Topic: What doctor to seek for undiagnosed chest pain?
June 16, 2019 / By Arden Question:
Who would you seek for continuous undiagnosed chest pain? Is there a way to search for a type of doctor who likes to work with people who have not been able to find an answer and who have gone through the gamut of doctors? Please read my history with this issue:
Chest pain that can also go to my back; upper right thoracic cavity. Chest x-ray has revealed nothing. Lung and heart have been listened to by Primary Care Physician. Have no symptoms of acid reflux and do not feel that is related at all. Recommended to see a Doctor of Sports Medicine by Primary Care Physician; Sports Medicine doctor leaned toward an autoimmune disease and had every type of blood work ran; ruled out Ankylosing Spondylitis, Lupus, Firbromyolgia, etc.
Went to see a shoulder specialist who said I had Thoracic Outlet Syndrome. When I saw this doctor, I was having numbness, tingling, and loss of feeling in my hand. I did Physical Therapy to which these specific symptoms responded to very fast and I continued these stretches.
My chest pain was pretty much non-existent for 5-6 months. I am an avid weight lifter and very active. Out of nowhere the chest pain returned. I've tried chiropractic care, to which I was told a rib was "out of place" and was adjusted, but this did not bring on relief. I've tried deep tissue massage, my stretches from PT for my thoracic outlet syndrome, all to no relief.
There is no rhyme or reason for this pain. I cannot recreate it. It is dull to severe and intermittent. It is uncomfortable to sleep on my right side (pain is in right chest, back, neck, shoulder), it hurts to "prop" myself up or adjust myself when getting in my car on my right elbow. However, muscle testing does not induce pain or recreate pain (testing pec minor, front delt, etc.).
Does anyone have any recommendations on what you would do from here? I'm very scared and frustrated and have spent so much money and am still in so much pain. I cannot keep taking prescription level naproxen. This used to knock the pain out and kept it at bay while lifting but now it doesn't even do anything.
I really appreciate any advice anyone may have. Please feel free to reach out to me personally as well. I thank you in advance.
I forgot to mention that at it's worse it hurt to take deep breaths and I've had shortness of breath whenever the pain occurs. I thought it might be a pinched nerve, which is why I sought out the deep tissue massage.
The shoulder specialist took multiple x-rays of my right shoulder and he said it looked perfectly fine.
I eat very well, do not drink alcohol, and drink plenty of water and green tea.
Trish | 3 days ago
Steve, it certainly sounds like you are suffering from a myofascial pain syndrome due to trigger points in the scalene muscles. The fact that you have already been diagnosed with TOS tells a lot. The scalene trigger points can refer pain, tingling, numbness etc. to exactly where you described, and are also used in breathing, hence the shortness of breath... http://thewellnessdigest.com/scalenus-an... Getting these trigger point treated PROPERLY should bring needed relief. If this makes sense to you, feel free to message me.....
I would immediately cease taking naproxen and start with aspirin or Advil. It's the least safe of all OTC painkillers and can cause hypertension in healthy people. Have you considered the possibility of moderate panic attacks being the cause? There are panic attacks which happen with no warning of stress. My husband has random chest cramping that's very similar to heart attack pain. It shows as a no on all muscle testing but ended up being scar tissue from frequent shooting of large caliber weapons during his military contractor days. It was only on the left side and out of no where when he would drive when he would sleep etc. The frequent massage & physical therapy has lowered the severity & frequency of his symptoms. I would try not to worry. I know it's a very unsettling feeling however it's extremely good news you've been given a great bill of health. Undiagnosed pain can be extremly frustrating. I hope someone is able to lift the burden ease your worry & pain.
See a big time heart specialist, even if you have to drive a 100 miles to get there.
You need to know what is happening in your body. You do not need a referral, just
call and get an appointment. Then tell your PCP to send all your records to the
new specialist. It is your records and you can even go by and pick them up a few days before you see the new one.I hope you find your problem, God bless.
Very frustrating indeed. Had the same problem a few years ago, and what massage therapist said was how it was fixed....http://www.youtube.com/watch?v=FSa5Xu2jx...