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Dr. Bob
Dr. Bob, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5118
Experience:  Neurology & Int Medicine (US Trained): 20 yrs experience
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I have tightness that starts under my chin on the right side

Customer Question

I have tightness that starts under my chin on the right side then I have tightening in my chest, usually followed by pain down the back of my right arm. It can wake me up in the middle of the night. I had a car accident a year ago where my airbag hit me in the chest. My blood pressure is 106 over 81 these days. Thanks
Submitted: 1 year ago.
Category: Neurology
Expert:  Dr. Bob replied 1 year ago.

how long has this been going on? have you had a chest xray or chest CT done?

Customer: replied 1 year ago.
I've had it on and off in various degrees since the accident a year ago. I had a chest xray the day of the accident and was told I had a dislocated rib. The tightness in my chest and the pain down the back of my arm his from mild to severe.
Expert:  Dr. Bob replied 1 year ago.

It's possible that the dislocated rib never healed completely. This would bother you during certain movement or activities, such as rolling over in bed. It might even trigger muscle spasms in the chest wall or arm if the pain is bad enough.

Expert:  Dr. Bob replied 1 year ago.

I would suggest you get a CT scan of the chest. This would provide a lot more information than a simple CXR about your lower neck, shoulder, and chest. It should also show the status of the dislocated rib.

Expert:  Dr. Bob replied 1 year ago.

It would also help to rule out other possible causes of your pain.

Expert:  Dr. Bob replied 1 year ago.
Did you have any follow up questions about this?
Let me know if you do and I would be happy to help further.
Regards,
Doctor-Bob
Expert:  Dr. Bob replied 1 year ago.

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