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22 Oct 2006

unexplained pain inside right chest cav
Sharp pain in right chest cavity when breating deeply and when lying down to sleep. Been to doc, lung & bone spes. Used anti-iflam, steriods, had x-ray. Worse when sleeping. For a year now, flairs up now and again to really bad but never goes away. Checked internet, no gallbladder or liver symptoms. Not overweights, gym regularly. Gym not the cause. Starts up even in when taking a break from gym. Sore when sneeze or cough. Not going to doc again. What can I do to self-medicate? Else not smoker, don't drink. Eat normally. Stopped running (comrades 6x)because dizzy cannot breath deep. Please e-mail me. Appreciate your help. Bone density? no problem on x-ray. Spes. said maybe intercostal muscles but nothing helped.
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Expert
CyberDoc
cyberdoc

01 Jan 0001

Hallo Zelda
What I hear is a pain in the chest, dependant on movement and position, comes and goes, X/ray lungs normal. It sounds like chest wall pain, which can be one of 4 things - either muscle pain like in Fibromialgia and Tietze syndrome, or bone pain like in bone metastasis, or joint pain like in osteoarthritis or chostochondritis or nerve pain due to a nerve being pinched in the back.
If the rib and thorasic vertebrae and disc x/rays are normal , and you can actually pinpoint the sore area, local cortisone injection into the area may help.
It may also help to take a low dose tricyclic antidepressant (10mg at night) as this helps for chronic fibromialgia.
I hope you find a solution soon.
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