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Arthritis (Expert Forum)
pain in chest, muscualar i think?
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
This forum is for questions and support regarding arthritis issues such as: Arthritis, Autoimmune Disease, Bursitis, Fibromyalgia, Gout, Juvenile Rheumatoid Arthritis, Lupus, Myositis, Neuralgia, Osteoarthritis, Polymyalgia Rheumatica, Rheumatoid Arthritis, Sciatica, Tendinitis, Vasculitis.
pain in chest, muscualar i think?
by jalco, May 05, 2007 12:00AM
Thanks for ur opinion, i have been bothered by a wierd pain, ithink muscallar in my lower rib cage. im 47 (male) lift a lot, its tender 4 inches below my right nipple when i press on a 1 inch area on my lower rib.same pain when i raise my right arm straight up. with out doing these thing the pain is almost gone. but what worries me the pain doesnt change or get better, i have had it for a month. can it be a tear? getting older? lifting boxes im a printer paper is heavy? it only seem to bother me when a raise my arm high? or press on it? is it related to any organs under that rib? urine is ok i had chlmydia a few weeks ago? i might be a long lasting tear or something? i think the area was xrayed because of a fall a few months back they didnt see a break but that pain seem to pass after a week on its own? thankd for ur advice....
Doctor's Answer
by Kevin Pho, MD, May 06, 2007 12:00AM
, May 06, 2007 12:00AM
Musculoskeletal causes can lead to the symptoms - such as a muscle tear, sprain or contusion.
However, before attributing it to that, you may want to inquire about cardiac causes or GI causes. If suspected, a stress test, upper GI series and/or abdominal ultrasound can rule out these possibilities.
If the muscle is still suspected, a referral to a physical therapist or physiatrist (rehabilitation MD) can be considered to help treat the underlying cause. Imaging of the area with a plain film or CT scan can also be considered.
These options can be discussed with yor personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
However, before attributing it to that, you may want to inquire about cardiac causes or GI causes. If suspected, a stress test, upper GI series and/or abdominal ultrasound can rule out these possibilities.
If the muscle is still suspected, a referral to a physical therapist or physiatrist (rehabilitation MD) can be considered to help treat the underlying cause. Imaging of the area with a plain film or CT scan can also be considered.
These options can be discussed with yor personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
If I was you, and the pain is bothering you, find a good internal medicine doctor in your area to examine you. Avoid family physicans all together unless you have a cold or flu.
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