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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Upper Back And Shoulder?

I have a pain in my upper back/shoulder. It sometime moves to my left arm, moving as far down as my elbow. The pain is fairly persistent and severe. Today has been the worst, lasting all day from 7 A.M. to 4:30 P.M. It started in my upper back 3 days ago. Is this a warning sign of a heart attack? Should I go to the emergency department?
Tue, 31 Oct 2017
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General & Family Physician,  's  Response
Hello there. I have read through your question and according to me the type of pain you are describing does sound similar to a Myocardial infarction pain. Though it can be a muscular pain too, it is advisable to get an EKG done to rule out any cardiac causes. Meanwhile I would suggest you to take Tab Aspirin 75 mg along with a proton pump inhibitor like pantoprazole. If MI is ruled out you can get relief by taking a muscle relaxant after consulting with your physician. I hope that answers your question. If you have any other questions please feel free to write.
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What Causes Pain In The Upper Back And Shoulder?

Hello there. I have read through your question and according to me the type of pain you are describing does sound similar to a Myocardial infarction pain. Though it can be a muscular pain too, it is advisable to get an EKG done to rule out any cardiac causes. Meanwhile I would suggest you to take Tab Aspirin 75 mg along with a proton pump inhibitor like pantoprazole. If MI is ruled out you can get relief by taking a muscle relaxant after consulting with your physician. I hope that answers your question. If you have any other questions please feel free to write.