Pain in the chest
Most of us suffer from chest pain and chest pain. Chest pain and chest pain (pain in the middle of the back) can affect work ability and quality of life. Chest pain can be caused by a variety of factors, but some of the most common are overload, trauma, wear, muscular malfunctions, and mechanical dysfunction (muscle and joint pain). Chest pain is usually caused by malfunction of the muscles and joints.
Scroll below to see more great training videos with exercises which can help you with pain between the shoulder blades.
VIDEO: 5 Tightening Exercises Against Stiff Neck and Chest Pain
Have you hurt both your neck and your shoulder blades? Not strange. These structures are in fact closely linked when it comes to functionality - and malfunction in one can cause pain in the other. Here are five movement and stretching exercises that can reduce muscle tension in the neck and back, as well as contribute to more mobility. Click below to see the exercises.
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VIDEO: Strength Exercises for the Shoulders with Elastic
Elastic training is one of the best ways to train the area between the shoulder blades. By using exercise elastic, you can isolate specific muscles in and around the shoulder blades. The exercises can provide improved function, less pain and a local increase in blood circulation which helps to relieve muscle pain.
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What can I do even for muscle and joint pain?
1. General exercise, specific exercise, stretching and activity are recommended, but stay within the pain limit. Two walks a day of 20-40 minutes make good for the whole body and sore muscles.
2. Trigger point / massage balls we strongly recommend - they come in different sizes so you can hit well even on all parts of the body. There is no better self help than this! We recommend the following (click the image below) - which is a complete set of 5 trigger point / massage balls in different sizes:
3. Training: Specific training with training tricks of various opponents (such as this complete set of 6 knits of different resistance) can help you train strength and function. Knit training often involves more specific training, which in turn can lead to more effective injury prevention and pain reduction.
4. Pain Relief - Cooling: Biofreeze is a natural product that can relieve pain by cooling the area gently. Cooling is especially recommended when the pain is very severe. When they have calmed down then heat treatment is recommended - it is therefore advisable to have both cooling and heating available.
5. Pain Relief - Heating: Warming up tight muscles can increase blood circulation and reduce pain. We recommend the following reusable hot / cold gasket (click here to read more about it) - which can be used both for cooling (can be frozen) and for heating (can be heated in the microwave).
Recommended products for pain relief for muscle and joint pain
Biofreeze (Cold / cryotherapy)
- No, for Accept Chest Pain! Get them investigated!
Don't let pain in the middle of your back become part of your everyday life. Regardless of your situation, whether it is one with heavy physical work from a young age or a lot of sedentary office work, it is so that your back can always achieve better function than it is in PR today. Our first recommendation for back pain is to seek out one of the three occupational groups that are publicly authorized through the health authorities:
- chiropractor
- manual therapist
- Physical therapist
Their public health authorization is a result of the authority's recognition of their extensive education and is a security for you as a patient and entails, among other things, several special benefits - such as protection through the Norwegian Patient Injury Compensation (NPE). It is a natural security to know that these occupational groups are registered in this scheme for patients - and we recommend, as mentioned, that one is investigated / treated by occupational groups with this associated scheme.
The first two occupational groups (chiropractor and manual therapist) also have the right to refer (to imaging diagnostics such as X-ray, MRI and CT - or referral to a rheumatologist or neurologist if needed for such an examination) and the right to report sick (can report sick if deemed necessary). Keywords for improved back health mean more appropriate load in everyday life (ergonomic adjustment), generally more movement and less static sitting, as well as increased focus on regular exercise.
Some of the most common causes of chest pain are back dysfunction, musculature / myalgia and nearby structures (e.g., shoulder blade, shoulder, and neck). Can cold treatment provide pain relief for sore joints and muscles? Blue. Biofreeze is a popular product.
Where's the chest?
The spine is divided into 7 nerve vertebrae, 12 thoracic vertebrae and 5 lower back vertebrae in addition to sacrum and tailbone. It is the area with the 12 vertebrae that make up what we call the thorax. In the professional language it is called thoracic columna, but more everyday it is often called upper back / middle back or between the shoulder blades.
