How To Tell If Chest Pain Is Muscular And What To Do About It
Not all chest pains are necessarily symptoms of a heart attack. While painful, some may have simpler and less serious explanations.
Muscular pain in the chest can mimic serious conditions like a heart attack or lung problems. Even a broken rib can cause chest pain.
However, chest pain from a pulled muscle doesnt necessarily warrant a trip to the emergency room. Learn how to tell if chest pain is muscular and when to call your doctor. The good news is that you may be able to take care of it on your own.
Arthritic And Rheumatological Causes Of Chest Wall Pain
|Arthritic and Rheumatic diseases causes of chest wall pain||Less Common|
|Osteophytes of the chest||Relapsing polychondritis|
Arthritis refers to joint inflammation, the most common is osteoarthritis. Related to arthritis are Rheumatic diseases that are characterized by inflammation that affects the connecting or supporting structures of the body most commonly the joints, but also sometimes the tendons, ligaments, bones, and muscles. Rheumatic diseases that primarily affect the spine are considered spondyloarthropathies such as ankylosing spondylitis. See .
Fibromyalgia is a long-term condition that causes pain and tenderness all over your body. When it extends to the chest, the pain feels like an intense stabbing sensation primarily in the centre of the chest, around the breastbone and rib cage. Its thought to be caused by your nervous system not being able to control or process pain signals from other parts of your body. The condition is also linked to increased sensitivity to pain, headaches. extreme tiredness , muscle stiffness, difficulty sleeping problems with mental processes such as problems with memory and concentration. There is no specific diagnostic test.
Fibromyalgia and the associated paired tender points
Osteophyte of the sternum . It was excised with relieve of pain
Arthritis And Chest Pain Symptoms
Arthritis chest pain has usually associated some exacerbation, such as minor trauma or upper respiratory infection, or it may be related to inflammation from the underlying arthritis condition.
The pain is either dull or sharp but usually located towards the front of the chest wall. Sometimes, pain radiates to the back or abdomen. Pain can also be felt when coughing, sneezing and taking deep breathes.
Tenderness and pain are worsened when you press on the rib joints or the breastbone. Tenderness in the breastbone or rib cage is a usually a telltale sign of costochondritis and makes it easier to diagnose this condition.
Psoriatic arthritis is a form of arthritis that affects some people who have psoriasis. Here are some treatment options and tips for managing it.
You will need immediate medical attention if you experience any of the following symptoms:
- High fever, sweating, or chills
- Breathing problems
- Signs of infection, including pus, swelling, and redness in the chest wall and rib joints
- Worsening pain despite taking medication
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What Is The Relation Between Ra And Costochondritis
What a brutal illness. Ive learned to live with episodes of throbbing RA inflammation in my hands, feet, shoulder, and jaw. No one ever told me that it could also affect my chest. Though inflammation of the chest is not common, a quick internet search will show you costochondritis happens enough in RA that most medical sites list it as a possible occurrence.
Watch out for this one. If it does occur, seek medical attention to rule out all possible scenarios. From what I have gathered from researching it online, most people report costochondritis feels like a heart attack, or pain in the heart, just as I felt it, though in fact, it is inflammation.
Can Shoulder Arthritis Cause Neck Or Chest Pain
If you have rheumatoid arthritis, you may experience pain in your neck and chest as a result of your arthritis. When chest pain occurs as a result of rheumatoid arthritis, it is called costochondritis, a condition that is often mistaken for a heart attack. This pain is often a sharp, stabbing pain experienced in a small area near the center of your chest a heart attack usually radiates to other areas of your body and is often accompanied by lightheadedness and sweating. It is always best to err on the side of caution and consult your physician if you are experiencing chest pain to rule out the potential of a heart attack.
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Why Are Arm Pain And Heart Attack Connected
Most often a heart attack occurs when a obstructs blood flow into your heart muscle . This commonly causes a cramping or squeezing pain in the center or right side of your chest. Heart attack symptoms are extremely variable, but sometimes the pain in your chest extends to one or both shoulders and arms.
In addition to shoulder and , you may also have , aching or discomfort in other areas of your upper body, such as your neck, jaw or back, without any chest pain. This happens more commonly in women than in men.
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Ra In Shoulder: What Are The Symptoms Of Arthritis In The Shoulder
Perhaps you felt an unexpected twinge when you went to pick up a load of groceries or maybe you find yourself avoiding an afternoon of golf or tennis with your friends. Shoulder pain can come on suddenly or develop slowly. When it occurs, it can keep you from doing the things you love or even make it difficult to do your job. What could be the cause? Certainly, many things cause shoulder pain, but for someone who suffers from Rheumatoid Arthritis , the first instinct is always to look at the possibility that RA is to blame. So, what do you need to know about RA and shoulder pain? We have put together some basic information to help you understand and deal with this issue.
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Costochondritis And Arthritis: Whats The Link
Costochondritis is not as common as inflammation in the joints of the hands, elbows, knees, or feet, but if you have inflammatory arthritis like rheumatoid arthritis, ankylosing spondylitis, or psoriatic arthritis, you may also be more likely to get costochondritis.
