HomeAnswersCardiologychest painWhy is there pain in left shoulder and upper chest?

How can chest pain in left shoulder and upper chest be managed?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At May 11, 2019
Reviewed AtJanuary 25, 2024

Patient's Query

Hello doctor,

I am a 34-year-old male. I am having a BP medicine (Telma AM 40). I am having pain in left shoulder, upper chest, back side. I had done ECG, 2D echo and a TMT and all the tests are negative. My doctor said the pain is not related to cardio. The pain is not constant it comes and goes, usually it pains in the night, and the rest of the day it is fine. I used to smoke and I quit smoking from the past three years. Please advice.

Hello,

Welcome to icliniq.com.

The characteristics of your pain are not typical of cardiac pain. There are two possibilities in you, first is of a spinal cause like spondylosis or compression of nerves and other is costochondritis. Does this pain increases on neck movement, or any neck trauma, these may be the associated symptoms. You should get X-ray cervical spine AP or lateral view. You need to visit physiotherapist after X-ray and also orthopedician. Does this pain increase on pressure over the area, if yes then it suggests the possibility of costochondritis? You will need a Naproxen then.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

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