What are the non-cardiac causes of chest pain?

Question

Hello doctor,

I am a 34-year-old male. I am taking BP medication (Telmisartan along with Amlodipine). I have pain in my left shoulder, upper chest, and back. I have had an ECG, 2D echo, and TMT, and all the tests came back negative. My doctor said the pain is not related to my heart. The pain is not constant; it comes and goes, usually occurring at night, and the rest of the day, I feel fine. I used to smoke but quit three years ago.

Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

The characteristics of your pain are not typical of cardiac pain. There are two possible causes in your case: the first is a spinal issue, such as spondylosis or nerve compression, and the second is costochondritis. Does the pain increase with neck movement or after any neck trauma? These could be associated symptoms. You should get an X-ray of the cervical spine (AP and lateral views). After the X-ray, you should visit a physiotherapist as well as an orthopedic doctor. Does the pain increase when pressure is applied to the area? If so, it suggests the possibility of costochondritis, in which case you may need Naproxen.

I hope this helps you.

Thank you.