[29F] Experiencing Various Pain Symptoms and Headaches

Patient Description

A 29-year-old female presents with a range of symptoms experienced over the past year. The patient describes a dull aching pain in the sternum that worsens with stretching and is accompanied by an audible pop, which has been occurring for a week. Headaches on the right side, described as sharp then dulling over time, have been present for about a month. Wrist pain, described as achy and worsening when bending, has been intermittent throughout the past year, along with tingling sensations in the palm and a warm/burning sensation typically before bed. Additionally, the patient reports aching neck pain on the right side, which has been present for a year and is exacerbated by turning the neck. The patient has a history of scoliosis diagnosed in childhood and gastroesophageal reflux disease diagnosed two years ago. The patient takes omeprazole as needed for reflux and has a Nexplanon implant. No allergies or adverse reactions to medications have been reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible explanations for your symptoms include:

  • Costochondritis: This is an inflammation of the cartilage in the rib cage. It usually occurs in the cartilage where the upper ribs attach to the breastbone (sternum), an area known as the costosternal joint. Costochondritis causes chest pain that can mimic a heart attack. This condition is one of the many causes of chest pain.

    • Treatment typically involves nonprescription pain relievers and rest.
  • Tension Headache: This is the most common type of headache, and its causes aren't well-understood. Triggers can include stress, anxiety, bad posture, and skipping meals.

    • Treatment can include over-the-counter or prescription medications, as well as other approaches like stress management and physiotherapy.
  • Carpal Tunnel Syndrome: This condition causes numbness, tingling, or weakness in your hand, and it occurs when pressure is put on the median nerve in your wrist. This nerve, along with several tendons, runs from your forearm to your hand through a small space in your wrist called the carpal tunnel.

    • Treatment can include wrist splinting, medications, and in severe cases, surgery.
  • Cervical Spondylosis: This is a general term for age-related wear and tear affecting the spinal disks in your neck. As the disks dehydrate and shrink, signs of osteoarthritis develop, including bony projections along the edges of bones (bone spurs).

    • Treatment typically involves a combination of nonprescription remedies, physical therapy, and, in rare cases, surgery.

Please note that these are potential explanations for your symptoms, but other conditions could also be responsible.

What you can do

  1. For your chest pain, try to rest and avoid activities that make your pain worse. Over-the-counter pain relievers such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) can help. However, because chest pain can be a sign of a heart problem, it's important to seek help if you're unsure of the cause of your pain.

  2. For your headache, try to rest and stay hydrated. Over-the-counter pain relievers can also help. If your headaches become more frequent or severe, seek medical attention.

  3. For your wrist pain, try to rest your hand and avoid activities that make your pain worse. Wrist splints can help, as can over-the-counter pain relievers. If your symptoms persist, you should seek medical attention.

  4. For your neck pain, try to maintain good posture and take frequent breaks if you're doing something that requires you to hold your neck in one position for long periods. Over-the-counter pain relievers can also help. If your neck pain persists, you should seek medical attention.

What you should look out for

Reasons to seek immediate medical attention:

  • If your chest pain becomes severe or is accompanied by shortness of breath, sweating, dizziness, or nausea
  • If your headache becomes severe or is accompanied by fever, stiff neck, confusion, seizure, double vision, weakness, numbness, or difficulty speaking
  • If your wrist pain becomes severe or is accompanied by swelling, redness, or warmth
  • If your neck pain becomes severe or is accompanied by headache, shooting pain in your shoulder or arm, or numbness or loss of strength in your arms or hands.

Remember, I'm an AI and this advice is based on the information you provided. It's always a good idea to consult with a healthcare professional who can evaluate your symptoms in person.

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11 mo ago

People Also Ask


What is costochondritis and how is it treated?

Costochondritis is an inflammation of the cartilage in the rib cage, particularly where the ribs attach to the sternum. It causes chest pain that can mimic a heart attack. Treatment typically involves rest and nonprescription pain relievers like ibuprofen or naproxen.


What are the common causes and treatments for tension headaches?

Tension headaches are the most common type of headache, often triggered by stress, anxiety, poor posture, or skipping meals. Treatment includes over-the-counter pain relievers, stress management, and physiotherapy.


What are the symptoms and treatment options for carpal tunnel syndrome?

Carpal tunnel syndrome causes numbness, tingling, or weakness in the hand due to pressure on the median nerve in the wrist. Treatment options include wrist splinting, medications, and in severe cases, surgery.


What is cervical spondylosis and how can it be managed?

Cervical spondylosis refers to age-related wear and tear of the spinal disks in the neck, leading to osteoarthritis and bone spurs. Management includes nonprescription remedies, physical therapy, and occasionally surgery.


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