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Question

I get charley horses in my intercostal muscles particularly when I am outside. I am 62 and volunteer at a NWR where I teach birding classes. These sudden pains make it difficult to carry on.

Submitted: 41 days and 4 hours ago.
Category: Health
Value: $18
Status: CLOSED
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Gender: Female
Age: 62

Already Tried:
I thought it was a potassium deficiency so I started eating 1/2 a banana everyday.

Posted by Dr. Mark 41 days and 4 hours ago.

Info Request

Have you had recent bloodwork done to see if you have an actual potassium deficiency?

Or calcium abnormality? Or other electrolytes?

Is this primarily on one side or both?

Does the pain radiate anywhere else (shoulder, arms, buttocks, legs)?

41 days and 4 hours ago.

Reply

No I haven't had blood work done for some time. I am thinking I had best get in for a check up. I mostly see my asthma doctor and stay current with the meds I take. I also have acid reflux. The pain just radiates through my ribs. I notice the cold seems to exacerbate the problem.

Posted by Dr. Mark 41 days and 4 hours ago.

Info Request

OK.

Is this both sides equally?

And is it more in the back, or the front, or does it radiate around from the back to the front equally?

Did eating the banana make a difference? Are you on an acid reducer for your acid reflux?

41 days and 4 hours ago.

Reply

I think I usually get it on the right side; it starts in back and radiates a little around staying in the rib cage. I also have 4 stents in my RCA placed there in 2001. I have low blood pressure though....usually about 110 over 70 to 80. At first I thought the banana helped, but I am not so sure now. I keep myself well hydrated so I doubt if it is an electrolyte thing.

Accepted Answer

OK.

Well, the specificity of your pains -- in the back radiating aroun the sides -- seems to make this more of a nerve-related issue, at that specific location.

Although electrolytes issues are still possibilities, one would expect that if it were significant -- you would be having issues everywhere, such as cramping in the legs and arms as well.

The blood pressures are good.

The cardiac stents and history of heart disease are always a concern with chest / chest wall pains, but this doesn't sound typical for heart related issues.

So, it would be best to get this checked out. Bloodwork can help to eliminate electrolytes issues. A physical exam and other testing like EKG / chest xray can help to rule out concerning heart and lung issues. And then further testing, if needed, such as with a MRI of the thoracic spine can look for specific issues with possible "pinched" nerves in the thoracic area which could be the cause for pains on both sides that seems to radiate around to the front. (while the pains from shingles would also be a possibility, that generally would be on one side only, and preceded by a rash).

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Expert: Dr. Mark
Pos. Feedback: 99.8 %
Accepts: 
Answered: 10/12/2009

Doctor (MD)

U.S. Physician/Surgeon in Neurosurgery

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