[19F] Experiencing sternum and breast pain

Patient Description

A 19-year-old female reports pain in the sternum and breasts, which has been present for just under a week. The sternum pain is described as being deeper inside the chest and is exacerbated by extending arms overhead, lying on the stomach, and by cracking the sternum, without relief. The breast pain is rated as a 5 out of 10 upon touch and occurs in random areas without any discernible pattern. There is no reported difficulty breathing, recent injuries, or trauma, and the patient does not believe the pain is related to the menstrual cycle. No lumps, swelling, or changes in the skin over the breasts have been observed, and the onset of breast pain coincides with the sternum pain. The patient has not mentioned any other symptoms or engagement in new or intense physical activities.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Costochondritis: This is an inflammation of the junctions where the upper ribs join with the cartilage that holds them to the breastbone, or sternum. The condition causes localized chest pain that you can reproduce by pushing on the cartilage in the front of your ribcage. Costochondritis is a common cause of chest pain in children and adolescents.

    • Treatment typically involves rest and refraining from strenuous exercise to help reduce inflammation. Over-the-counter pain relievers such as ibuprofen can also help.
  • Musculoskeletal pain: This is pain that affects the muscles, ligaments and tendons, and bones. The pain can be caused by poor posture, repetitive motions, overuse, or prolonged immobilization.

    • Treatment often includes physical therapy, pain relievers, and exercises to help improve posture and strengthen muscles.
  • Breast pain (mastalgia): Breast pain is common in women, and it can be associated with hormonal changes in your menstrual cycle. It can also be related to injury or trauma to the breast tissue, or a side effect of certain medications.

    • Treatment depends on the underlying cause, but may include over-the-counter pain relievers, wearing a supportive bra, and applying warm or cold compresses.

Please note that these are possible explanations for your symptoms, but they may not be the exact cause. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

Here are some general suggestions that may help alleviate your symptoms:

  1. Rest and avoid strenuous activities that may exacerbate your chest pain.
  2. Over-the-counter pain relievers such as ibuprofen or acetaminophen may help reduce pain and inflammation.
  3. Warm compresses applied to the painful areas may provide some relief.
  4. If your pain is related to your menstrual cycle, wearing a supportive bra may help.

What you should look out for

If your symptoms persist or worsen, or if you experience any of the following, seek medical attention immediately:

  • Severe chest pain
  • Trouble breathing or shortness of breath
  • Pain that spreads to your jaw, left arm, or back
  • Dizziness, rapid heart rate, or loss of consciousness
  • A new lump in your breast or a change in the appearance of your breast

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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1 yr ago

People Also Ask


What is costochondritis and how is it treated?

Costochondritis is an inflammation of the cartilage where the ribs attach to the sternum, causing localized chest pain. Treatment typically involves rest, avoiding strenuous activities, and using over-the-counter pain relievers like ibuprofen to reduce inflammation.


Can musculoskeletal pain cause chest pain, and what are common treatments?

Yes, musculoskeletal pain can cause chest pain. It often results from poor posture, repetitive motions, or overuse. Common treatments include physical therapy, pain relievers, and exercises to improve posture and strengthen muscles.


What are some common causes of breast pain in young women?

Common causes of breast pain in young women include hormonal changes related to the menstrual cycle, injury or trauma to the breast tissue, and side effects of certain medications. Wearing a supportive bra and using warm or cold compresses can help alleviate the pain.


When should I seek medical attention for chest or breast pain?

You should seek medical attention if you experience severe chest pain, trouble breathing, pain spreading to your jaw, left arm, or back, dizziness, rapid heart rate, loss of consciousness, or notice a new lump or change in the appearance of your breast.


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