[33F] Experiencing upper middle back pain and shortness of breath

What might be happening

Based on the information you've provided, possible diagnoses include:

• Musculoskeletal Strain: This is a common cause of back pain and can occur as a result of overuse, poor posture, or physical stress. The pain is usually localized to the area of injury and can be worsened by movement or pressure.

  • Treatment typically involves rest, over-the-counter pain relievers, and physical therapy.

• Pleurisy: This is an inflammation of the lining of the lungs and chest (the pleura) that can cause sharp chest pain when you breathe in. It can also cause pain in the upper back. Pleurisy can result from a variety of conditions, such as infections or autoimmune diseases.

  • Treatment depends on the underlying cause and may include medications to reduce inflammation and pain.

• Pulmonary Embolism: This is a blockage in one of the pulmonary arteries in your lungs, often caused by blood clots that travel to your lungs from your legs. It can cause shortness of breath, chest pain, and a rapid heart rate. Given your severe shortness of breath and back pain, this is a serious condition that should be ruled out.

  • Treatment typically involves anticoagulant medications to prevent further clotting.

• 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 can cause chest pain that radiates to the back.

  • Treatment typically involves nonprescription pain relievers and rest.

Regarding your elbow pain, this could be due to:

• Tennis Elbow (Lateral Epicondylitis): This is a painful condition of the elbow caused by overuse. It occurs when the tendons that attach the muscle of the lower arm to the bone are overloaded with repetitive motions of the wrist and arm.
  • Treatment typically involves rest, physical therapy, and pain relievers.

Please remember that these are potential diagnoses and it's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

1. Seek immediate medical attention: Given your severe shortness of breath and back pain, it's crucial to rule out serious conditions such as a pulmonary embolism. Please go to the emergency department immediately.
2. Rest and avoid activities that worsen your back and elbow pain.
3. Over-the-counter pain relievers can help with your back and elbow pain, but they should be used cautiously and always according to the package instructions.
4. Practice good posture and engage in regular exercise to strengthen your back and core muscles.

What you should look out for

Seek immediate medical attention if you experience:

• Severe chest pain
• Difficulty breathing or shortness of breath that is getting worse
• Fainting or feeling like you are going to pass out
• Rapid heart rate
• Swelling or pain in one leg

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 recommendations.