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Accessed Sept. Yelland MJ. Outpatient evaluation of the adult with chest pain. Walls RM, et al. Philadelphia, Pa. What is a heart attack?
American Heart Association. McKean SC, et al. In: Principles and Practice of Hospital Medicine. What is angina? National Heart, Lung, and Blood Institute.
Aortic dissection. Society for Vascular Surgery. Pulmonary hypertension — high blood pressure in the heart-to-lung system.
Hollander JE, et al. Evaluation of the adult with chest pain in the emergency department. Lopez-Jimenez F expert opinion.
Mayo Clinic, Rochester, Minn. If any abnormalities, such as an abnormal growth, show up on your X-ray or during your physical examination, your doctor will order a soft tissue imaging scan, such as an MRI.
An MRI scan gives the doctor a detailed view of your rib cage and surrounding muscles, organs, and tissue. Your doctor will order a bone scan if they feel that bone cancer may be causing the pain.
For this examination, they will inject you with a small amount of radioactive dye called a tracer. Your doctor will then use a special camera to scan your body for the tracer.
The image from this camera will highlight any bone abnormalities. If the rib cage pain is due to a minor injury, such as a pulled muscle or bruise, you can use a cold compress on the area to reduce swelling.
If over-the-counter medicine doesn't relieve pain from an injury, your doctor can prescribe other medications, as well as a compression wrap.
A compression wrap is a large, elastic bandage that wraps around your chest. The compression wrap holds the area tightly to prevent further injury and greater pain.
However, these wraps are only necessary in rare cases because the tightness of the compression wrap makes it difficult to breathe.
This can increase your risk of pneumonia. If bone cancer is causing the pain, your doctor will discuss treatment options with you based on the type of cancer and origin of the cancer.
Your doctor may suggest surgery to remove or biopsy abnormal growths. In these cases, your doctor may choose to shrink them using chemotherapy or radiation therapy.
Once the growth is small enough, they may then remove it surgically. Rib cage pain may be apparent with no movement. You may also experience sharp pain when breathing in or when moving into a certain position.
Contact your doctor immediately if you experience severe pain when breathing in or moving your body into a specific position, or if you have any difficulty breathing.
If you feel pressure or have pain in your chest along with rib cage discomfort, call These symptoms may be the sign of an impending heart attack.
You can prevent rib cage pain due to muscle strains or sprains by stretching your muscles, using exercise equipment properly, and staying hydrated.
Self-care treatments, such as applying ice to injuries or taking hot baths to relax, can also help prevent pain. Less commonly, a tumor of the right chest wall may be the source of the pain.
A blood clot in the lung -- known as a pulmonary embolism -- is a potentially life-threatening cause of pleuritic chest pain 4.
Risk factors include:. Seek emergency medical attention for any right-sided chest pain associated with difficulty breathing or shortness of breath.
Even if the pain is not causing breathing difficulty, it's important to see a doctor as soon as possible to evaluate unexplained pleuritic pain, especially if associated with an injury, fever or other symptoms.
Remember that pain is a warning sign to seek medical attention. Sylvia E. Morris is a board-certified physician in internal medicine and holistic medicine.
In addition to her clinical practice, she is a community health advocate as well as a medical consultant and commentator for media outlets such as The Weather Channel, Atlanta Fox 5 News and CNN.
Monitor the health of your community here.
More severe scoliosis may require surgery to straighten the spine. In some cases, back pain while breathing can be a symptom of a heart attack. This is a life-threatening issue that requires immediate medical assistance.
Treatment depends on the type and severity of the heart attack. When a heart attack is severe, the doctor may pass a type of catheter through the groin or wrist to open the blocked artery.
Some people with obesity find it uncomfortable or even painful to take full, deep breaths. Losing weight, for example through a calorie-restricted diet and regular exercise, may help alleviate back and joint pain.
People who are having difficulty maintaining a healthy weight may wish to speak to a doctor about possible hormonal causes, such as low thyroid function.
According to the American Cancer Society , lung cancer often does not cause symptoms in the early stages. However, a common symptom of lung cancer is chest pain that usually gets worse during deep breathing or coughing.
Treatment options can include surgery, radiation therapy , and chemotherapy. Kyphosis is a condition that causes the spine to curve forward, which can lead to a hunched posture.
Kyphosis can also cause back pain, swelling, and balance issues. Symptoms may get worse over time, which can lead to difficulty breathing or eating in some people.
Treatment for kyphosis can involve attending physical therapy , wearing a brace, and taking nonsteroidal anti-inflammatory drugs, such as ibuprofen.
For severe kyphosis, a doctor may recommend surgical treatment, such as a spinal fusion. A pulmonary embolism occurs when a blood clot develops in one of the arteries that supplies blood to the lungs.
This can block the flow of blood, which can be life-threatening. A person with a pulmonary embolism often experiences pain while taking a deep breath, as well as pain in the upper back.
A pulmonary embolism is a medical emergency and people with these symptoms should seek immediate assistance. Treatment options include anticoagulant medications to break down the blood clot and a surgical procedure to remove or bypass the clot.
Pleurisy is inflammation of the pleura, which are two thin membranes that line and protect the chest and lung cavities. This inflammation can make breathing difficult and cause a sharp pain that can spread to the shoulders and back.
Other symptoms of pleurisy can include shortness of breath, coughing, and a fever. Injuries, infections, and cancer can cause pleurisy, and some people with autoimmune conditions, such as rheumatoid arthritis or lupus , are also more likely to develop it.
Treatment for pleurisy depends upon the underlying cause. For example, doctors may prescribe antibiotics to treat bacterial infections. Steroid medications can reduce the inflammation and relieve pain.
It can occur in one or both lungs. Symptoms of pneumonia vary in severity, but people may experience chest, abdominal, or back pain when breathing or coughing.
When bacteria are responsible for the infection, a doctor may prescribe antibiotics. When a virus is responsible, supportive treatments are available.
Severe pneumonia may require hospitalization. People with severe, persistent, or worsening back pain should see a doctor. This is particularly important when the pain occurs alongside tingling or numbness in the hands and feet.
Back pain while breathing may be a sign of a serious underlying condition or even a medical emergency, so it is important not to ignore the symptom.
Anyone with symptoms that could indicate a heart attack or pulmonary embolism should receive emergency medical attention. Some of these include:.
Some heart-related conditions which cause pleuritic chest pain include:. Conditions involving any of the bony or soft tissue structures in the chest may cause pain which occurs or gets worse with breathing.
There are also causes that may not be initially obvious. Depending on your symptoms, there are a number of different tests your physician may recommend.
The treatment options for painful breathing will depend on the specific cause. The outcome of treatment depends on the severity of the underlying disease.
As with any disease, early diagnosis is typically associated with greater treatment success. Pleuritic pain can mean something serious or something that is relatively mild and readily treatable.
As such, it is important that you neither ignore the pain nor mask it with pain medication. In the end, pain while breathing can never be considered normal or readily dismissed.
Limiting processed foods and red meats can help ward off cancer risk. These recipes focus on antioxidant-rich foods to better protect you and your loved ones.
Sign up and get your guide! Am Fam Physician. Pleural effusion: diagnosis, treatment, and management.
Open Access Emerg Med. Pericardial disease: diagnosis and management. Mayo Clin Proc. Do we really know the duration of pain after rib fracture?
Kardiochir Torakochirurgia Pol. Etiology and management of spontaneous haemothorax. J Thorac Dis. Berchuck J, Patel, S. Journal of General Internal Medicine.
Emerg Med J. DOI: Jany, B. Pulmonary Causes of Chest Pain. BMJ Case Reports. More in Lung Cancer.