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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pinched Nerve ?

1st off hello and thank you. Female,18, 5 5,145 lbs. I havent been hospitalized for any reason.For years I have experienced a sharp pain under my breasts at random or come on slowly. Several times I have had the feeling I just got stabbed in the lung and sometimes it will be an all day thing with breathing in. Along with this is a nomb /pinched nerve feeling that goes from my shoulder,elbow, to thumb. It happens more often with the pain at my rib and lung. I know you cant rightfully say whats wrong but give me an idea. I have told my doctors several times for several yrs. Thank you. Could it be involved with anxiety? I ve been diagnosed with that.
Sat, 9 Jul 2011
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General & Family Physician 's  Response
Hi,
Thanks for query,
From your history it seems that you might have extra cervical rib giving rise radiating pain to rib,chest and nerve pinching sensation.
Rarely there may be some cardiac problem.
Go for X-ray cervical region,AP and Lateral to rule out extra rib.
Go for ECG to rule out cardiac element.
ok and bye,
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Psychiatrist Dr. Keerthish Shetty's  Response
Hi,
If the doctors have already ruled out physical probelms, then it is most likely to be related to your anxiety than due to any physical problems. Non-specific symptoms like medically unexplainable pains are very common in anxiety. It can be distressing to the patient and the the usual physician's conclusion that "its all in the mind" does not help.

It is very important for you to understand that mind and body are intimately related. This mind-body relationship is evident in day to day experiences, like feeling one's own heart best (palpitations) when afraid (a psychological phenomenon) or suffering from loose stools when anxious due to exams or some other reason.

Once your understanding of your problem improves, then you can discuss with your psychiatrist in detail about things that might be the cause of your worry or anxiety. Adopt a healthy lifestyle with minimal stress and regular physical activity.
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