How to reduce my chest pain that involves upper back, left shoulder and hand?

Question

Hi doctor,

I am a 34-year-old male. I am married. My weight is 85 kilograms, and my height is 5 feet. My resting BP is 130/80 mmHg, and pulse is 80 beats per minute. I do not have any tension at my home or the office, and I am very relaxed. I am suffering from left side chest pain along with upper back pain (left side only), left shoulder, and sometimes with left-hand pain. When I bend my head forward, I feel tightness and pain in the upper body and the left shoulder.

I have light-headedness, fatigue, and feel drowsy all day while sitting or standing. I have the pain on the left side for about three years. I underwent almost all tests, and all are normal. But the pain persists. I underwent heart tests, including CT angiography and an MRI brain. All are normal. I am attaching my X-ray of cervical spine and ECG, which I underwent two days back. Kindly suggest how to reduce my pain.

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I have gone through your reports (attachment removed to protect patient identity). Your ECG is fine, and from the description of pain and the test you underwent, it is cervical pain. In the cervical X-ray, there is a straightening of the spine, which is the cause of your pain. You should undergo further tests like MRI (magnetic resonance imaging) of the cervical spine for the confirmation of diagnosis and the extent of disease. Also, a vitamin D test should be done.

You need neck physiotherapy, including traction and a cervical belt, which is better started after an MRI. Also, you should use local Diclofenac gel for pain relief. Hot water fomentation can be done. Also, you need to take tablet Pregaba M 75 mg (Pregabalin with Mecobalamin) at bedtime, which is a nerve stabilizer and helps in controlling symptoms. Also, take tablet Flexon MR (Chlorzoxazone with Ibuprofen and Paracetamol) whenever needed up to two times a day for pain relief. You should visit an Orthopedician to get relieved.

I hope this helps.

Thank you.