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Sunday, November 30, 2008 Izzi G, Community Member, asks

Q: sharp and burning pain and numbness left side and arm.

I have experienced sharp pains in my left side of chest. It began exactly one year ago. I have done 4 ekg's, a series of blood tests and nothing seems to be wrong. My back and ribs also ache especialy when I lift slightly heavy objects like 25kg. I'm 40 and I worked long hours for the last two years but now I have toned down because of the above problem. I have been given different diagnosis like Panic attacks, depression and Rib cage inflamtion. For the Rib cage inflamtion, I've had medication (anti inflamation tablets). Nothing has worked so far. What could be the problem?

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Answers (1)
Martin Cane, M.D., Health Pro
12/ 2/08 9:37pm

Izzi G,

 

Thanks for your question.

 

Numbness of the arm and chest are not typical for cardiac disease, and it's good to know that your EKG's have been OK.  To completely rule out the heart, I would discuss the possibility of a stress test, and if this is OK, then other causes have to be considered.

 

Should your heart be ruled out as a source, I think the next logical place to investigate is your spine.  Nerve problems can cause burning pain and numbness.  Regular X-rays should be considered, and if normal, then an MRI of the cervical and thoracic spine would be next on the list.  In addition, a chest X-ray should be performed. 

 

If everything continues to come up negative, a consultation with a neurologist would be a good idea for their evaluation of what the cause is.  In some cases, people develop pain and no cause is found and we are left with helping patients by treating the symptoms, in this case chronic pain, for which there are several options available today.

 

So, make an appointment with your doctor to discuss what more can be done to find the cause of your symptoms.

 

Best wishes and feel better.

 

Martin Cane, M.D.

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By Izzi G, Community Member— Last Modified: 10/09/13, First Published: 11/30/08