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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31587
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I have a discomfort in my underarms and ribs near my underarms.

Resolved Question:

I have a discomfort in my underarms and ribs near my underarms. It feels like a tightness and is noticeable when I breath deeply. I recently lost my Mother to lung cancer and was wondering if I could just be stressed. I lift weights and run on my treadmill so I'm in good shape. I feel especially good after I workout. Any ideas?
Submitted: 5 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 5 years ago.

Greetings.

 

This is likely to be myofascial pain syndromes. Muscles of this area can develop myofascial trigger points. These are hyperirritable tender spots in palpable tense bands of skeletal muscle that refer pain. This can be associated with workouts with the weight. Trigger points may develop after an initial injury to muscle fibers. This injury may be a noticeable traumatic event or repetitive microtrauma to the muscles. The trigger point causes pain and stress in the muscle or muscle fiber. The treatment is following;

 

1) passive stretching of the affected muscle after application of sprayed vapocoolant.

2) physical therapy; simple muscle stretch, augmented muscle stretch, post-isometric relaxation.

3) deep electrotherapy; iontophoresis, phonophoresis, short wave diathermy, electrical stimulation, high voltage galvanic stimulation, biofeedback.

4) local analgesic patch / ointment / spray

5) anti-inflammatory analgesics; Ibuprofen (Motrin / Advil)

6) ischemic compression therapy; pressure on the points

7) massage

8) acupuncture


Your may consider an EKG to rule out any cardiac issue (rarely associated), just for the cautionary reasons.

Please feel free for your follow up questions.

 

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

 

Dr. Arun
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