When you have a condition that predisposes you to inflammation over multiple joints, you have increased susceptibility to developing it, says Vinicius Domingues, MD, a rheumatologist in Daytona Beach, Florida, and medical advisor for CreakyJoints.
Though costochondritis can happen at any age, it is more common in people over 40 and, like inflammatory arthritis, it affects women more than men 70 percent versus 30 percent.
What Causes Shoulder Pain
Shoulder pain can be caused by a wide variety of conditions that cause inflammation, infection, nerve compression, or injury of the shoulder. Common causes of shoulder pain include arthritis and injury caused by excessive, repetitive, or overhead motions that involve the shoulder, such as occurs with baseball pitching or construction work.
A common cause of shoulder pain is a tear of the rotator cuff, the muscles and tendons that hold the arm bone in place in the shoulder joint. The rotator cuff also enables the arms range of motion. A torn rotator cuff results in shoulder pain or weakness when you move your arm.
Shoulder pain can also be caused by diseases or conditions of the body outside the shoulder area, such as heart attack or gallbladder disease. This is called referred shoulder pain.
Mortality Rates With Pericarditis And Rheumatoid Arthritis
Whether pericarditis itself contributes significantly to RA mortality is unknown, except in the few patients with constrictive pericarditis, or rapidly progressive effusive pericarditis, associated with a high mortality rate in rheumatoid arthritis.
The postmortem research of pericarditis incidence in patients with RA is reported to be in the range of 11 to 50%. During the last few decades, echocardiography has allowed the antemortem detection of pericardial effusions and other types of pericarditis in about a third of patients with RA. Nevertheless, symptomatic rheumatoid pericarditis with cardiac tamponade or constrictive pericarditis is uncommon. This research shows that 12 out of 960 patients admitted to a hospital over 11.5 years for complications of RA had clinically apparent pericarditis, and 5 of these 12 had cardiac tamponade.
Symptomatic rheumatoid pericarditis occurs most frequently in older patients, but the age of the patients with RA symptoms is variable. Because the pericardial fluid can be loculated and difficult to aspirate, pericardiocentesis should be reserved for relief of life-threatening cardiac tamponade. In the case of cardiac compression and chronic pericarditis, the preferred long-term treatment is pericardial resection. Visit here for further reading.
Can Chest Pain Be Related To Rheumatoid Arthritis
Learn the connection between RA and chest pain.
Question: Sometimes it feels like the bones in my chest hurt. Is it RA or am I having heart problems? Answer:Pain felt in the bones of your chest is likely due to costochondritis or inflammation of the cartilage where the ribs attach to the breast bone. Although it is not as common as inflammation in the joints of the hands, elbows, knees or feet, it is not uncommon in RA. Unlike the pain of a heart attack, which radiates to other parts of the body and is often accompanied by symptoms such as nausea or light-headedness, the pain of costochondritis is localized to the center of the chest. It may get worse when you take a deep breath or press on your ribs. Neither of these actions will affect the pain of a heart attack. Because chest pain can be caused by other problems, it is important to see your doctor. If you are experiencing symptoms of a possible heart attack, including pressure in your chest accompanied by pain in neck, jaw, shoulder or arms, call 911 or get to the emergency room immediately. While the pain of costochondritis is troublesome, it is usually not long lasting. Pain-relieving medications includingnonsteroidal anti-inflammatory drugsand acetaminophen along with cold and/or warm compresses can make you more comfortable until it passes. John Higgins, MD
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What Is The Outlook For Rheumatoid Arthritis Rashes
There are no permanent solutions that can completely prevent rheumatoid arthritis rashes from occurring. Doctors may try a combination of medications to help you manage your condition. These treatments may reduce inflammation and minimize joint damage.
Its important that people with RA take measures to live as healthy a lifestyle as possible. Examples of healthy lifestyle practices that may benefit a person with rheumatoid arthritis include:
- Getting plenty of rest, which can help to reduce fatigue symptoms and minimize joint inflammation.
- Exercising whenever possible, which can help to enhance joint mobility and build strong, flexible muscles.
- Taking measures to cope with stress, such as meditation, reading, taking a walk, or doing other activities to promote relaxation.
- Eating a healthy diet full of fruits, vegetables, whole grains, and lean proteins. This can help you maintain a healthy weight, which is important in supporting healthy joints.
The Cardiac Risks Of Rheumatoid Arthritis
As if the chronic pain and mobility challenges of rheumatoid arthritis werent burdensome enough, its becoming clearer that people with the disease face another serious health threata greater risk for heart disease.
Some 1.5 million Americans, a majority of them women, have this form of arthritis, an autoimmune disease that happens when the immune system attacks the bodys own tissues, causing pain, swelling, stiffness and loss of function in the joints.
Doctors have long known that people with rheumatoid arthritis and related conditions had a shorter lifespan than those without these conditions. Data suggest that heart disease may explain this discrepancy. In fact a review of studies in the journal Nature Reviews Rheumatology suggests that more than 50 percent of premature deaths in patients with rheumatoid arthritis result from cardiovascular conditions.