Some common causes / diagnoses of chest pain are:
Arthritis (Arthritis) (the pain depends on which joints are affected)
Poor posture / posture (also known as 'iPosture' or 'upper cross syndrome)
Erector spinae myalgia (Back muscle)
Fracture (fracture of the spine - rare, but can occur with, for example, severe trauma)
Joint locker in the chest, ribs and / or between the shoulder blades (interscapular)
muscle Knots / myalgia in the back:
Active trigger points will cause pain all the time from the muscle (eg, musculus rhomboideus or iliocostalis thoracis)
Latent trigger points provides pain through pressure, activity and strain
Quadratus lumborum (QL) myalgia (this type of muscle dysfunction can contribute to back pain)
rheumatism (the pain depends on which joints are affected)
Scheuermann's disease (this causes a sharp increase in the kyphosis curve of the thoracic spine and gives a very lean posture)
Scoliosis (congenital or idiopathic scoliosis can cause lower, middle and upper back pain)
Thoracic prolapse (very rare - but may occur after trauma, for example)
Rare causes of chest pain:
gallbladder Disease
Infection (often with high CRP and fever)
Cancer
Chest pain may be caused muscular tension, joint dysfunction and / or irritation of nearby nerves. One chiropractor, manual therapist or another expert in musculoskeletal and skeletal disorders can diagnose your ailment and give you a thorough explanation of what can be done in terms of treatment and what you can do on your own exercises, ergonomic fit and cold treatment or heat treatment. Be careful not to hurt your chest for any length of time, rather consult a clinician and diagnose the cause of the pain - this way you will make the necessary changes as early as possible.
Common reported symptoms and pain presentations of chest pain:
- Numbness in the thoracic spine
- Burning in breast backs
Deep pain in breast backs
Electric shock in breast backs
- Hogging i breast backs
- Knute i breast backs
- Cramps in breast backs
- Mauring i breast backs
- Murring i breast backs
- Nummen i breast backs
- Shake in breast backs
- Skewed i breast backs
- Tired i breast backs
Stitching in breast backs
Støl i breast backs
- Wounds in breast backs
- Effect i breast backs
Tender in breast backs
Imaging diagnostic examination of chest pain
Sometimes it may be necessary imaging (X, MR, CT or diagnostic ultrasound) to determine the exact cause of the problem. Normally, you will manage without taking pictures of the thoracic spine - but this is relevant if there is a suspicion of injury, fracture or prolapse. In certain cases, X-rays are also taken with the intention of checking the curvature of the back, then with a view to examining for scoliosis or Scheuermann's (sharply increased kyphosis). Below you see various pictures of what the thoracic spine looks like in the various forms of examination.
X-ray of the thoracic spine (from front, AP)
- Description: X-ray of the thoracic spine, frontal angle (seen from the front), in the picture we see the vertebrae T1 - T12, 1st rib, collarbone (clavicus), esophagus, facet joint, 6th rib, T7 transverse (transverse process), intervertebral disc (intervertebral disc) and Tvertebral disc. (thoracic vertebra).
Photo: Wikimedia / Wikifoundry
X-ray of the thoracic spine (from the side)
- Description: X-ray of the thoracic spine, lateral angle (seen from the side), in the picture we see the vertebrae T1 - T12, the intervertebral disc (intervertebral disc), thoracic vertebra (thoracic vertebra), IVF (intervertebral foramen), 12th rib and we also see the upper of the lumbar vertebra L1) ..
Photo: Wikimedia / Wikifoundry
MRI image of thoracic spine (MR thoracic column)
- Description: MRI image of the thoracic spine, lateral angle (seen from the side), in the image we see the vertebrae T1 - T12 and associated structures, including the thoracic intervertebral discs. This MRI examination shows prolapse in T6-7 which puts pressure on the spinal cord / nerve root.
MRI of the thoracic spine - picture of Scheuermann's disease
- Description: MRI image of the thoracic spine, lateral angle (seen from the side). Here we see the characteristic increased curve (thoracic kyphosis) that occurs in Scheuermann's disease.
CT image of thoracic spine (from frontal angle)
Here we see a CT examination of the thoracic spine, taken from the front in the so-called anterior to posterior (AP) angle.
CT image of chest (lateral, lateral)
Here we see a CT examination of the chest, taken from the side at the so-called lateral angle.
Acute, subacute or chronic chest pain?
Chest pain can be divided into acute, subacute and chronic pain. Acute chest pain means that the person has had pain in the chest for less than three weeks, subacute is the period from three weeks to three months and the pain that has a duration of more than three months is classified as chronic. Pain in the thoracic spine can be caused by muscle dysfunction / myalgia, joint locks in the back or ribs and / or irritation of nearby nerves. One chiropractor, manual therapist or another expert on musculoskeletal, nerve and nerve disorders, can diagnose your ailment, and give you a thorough explanation of what can be done in terms of treatment and what you can do on your own. Make sure that you do not walk with chest pain for a long time, rather contact a publicly authorized therapist (chiropractor, physiotherapist or manual therapist) and have the cause of the pain diagnosed.
