could be broken and how should I treat my pain?
Thu, 23 Nov 2017
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Ayurveda Specialist 's  Response
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Thanks for contacting with your health concern


1. As there is a history of physical impact [blunt force]:

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]

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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How Can Severe Pain In The Chest Be Treated?

** Thanks for contacting with your health concern 1. As there is a history of physical impact [blunt force]: 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] 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.