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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 33019
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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have pulsating pain in middle just below split in breasts,goes

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have pulsating pain in middle just below split in breasts,goes through to upper right shoulder blade-had endoscopy no ulcers or anythiung-only a small hiatal hernia. had pain for about a week.very sore and tender-am taking prilosec but to no avail-what can it be?



One of the possibilites for the pain can be pinched nerves in the neck. This can be due to;


1) Herniated/degenerated disc in neck


2) Cervical spondylosis; bone spurs in the neck vertebrae pressing on the nerves.


Following investigations would be required;


1) X-ray of the neck spine

2) MRI of the neck

3) Nerve conduction velocity (NCV) study

4) Electromyography (EMG)


Following measures would be helpful;


1) Neck care in the activities of daily living.


a) No working on computer for more than half an hour in a single stretch. Same for TV.

b) Monitors and televisions exactly in front (180 degrees).

c) Contour pillow: Should fill the hollow when lying on back or straight. Available over the counter.


2) Cervical Collar or Brace


3) Cervical traction


4) Anti-inflammatory analgesics like Ibuprofen


5) Some physicians do give oral steroids in severe radiculopathy cases, in which pain is quite significant.


6) Physical therapy: gradually increasing exercises from passive stretching to active against resistance regime.


7) Electrotherapy in the form of TENS, interferential and laser and ultrasound.


8) Hot fomentation


9) Local analgesic patch / ointment / spray


You can consult following specialists;


a) Orthopedist

b) MD in Physical medicine and rehabilitation


A complete heart check up should be done, if you have any of the following risk factors;


1) stress and sedentary life style


2) peripheral vascular disease (claudication),

3) previous stroke,

4) heavy smoking,

5) high blood pressure,

6) diabetes,

7) high cholesterol,

8) a family history of heart disease


9) over weight


Please feel free for your follow up questions.


I would be happy to assist you further, if you need any more information.


Dr. Arun

Customer: replied 5 years ago.
strange you mention nerves in the neck-have some bone spurs at c4-5,radiculitis often felt in right shoulder some time but would that also affect the middle below the breasts?



Yes, it can. The chest wall is supplied by the neck nerves and pinched nerves there can radiate pain to the chest.


It is privilege assisting you.


Dr. Arun

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