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Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.
This can still be paraspinal muscle spasm related pain.
Intercostal nerves can get pinched as a result causing a deeper pain.
Hence physical therapy, steroid injection should help in most cases.
Another possibility can be underlying heart condition.
That should be checked with EKG and stress test at least. Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star).Please bookmark my profile for asking further questions!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/