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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is The Radiating Pain From Arms To Chest Related To Cardiac Issues?

I wake up in the morning with pain from my neck down my left arm and into the left side of my chest. I have been suffering from a painful left shoulder for some months and having physio for this it feels like a muscular type pain is this likely to be cardiac or neurology related
Mon, 9 Nov 2015
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General & Family Physician,  's  Response
Hi there. The pain you describe can occur due to a cardiac disease but in such a case is usually associated with breathlessness, lightheadedness and is not specific to early mornings. For starters you can get an ECG to see if its abnormal.
However having said that i think in your case the pain is neurological and is probably due to a nerve getting entrapped in your cervical spine usually due to spondylosia of the cervical spine. Also changing the sleeping position may help.
For the pain you need to get an xray of the cervical spine and if necessary use a soft cervical collar to relax your neck muscles.
Hope this helps.
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Is The Radiating Pain From Arms To Chest Related To Cardiac Issues?

Hi there. The pain you describe can occur due to a cardiac disease but in such a case is usually associated with breathlessness, lightheadedness and is not specific to early mornings. For starters you can get an ECG to see if its abnormal. However having said that i think in your case the pain is neurological and is probably due to a nerve getting entrapped in your cervical spine usually due to spondylosia of the cervical spine. Also changing the sleeping position may help. For the pain you need to get an xray of the cervical spine and if necessary use a soft cervical collar to relax your neck muscles. Hope this helps.