First, a mechanical examination will be performed where the clinician looks at the movement pattern of the thoracic spine or any lack of this. Pressure tenderness, muscle strength, as well as specific tests that give the clinician an indication of what gives the person pain in the thoracic spine are also investigated here. In case of chest back problems, it may in some cases be necessary imaging diagnostic. A chiropractor has the right of referral to such X-ray examinations, MR, CT and ultrasound. Conservative treatment is always worth trying for such ailments, before possibly considering more invasive interventions or measures. The treatment you receive will vary, depending on what was found during the clinical examination.
Chiropractic: Clinically proven effect on relieving chest pain
A study (Schiller et al) showed that manipulative treatment of mechanical chest pain (joint or muscle pain) had a symptom-relieving effect. Using this in connection with training will give an even better effect, based on research.
Some forms of conservative treatment of chest pain
home Practice is often printed and used to address improper use of musculature, with the intention of providing a long-term, long-lasting effect.
Ultrasound can be used both diagnostically and as ultrasound therapy, the latter works by providing a deep-warming effect aimed at musculoskeletal problems.
Electrotherapy (TENS) or power therapy is also used against joints and muscle problems, it is intended as a direct painkiller, aimed at the painful area.
Traction Treatment (also known as ligament treatment or flexion distraction) is a treatment used especially in the lower back and neck / transition chest to increase the movement of the joints and stretch out nearby muscles.
Joint Mobilization or corrective chiropractic joint treatment increases the movement of the joints, which in turn allows the muscles that attach to and near the joints to move more properly.
Massage It is used to increase blood circulation in the area and thus reduce muscular tension, which in turn can cause less pain.
heat treatment used to give a deep-warming effect on the area in question, which in turn can give a pain-reducing effect - but it is generally said that heat treatment should not be applied to acute injuries, as is ice treatment to prefer. The latter is used for acute injuries and pains to help ease the pain in the area.
laser treatment (also known as anti-inflammatory laser) can be used at different frequencies and thus achieve different treatment effects. It is often used to stimulate regeneration and soft tissue healing, plus it can also be used anti-inflammatory.
Hydrotherapy (also called hot water treatment or heated pool treatment) is a form of treatment where hard water jets should stimulate improved blood supply, as well as dissolve in tense muscles and stiff joints.
List of treatments (both much alternative and more conservative):
- acupressure
- Acupuncture
- aromatherapy
- behavioral therapy
- Atlas Correction
- Ayurvedic medicine
- Bioelectromagnetic therapy
- blockade Treatment
- Soft tissue work
- Bowen Treatment
- Coxtherapy
- Electrotherapy
- Ergonomics
- Dietology
- Reflexology
- Physiotherapy
- gonstead
- Healing
- home Practice
- Homeopathy
- Hydrotherapy
- hypnotherapy
- Infrared light therapy
- insoles
- Intramuscular needle therapy
- Ice therapy
- remedy
- kinesiology
- Kinesiotape
- chiropractic
- Cognitive processing
- crystal Therapy
- contrast Treatment
- Cupping
- Cold Treatment
- Laser
- Joint Correction
- Joint Mobilization
- Medical treatment
- Lymphatic drainage
- Light Therapy
- magnet Treatment
- manual Therapy
- Meditation
- Muscle Relaxing Medications
- muscle Knute treatment
- Myofascial technique
- Naprapathy
- Naturopathy
- Neurological rehabilitation training
- qigong
- Osteopathy
- breathing
- reflexology
- Shockwave Therapy
- Pain medication
- Spinology
- Sports support
- Stretch bench
- Power Management
- sole Customization
- Thought Field Therapy
- TENS
- Thai Massage
- Traction
- Exercise
- Trigger point therapy
- Shockwave Therapy
- Dry needle
- stretching
- Vacuum Treatment
- heat treatment
- Hot water therapy
- Yoga
- Exercises
Manual treatment av back pain
As mentioned earlier, both chiropractor and manual therapist are the occupational groups with the longest education and public authorization from the health authorities - that is why these therapists (including physiotherapists) see the majority of patients with muscle and joint ailments. The main goal of all manual treatment is to reduce pain, promote general health and increased quality of life by restoring normal function in the musculoskeletal system and nervous system. In case of back pain, the clinician will both treat the back locally to reduce pain, reduce irritation and increase blood supply, as well as restore normal movement in areas affected by dysfunction in joints - this can be e.g. lower back, thoracic spine, pelvis, neck, shoulder blade and shoulder joint. When choosing a treatment strategy for the individual patient, the publicly authorized clinician places emphasis on seeing the patient in a holistic context. If there is a suspicion that the back pain is due to another disease, you will be referred for further examination.
