[42M] Post-workout chest pain with movement

Patient Description

A 42-year-old male is experiencing pain on the side of his left chest, almost underneath his armpit, which occurs when he moves his arm or takes a deep breath. This pain started after a workout and has been present for a couple of hours. The pain is rated as 3 out of 10 in severity and is accompanied by a bit of tenderness when the area is moved. The patient does not have any swelling, bruising, or significant tenderness in the area, and is not experiencing any difficulty breathing, shortness of breath, numbness, or tingling in the left arm or hand. The patient has taken ibuprofen for the pain. There is no history of heart disease, lung conditions, recent surgeries, pre-existing conditions, or chronic illnesses. The patient is not currently taking any other 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:

  • Muscle Strain: Given that the pain started after your workout and is triggered by movement, it is likely that you have strained a muscle in your chest or around your armpit. Muscle strains can occur from overuse or improper form during exercise.

    • Treatment: Muscle strains typically improve with rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers like ibuprofen can also help manage pain and inflammation.
  • Costochondritis: This is an inflammation of the cartilage that connects a rib to the breastbone. It can cause pain that worsens with movement or deep breathing.

    • Treatment: Similar to muscle strain, rest and over-the-counter pain relievers are usually recommended. Applying heat or ice to the affected area can also help.
  • Intercostal Muscle Strain: The intercostal muscles are located between your ribs. Straining these muscles can cause pain that is exacerbated by movement and deep breathing.

    • Treatment: Rest, ice, and over-the-counter pain relievers are typically effective. Gentle stretching and avoiding activities that worsen the pain can also be helpful.

What you can do

Here are some steps you can take to help alleviate your symptoms:

  1. Rest: Avoid activities that trigger the pain, especially those that involve heavy lifting or strenuous movements.
  2. Ice and Heat: Apply ice to the affected area for 15-20 minutes several times a day to reduce inflammation. After the first 48 hours, you can switch to heat to help relax the muscles.
  3. Over-the-Counter Pain Relievers: Continue taking ibuprofen or another over-the-counter pain reliever as directed to manage pain and reduce inflammation.
  4. Gentle Stretching: Once the acute pain subsides, gentle stretching exercises can help improve flexibility and prevent future strains.
  5. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share your medical notes with your healthcare provider.

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 does not improve with rest and over-the-counter treatments.
  • Difficulty Breathing: If you develop shortness of breath or difficulty breathing.
  • Chest Pain: If you experience chest pain that radiates to your arm, neck, or jaw, or if you feel lightheaded or dizzy.
  • Swelling or Bruising: If you notice significant swelling or bruising in the affected area.

Remember, while this advice can help you manage your symptoms, it is important to consult a healthcare professional for a formal diagnosis and treatment plan.

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People Also Ask


What is a muscle strain and how can it occur during a workout?

A muscle strain occurs when muscle fibers are overstretched or torn, often due to overuse, improper form, or sudden movements during a workout. It can cause pain, tenderness, and limited movement in the affected area.


What are the symptoms of costochondritis and how is it treated?

Costochondritis is an inflammation of the cartilage connecting the ribs to the breastbone, causing sharp pain that worsens with movement or deep breathing. Treatment typically involves rest, over-the-counter pain relievers, and applying heat or ice to the area.


How can I differentiate between a muscle strain and a more serious condition like a heart attack?

Muscle strain pain is usually localized and related to movement, while a heart attack may cause chest pain that radiates to the arm, neck, or jaw, and is often accompanied by shortness of breath, dizziness, or nausea. If in doubt, seek medical attention immediately.


What are some effective home remedies for managing muscle pain after exercise?

Effective home remedies for managing muscle pain include rest, applying ice or heat, taking over-the-counter pain relievers like ibuprofen, and performing gentle stretching exercises once the acute pain subsides.


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