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My chest muscles started hurting suddenly.
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Cardiac & Vascular Health
Question #11194
230 days ago
376

My chest muscles started hurting suddenly. - #11194

Anwesha Modi

It's been at least two weeks, am sure it's more than that. My chest muscles hurt during certain movements. But when I do the same movements again it doesn't aches. My physiotherapist has recommended me to improve my posture for my neck pain but since my exams are going on, I can't.Also am on current medicineslike: nortriptyline, duloxetine, oxcarbazepine, trifluoperazine which doesn't seem to work.

Age: 20
Chronic illnesses: Central sensitisation
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
229 days ago
5

Hello dear See as per clinical history it seems muscular pain only. Usually the cardiac problems are associated with severe pain, breathlessness and weakness on exersion or test So i suggest you to please get following tests done for confirmation Serum LDH Serum troponin X ray chest Echo/ecg Lft Cervical spine

You can take following precautions Cervical exercise mild Walking half hour daily Avoid mental stress Do meditation Kindly share the results with cardiologist or neurosurgeon for better clarification Mostly tests are recommended to rule out doubt of cardiac issues Regards

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Chest muscle pain that shifts with movement and doesn’t consistently hurt may be linked to musculoskeletal issues, such as a muscle strain or fatigue, often tied to posture and repetitive activities, especially given your mention of study and neck pain. These conditions might be aggravated by prolonged periods of poor posture, something common during exam prep. Since your physiotherapist recommended posture improvement, it’s likely they suspect a correlation between your posture and the chest pain. Considering your medication regimen—including nortriptyline and duloxetine, typically for chronic pain or depression, and oxcarbazepine and trifluoperazine, often used for neurological or psychiatric conditions—it seems you’re being treated for possibly complex or multiple conditions. It can be worth discussing with your physician whether your current medications might contribute to muscle pain or whether any adjustments could be beneficial. For immediate steps, between study sessions, practice brief standing stretches to reduce strain; focus on opening up the chest, loosening the back, and softly stretching your neck and shoulders. While this might not replace full posture training, it could help alleviate some tension contributing to pain. Addressing core and shoulder blade strength with your physiotherapist when possible may also enhance posture. However, because you’re dealing with a range of medications, any new or worsening symptoms or medication interactions demand a prompt discussion with your healthcare provider. If the pain becomes sharp, persistent, or if you’re experiencing other symptoms like shortness of breath, immediate medical evalutation is warranted as it could signify a more serious condition.

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