[20M] With sharp upper body pains

Patient Description

A 20-year-old male has been experiencing random sharp pains throughout his upper body, particularly below both of his pecs, left shoulder, lower back, upper back, and abdomen for the past three weeks. The pain episodes, rated as 5 out of 10 in severity, occur suddenly, last for about 5-10 minutes, and happen 5 or 6 times a day. There are no specific activities or movements that trigger or worsen the pain, nor any patterns or specific times of day when the pain is more likely to occur. Additionally, the patient mentioned experiencing uncommon chest pain that feels uncomfortable. There is no shortness of breath. The patient has no history of injuries, pre-existing conditions, or chronic illnesses and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Musculoskeletal Pain: This is a common cause of sharp, intermittent pain in various parts of the body, including the chest, shoulders, back, and abdomen. It can be due to muscle strain, overuse, or minor injuries that you might not be aware of.

    • Treatment: Rest, over-the-counter pain relievers like ibuprofen or acetaminophen, and gentle stretching exercises can help alleviate the pain. Applying heat or cold packs to the affected areas may also provide relief.
  • Costochondritis: This is an inflammation of the cartilage that connects a rib to the breastbone, which can cause sharp chest pain that may spread to the back or abdomen.

    • Treatment: Anti-inflammatory medications, rest, and avoiding activities that worsen the pain can help manage the symptoms.
  • Nerve Pain (Neuropathy): Sharp, shooting pains can sometimes be due to nerve irritation or compression, such as from a pinched nerve in the back or neck.

    • Treatment: Depending on the cause, treatments may include physical therapy, medications to relieve nerve pain, and avoiding activities that exacerbate the pain.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

  1. Rest and Avoid Strain: Try to rest and avoid activities that might strain your muscles or joints.
  2. Over-the-Counter Pain Relief: Consider taking over-the-counter pain relievers like ibuprofen or acetaminophen to help manage the pain.
  3. Heat and Cold Therapy: Applying a heating pad or ice pack to the painful areas can help reduce pain and inflammation.
  4. Gentle Stretching: Engage in gentle stretching exercises to help relieve muscle tension and improve flexibility.
  5. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider. This can help in identifying patterns and triggers for your pain.

What you should look out for

While your symptoms do not appear to be life-threatening, you should seek medical attention if you experience any of the following:

  • Severe or Worsening Pain: If the pain becomes severe or progressively worse, it is important to seek medical evaluation.
  • Chest Pain with Other Symptoms: If you experience chest pain along with symptoms like shortness of breath, dizziness, or sweating, seek immediate medical attention as these could be signs of a more serious condition.
  • Persistent Pain: If the pain persists despite self-care measures, it is important to consult a healthcare professional for further evaluation and management.

Remember, while this advice can help you manage your symptoms, it is not a substitute for professional medical care. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.

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4 mo ago

People Also Ask


What could be causing random sharp pains in the upper body?

Random sharp pains in the upper body can be caused by musculoskeletal issues, costochondritis, or nerve pain. These conditions can result from muscle strain, inflammation, or nerve irritation.


How can musculoskeletal pain be managed at home?

Musculoskeletal pain can be managed at home by resting, taking over-the-counter pain relievers like ibuprofen or acetaminophen, applying heat or cold packs, and performing gentle stretching exercises.


What is costochondritis and how is it treated?

Costochondritis is an inflammation of the cartilage connecting a rib to the breastbone, causing sharp chest pain. It is treated with anti-inflammatory medications, rest, and avoiding activities that worsen the pain.


When should I seek medical attention for chest pain?

You should seek medical attention for chest pain if it becomes severe, is accompanied by symptoms like shortness of breath, dizziness, or sweating, or if the pain persists despite self-care measures.


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