ongoing chest pain and shortness of breath: heart and lung tests all normal

Shoulder abduction relief

Shoulder abduction relief

Shoulder abduction relief
Tietzes syndrome, in this instance of the collarbone-sternal joint.

Ongoing chest pain and shortness of breath: heart and lung tests all normal

For 8 months I have been in agony. Recurring chest pain, all the typical heart-attack warning signs, pain radiating under left arm, over left side of chest, sometimes in the center, sometimes right side...

Shortness of breath daily, and occasional shooting nerve pain that strikes my thumb tip and radiates up and down my arm and back...stress echos and multiple chest xrays, ct scans and other tests have ruled out many issues such as heart or lungs.

The doctors suggested it could be costochondritis. I am 32, always thin, excellent cholesterol numbers, normal blood work, never smoked or did drugs a day in my life, but I do have a high stress lifestyle.

I nursed my 3 year old until this last week! I am also pregnant with my second. Perhaps the nursing or carrying did something? Does this seem like a chiropractic issue?

Frankly, I'm not sure, but depending on the answers to these questions, yes, perhaps a chiropractic condition.

Press on the joints between the ribs and your sternum; are they tender, any swollen, are they equally tender right and left?

Lie flat on your tum, and ask hubby to press (quite hard) just lateral to the spine where the ribs join to your back. Any really tender spots?

Sitting, turn right, then left, then tilt to the side, right, then left. Sore?

Does (did) taking in a deep breath ever cause pain?

These are issues concerning Chiropractic rib pain treatment and the costosternal anatomy

I'm also wondering about a condition called Tietzes syndrome ... related to costochondritis.

Concerning the pain in your arm what needs to be determined is whether you have any pinched nerve signs. There are many possible causes. When you have the symptoms down your arm, does placing your hand on your head, relieve or increase the symptoms.

A simple test you can do at home for a pinched nerve: Upper Limb Tension Test ...

The long and the short of it is that only a careful, thorough chiropractic examination can determine whether this is a "chiropractic condition".

Let me know...

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I hope this has contributed. If so, after three chiropractic books of anecdotes, this is my latest book, a romantic novel full of surprises, available on Amazon for only $0.99! Shameless self promotion! A Family Affair ...

Dr B

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May 21, 2016
Same symptoms
by: Anonymous

I have been experiencing the same thing for last 3 months. I have had a pinched nerve in back that I was taking some chiropractic treatments for, but they have not helped. But I thought I was having a heart attack at 30.

Recently went to ER got everything scanned and checked. Then again with my PCP. Did echo Doppler more blood work. Perfectly healthy. I too have just finished nursing my 2 year old and believe I have damaged something due holding to the weight of my child. How to solve this?

Hello Anonymous,
As hubby to press quite hard on the joints between the ribs and your spine in the midback, just lateral to the spinous processes. Are any quite tender?

More gently, press yourself on the costo sternal joints. Again, are any painful?

Does, or has taking in a deep breath, coughing or sneezing cause pain anywhere?

Let me know.

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

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Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.

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