What Would Cause An Uncomfortable Feeling In My Chest And Arm During Deep Breathing Along With A Pinching Sensation In My Chest?

Posted on Tue, 27 Mar 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 27 Mar 2018 Answered on

Tue, 16 May 2023 Last reviewed on

Question : Hi Doctor, I have been dealing with lot of Gas from past one year.

But from last one week, i had a terrible time. I had pain in the chest left side which radiates to my left arm. Its not a throbbing pain but kind of pinching pain.

with that i had shortness of breath, pain when i lie down on my back( left shoulder blade), its like a muscle pain but as its not sharp pain so was not able to understand what it is.

With all these symptoms, i had gone to Hospital as i was fearing Heart issue.

Doc advised to go for

1. ECG. They performed it twice with the gap of 12 hours but with slight change in the second one, came back normal.

2. Then they performed Stress test (EKG on treadmill) but it came as - TMT inducible ischemia positive in High exercise. This freaked me out.

3. Doc said nothing to worry as sometimes the TMT is not accurate and said to rule out go for CT scan coronary Angiography. That came back as normal. except - Short term myocardial bridge and no signs of narrowing.

Doc said that is totally normal and you should stop worrying and get back to normal life.

I still have little uncomfortable feeling in my chest, some times on my arm, when i take deep breathe, i feel a pinch type in my chest. Is it all due to Gas/Acid Reflux?

Looking at my tests and results, what do you see, is everything normal?

Please advice. If its just a muscle pain, any medication? and how to calm down my anxiety?

Answered by Dr. Bhanu Partap (55 minutes later)

Brief Answer:
Please refer to the detailed answer below

Detailed Answer:

Hello,

I would like to see your CT coronary angiography report so that I can advise you properly. Kindly upload the reports of CT.

I shall await your response.

Thank you.

Regards,
Dr. Bhanu Partap
Cardiologist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Bhanu Partap (20 hours later)

Hi Doc

I have uploaded the CT scan report. Please review.

Also, i feel now the pain is more of a muscle or nerve pinch.

Pain in the middle around left shoulder blade to shoulder and neck. it pains when i twist or turn i my head and hand.

Chest un comfort feeling only happens when i take deep breathe, also the slight pain happens in the shoulder blade and shoulder and heaviness on chest.

Answered by Dr. Bhanu Partap (33 minutes later)

Brief Answer:
Follow up

Detailed Answer:

Hello,

I have gone through the CT report and I am happy to tell you that there is just a slight myocardial bridging of mid LAD which is not causing any significant narrowing of the vessel that can ultimately cause any harm. In short, there is nothing to worry about that.

However, at times especially during strenuous activity, it can cause some mild chest discomfort or heaviness.

The symptoms such as pain on deep inspiration signifies muscle pain. This can very well be taken care with the help of mild analgesic like paracetamol and local ointments.

I hope this information will answer your query and will relieve your worries. Let me know if I can assist you further.

Thank you.

Regards,
Dr. Bhanu Partap
Cardiologist

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Bhanu Partap (29 minutes later)

Thank you so much Doc for your prompt reply. I am relieved now. Thank you so much.

I work out everyday like cross fit, gym. I hope that will not have any affect on my regular routine.

Thanks and Regards
XXXX

Answered by Dr. Bhanu Partap (18 minutes later)

Brief Answer:
Not at all

Detailed Answer:

Hello,

In fact, you should continue with that healthy lifestyle routine.

Hope I have answered your query. I wish you good health.

Thank you.

Regards,
Dr. Bhanu Partap
Cardiologist

Above answer was peer-reviewed by : Dr. Remy Koshy