The link between the two diseases: inflammation. In people with rheumatoid arthritis, the immune system attacks the synoviumthe lining of the membranes around the joints. This causes the synovium to thicken, eventually damaging the cartilage and bone.
But the process doesnt stop at the joints. The inflammation can damage systems throughout the body, including the skin, eyes, lungs, and heart. Inflammation narrows the arteries, raising blood pressure and reducing blood flow to the heart, for instance.
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Myrateam Members On Peripheral Neuropathy In Ra
Members of myRAteam have described their experiences with peripheral neuropathy. As one member wrote, I have this in my feet and up to my knees. It started with terrible cramps. Another had a similar experience, writing, My neuropathy started in my feet, then went up to my knees and up from my fingers to my elbows. Another shared that peripheral neuropathy was my first sign that I had an autoimmune disease at age 24.
Members have also shared the variety of sensations they experience with peripheral neuropathy. One noted, Your feet are numb to feeling, yet there is awful nerve pain. Ive heard it compared to shingles pain. Another member shared, I have no feeling in my ring finger and pinky on both hands. Its strange to not have feeling in them. Makes them seem weaker than they are.
Other members have discussed the challenges that peripheral neuropathy poses to daily life. As one member wrote, I have this in my hands and feet as a side effect of RA. Its a bit difficult to walk some days, and I keep changing shoes throughout the day, which helps a bit.
Shoulder Pain Causes And Risk Factors
Common shoulder injuries
Other causes of shoulder pain
Osteoarthritis. Also called degenerative joint disease, this is the most common form of arthritis. It can affect any joint, including your shoulders. The cartilage between bones breaks down, and they rub together. This can cause pain and stiffness.
Tendinitis. This is when the tendons that make up your rotator cuff get inflamed. It can happen slowly over time or as the result of a fall or a direct hit to your shoulder.
Bone spurs. Also known as Ã¢osteophytes,Ã¢ these small, smooth pieces of bone rub up against and wear on your rotator cuff and keep your shoulder from moving the way it should. They can lead to tendinitis or a rotator cuff tear.
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What About Surgery For Angina
Like angioplasty, surgery is an option for people whose angina does not improve with medications and others who are at high risk of having a heart attack. Surgery is usually reserved for people with very severe narrowing or blockage in several coronary arteries.
In almost all cases, the operation used for severely narrowed coronary arteries is coronary artery bypass grafting.
Coronary artery bypass surgery
- The chest and rib cage are opened up
- The narrowed part of the artery is bypassed by a piece of vein removed from the leg, or with a piece of artery behind the sternum , or a portion of the radial artery taken from the lower arm or forearm.
- Several arteries can be bypassed in one operation.
- This is a very safe operation, with a mortality rate of less than 1%, in people whose heart muscle is not severely damaged irreversibly and who have normal lungs, kidneys, liver, and other organs.
- Because the chest is opened, the recovery time can be quite long, especially if the person is older and has multiple other health problems.
What Is Costochondritis
Costochondritis is a rare condition involving inflammation and pain in the cartilage where your rib meets your breastbone, or sternum. Its typically on your left side, and gets worse with a deep breath or cough. The below video provides an overview of the condition and explains a couple simple things that are usually recommended with the condition.
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Reduced Range Of Motion
Sometimes, the swelling associated with rheumatoid arthritis can be so severe that it causes joints to lock up, unable to be moved. This happens because the tendons surrounding a joint have become so inflamed that joint movement is rendered nearly impossible. A locked joint in the knee can be mistaken for a meniscus tear, so proper diagnosis by a rheumatologist is important when dealing with locked joints and reduced range of motion.
Medication For Serious Symptoms Of Pericarditis And Rheumatoid Arthritis
Stronger medicines may be needed to stop serious symptoms such as inflammation of the sac around the heart . Corticosteroids such as Prednisone may be added to the treatment plan to control severe symptoms. This medication can be given either intravenously or by mouth.
Because of the severe side effects of corticosteroids, its important that patients are gradually weaned off of the medication instead of stopping it suddenly. Since stopping cold turkey can be dangerous, its important for patients to follow their doctors instructions on how to take or reduce their dosage. For inflammation in one or just a few joints, injecting a corticosteroid compound into the affected joint or joints can often bring quick relief without the systemic side effects of oral or intravenous medication.
Recent studies have suggested that anti-TNF-alpha therapy is effective in cases of constrictive pericarditis complicated with rheumatoid arthritis. These studies conclude that etanercept therapy seems to be highly effective in the anti-inflammatory treatment of constrictive pericarditis complicated with rheumatoid arthritis, and should be considered as an alternative to surgery.
Heart failure can occur or get worse in people who use TNF blockers. Your doctor will closely monitor you if you have heart failure. Tell your doctor right away if you get new or worsening symptoms of heart failure such as shortness of breath or swelling of your lower legs or feet.
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