[38F] Experiencing sternum cramps during certain movements

Patient Description

A 38-year-old female has been experiencing cramps in the upper sternum on the right side under the breast, likened to muscle cramps in the leg or foot, for a few years with increased frequency recently. These cramps occur during certain movements, particularly when bending over for tasks such as cleaning or picking something up, with a delay after stretching or reaching in a certain way. Relief is found by standing and stretching or arching the back. Post-cramp, there is a soreness similar to that experienced after resolving a leg or foot cramp. No associated swelling, redness, shortness of breath, palpitations, recent weight loss, or changes in appetite have been noted. The patient has a long-standing history of type 1 diabetes, diagnosed at age 6, and is currently managing it with R insulin injections on a sliding scale and 70/30 insulin injections twice daily. No other medications or supplements are being taken.

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Arora's Assessment

What might be happening

Based on the information you've provided, you might be experiencing:

  • Musculoskeletal strain: This is a common cause of chest pain, especially if it is related to certain movements or positions. It can happen when the muscles of the chest, shoulders, or back are overused or injured, which can cause pain and discomfort. The fact that your pain is relieved by changing position and is associated with certain movements suggests this might be the cause.

    • Treatment typically involves rest, avoiding activities that worsen the pain, and over-the-counter pain relievers. Physical therapy might also be helpful.

  • Costochondritis: This is an inflammation of the cartilage in the rib cage. It often results in chest pain that can be sharp and localized, and it can often be reproduced by pressing on the area or with certain movements.

    • Treatment typically involves rest, heat or cold therapy, and over-the-counter pain relievers.

  • Diabetic neuropathy: This is a type of nerve damage that can occur if you have diabetes. High blood sugar can injure nerves throughout your body, including your chest. This can cause pain, tingling, or numbness.

    • Treatment involves bringing your blood sugar into your target range. Medications are available to help manage symptoms.

Please note that chest pain can sometimes be a sign of serious conditions like heart disease, so it's important to get checked out by a healthcare provider.

What you can do

While waiting for your appointment with your healthcare provider, you could:

  1. Rest and avoid activities that seem to trigger the cramps.
  2. Apply a warm compress to the area to help relax the muscles and relieve pain.
  3. Over-the-counter pain relievers like acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) might help with the pain. Always follow the instructions on the label and ask your pharmacist if you have any questions.
  4. Monitor your blood sugar levels closely and continue to manage your diabetes as directed by your healthcare provider.

What you should look out for

You should seek immediate medical attention if you experience:

  • Severe chest pain
  • Chest pain accompanied by shortness of breath, dizziness, sweating, or nausea
  • Chest pain that spreads to your jaw, left arm, or back
  • New or different symptoms

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment options.

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8 mo ago

People Also Ask

What are common causes of chest pain that are not related to the heart?

Common non-cardiac causes of chest pain include musculoskeletal strain, costochondritis, gastroesophageal reflux disease (GERD), and anxiety. These conditions often cause pain that is sharp, localized, and related to movement or position.

How can musculoskeletal strain in the chest area be managed at home?

Musculoskeletal strain in the chest can be managed by resting, avoiding activities that trigger pain, applying warm compresses, and taking over-the-counter pain relievers like ibuprofen or acetaminophen. Physical therapy may also be beneficial.

What is costochondritis and how is it treated?

Costochondritis is an inflammation of the cartilage that connects the ribs to the breastbone. It causes sharp, localized chest pain that can be reproduced by pressing on the area. Treatment typically involves rest, heat or cold therapy, and over-the-counter pain relievers.

How does diabetic neuropathy affect the chest area?

Diabetic neuropathy can cause nerve damage due to high blood sugar levels, potentially affecting the chest area. This can result in pain, tingling, or numbness. Managing blood sugar levels and using medications to alleviate symptoms are common treatments.

1 Comments

Margot#98

8 mo ago

I'm only in my late 20s but sometimes when I am reaching for things or twisting I get these horrible cramps in my chest that make it hard to breath for a second. They don't happen all the time only occasionally and I assume its ok never seen a doctor or been diagnosed

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