Manual treatment (from a chiropractor or manual therapist) consists of a number of treatment methods where the therapist mainly uses the hands to restore normal function in joints, muscles, connective tissue and nervous system:
- Specific joint treatment
- Stretches
- Muscular techniques
- Neurological techniques
- Stabilizing exercise
- Exercises, advice and guidance
What does a chiropractor or manual therapist do?
Muscle, joint and nerve pain: These are things that a chiropractor or manual therapist can help prevent and treat. Chiropractic / manual therapy is mainly about restoring movement and joint function that may be impaired by mechanical pain.
This is done by so-called joint correction or manipulation techniques, as well as joint mobilization, stretching techniques, and muscular work (such as trigger point therapy and deep soft tissue work) on the involved muscles. With increased function and less pain, it may be easier for individuals to engage in physical activity, which in turn will have a positive effect on both energy and health.
Exercises, exercise and ergonomic considerations.
An expert in muscle and skeletal disorders can, based on your diagnosis, inform you about the ergonomic considerations you must take to prevent further damage, thus ensuring the fastest possible healing time. After the acute part of the pain is over, in most cases you will also be assigned home exercises that also help to reduce the chance of relapse. In the case of chronic ailments, it is necessary to go through the motor movements you do in everyday life, in order to weed out the cause of your pain occurring time and again.
- Here you will find an overview and list of exercises we have published in connection with the prevention, prevention and relief of chest pain, middle back pain, stiff chest, osteoarthritis and other relevant diagnoses.
Overview - Exercise and exercises for chest pain and chest pain
5 Yoga Exercises Against Back Stiffness
Exercise for the chest and between the shoulder blades
Also read: What You Should Know About Osteoarthritis
Also read: - 7 Wonderful Health Benefits of Eating Avocado
References:
NHI - Norwegian Health Informatics.
Schiller et al (2001). Effectiveness of spinal manipulative therapy in the treatment of mechanical thoracic spine pain: a pilot randomized clinical trial. J Manipulative Physiol Ther. 2001 Jul-Aug;24(6):394-401.
Frequently Asked Questions About Chest Pain:
Q: I hurt my upper back. What could be the cause?
Answer: Without more information, it is impossible to give a specific diagnosis, but depending on the prehistory (was it trauma? Has it been long-lasting?) Then there can be a number of causes of pain in the upper back. Pain in the upper back can be due to joint locks in the thoracic spine or ribs, myalgias in nearby muscles, but also a number of other causes - see list earlier in the article for several possible diagnoses.
Q: Can foam rolls help me with my chest?
Answer: Yes, a foam roller / foam roller can help you in part, but if you have a problem with your back, we recommend that you contact a qualified healthcare professional in musculoskeletal disciplines and get a qualified treatment plan with specific specific exercises.
Q: Why do you get back pain?
Answer: Pain is the body's way of saying that something is wrong. Thus, pain signals must be interpreted as meaning that there is a form of dysfunction in the area involved, which should be investigated and further remedied with proper treatment and exercise. Causes of back pain can be due to sudden misload or gradual overload over time, which can lead to increased muscular tension, joint stiffness, nerve irritation and, if things have gone far enough, discogenic rash (nerve irritation / nerve pain due to disc disease).
Q: What should be done with a sore back full of muscle knots?
Reply: muscle knots have most likely occurred due to a misalignment of the muscles or a misalignment. There may also be associated muscle tension around the facet joints in the vertebrae and joints. Initially, you should get qualified treatment, and then get specific exercises and stretching so that it does not become a recurring problem later in life.
Male, 22 years old. Works a lot with data and in front of computer screen. Struggling with stiffness and pain in the area between the shoulder blades - sometimes it can be so stiff and painful that I feel that it can be painful to breathe properly. What could it be?
First, consult a clinician and get an analysis of what is going on with your muscles and joints. So young with such heavy pain is not entirely good - you should, after all, have that back there for a few more years. We suspect that it may be one-sided strain (data and forward rotated shoulders with protruding head position) that is a big part of the problem here - do you struggle with headaches and neck pain as well? You should consult a chiropractor (or similar) to loosen up between the shoulder blades, as well as work tight muscles in the area.
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After being treated by a physiotherapist, osteopath and chiropractor for several months without much help, I now suddenly have severe pain in the right flank, under the chest, on the side and behind the back. I lose the feeling in the skin, it burns and stings and it gets worse when I lie down, no matter what position I lie in. I also get pain in the same place. Have found out that there must be nerves that are pinched? Have been on X-ray and received Tramadol 50 mg. But 3 Tramadol a day is not enough to keep the pain away. Is there anything I can do myself to relieve the pain? I have an appointment for an MRI in almost two months, but do not know how to endure so long without more pain relief. Regards Lillian