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Overview A strained or pulled chest muscle may cause a sharp pain in your chest. A muscle strain or pull happens when your muscle is stretched or torn. Up to 49 percent of chest pain comes from what’s called intercostal muscle strain. There are three layers of intercostal muscles in your chest. These muscles are responsible for helping you breathe and for stabilizing your upper body. Classic symptoms of strain in the chest muscle include:
Seek medical attention if your pain happens suddenly while you’re engaged in strenuous exercise or activity. Go to the emergency room or call your local emergency services if your pain is accompanied by:
These are signs of more serious issues, like heart attack. Chest wall pain that is caused by a strained or pulled muscle often happens as a result of overuse. You may have lifted something heavy or injured yourself playing sports. For example, gymnastics, rowing, tennis, and golf all involve repetitive motion and may cause chronic strains. Other activities that may cause strain are:
Certain illnesses may also cause muscle strain in the chest. If you’ve recently had a chest cold or bronchitis, it’s possible you may have pulled a muscle while coughing. Anyone can experience chest muscle strain:
If you’re concerned about your chest pain, or unsure if it’s a pulled muscle or something else, talk to your doctor. Your doctor will ask you about your symptoms, your health history, and any activities that may have contributed to your pain. Muscle strain is categorized as either acute or chronic:
From there, strains are graded according to severity:
In some cases, your doctor may order tests to rule out heart attack, bone fractures, and other issues. Tests may include:
Other possible causes of chest pain include: More serious possibilities include: First-line treatment for mild chest muscle strains involves rest, ice, compression, and elevation (RICE):
With home treatment, your symptoms from mild pulls should subside in a few weeks. While you wait, you may take pain relievers to reduce your discomfort and inflammation, such as ibuprofen (Advil, Motrin IB) or acetaminophen (Tylenol). If you have chronic strain, you may benefit from physical therapy and exercises to correct muscle imbalances that contribute to strain. In more severe cases, surgery may be needed to repair torn muscles. If your pain or other symptoms aren’t going away with home treatment, make an appointment to see your doctor. You should avoid strenuous exercise, like heavy lifting, while you’re in recovery. As your pain lessens, you may slowly return to your previous sports and activities. Pay attention to any discomfort or other symptoms you experience and rest when necessary. Your recovery time depends on the severity of your strain. Mild pulls may heal as soon as two or three weeks after injury. More serious strains can take months to heal, especially if you’ve had surgery. Follow any specific instructions your doctor gives you for the best results. Trying to do too much too soon may aggravate or worsen your injury. Listening to your body is key. Complications from chest injuries may affect your breathing. If your strain makes breathing difficult or keeps you from breathing deeply, you may be at risk of developing a lung infection. Your doctor may be able to suggest breathing exercises to help. Most chest muscle strains can be treated at home. If your pain doesn’t get better with RICE, or if it gets worse, call your doctor. To prevent chest muscle strain:
What is a muscle strain in your chest?When you have a chest muscle strain, your symptoms might seem to be signs of a heart attack. But there are additional symptoms that actually indicate a heart attack.A muscle strain in your chest can cause a sharp, sudden pain. This happens when your muscle is stretched or torn. Most chest pain comes from intercostal muscle strain. Your intercostal muscles are located between your ribs. They help control your breathing and stabilize your upper body. When you have a chest muscle strain, the first thing you’ll feel is a sudden pain in your chest. You may also experience weakness, numbness, stiffness, and/or swelling. These might seem to be signs of a heart attack, but here are the additional symptoms that actually indicate a heart attack: Seek immediate care if you experience these symptoms together with your chest pain. Signs and symptoms of chest muscle strainChest muscle strain can cause sudden pain if your muscle is torn. A muscle strain in your chest can be acute. It may also gradually spread through your body as bleeding or swelling around the injured muscle occurs. Common symptoms of a muscle strain in your chest include: PainYour pain may be sharp from an acute pull in your muscle, or dull from a chronic strain. It may also be painful when you breathe or move your upper body. Muscle spasmsYou may experience uncontrollable and involuntary movements called muscle spasms due to a strain or tear. Muscle spasms may be painful or slightly irritating based on the severity and location of your strain. SwellingWith any kind of tear or strain, you will see swelling in the injured area. This can help you find where your pain is coming from. BruisingBruising may occur in the injured area. If you have a torn muscle, you will experience severe pain and bruising in the torn area. For a muscle strain in your chest, you may have light bruising.
Causes of chest muscle strainChest pain can be a symptom of many issues. From injury to illness, the other symptoms surrounding your chest pain may help you find the cause. Certain actions, like lifting heavy objects or playing sports, can result in a strained chest muscle. Common causes for chest muscle strain include: Physical activityCertain movements can cause chest muscle strain. Activities that may cause strain include repetitive motions like:
InjuryContact injuries or trauma to your chest can cause chest muscle strain. These injuries can cause bruising and swelling of the injured area. They can be from a multitude of things like sports, car accidents, or on the job injury. Certain illnessIf you are recovering from a cold or a respiratory infection like bronchitis, you could have a muscle strain in your chest from coughing. Your chest pain may be more painful when you are breathing or coughing in excess. See Slideshow
When to see the doctor for chest muscle strainMake an appointment to see your doctor if your chest pain and other symptoms persist, even with home treatment. If you ruled out a heart attack and other serious illnesses but have concerning symptoms that are getting increasingly worse, you should seek medical attention. Symptoms that might prompt you to check with your doctor include shortness of breath, fever, and heavy coughing. Diagnosing chest muscle strainOnce you’ve made the decision to visit your doctor, they will first ensure that you are not having a heart attack. They will then ask about your medical history and conduct a physical examination to determine where your muscle strain is. If the tear or strain is concerning, the doctor may request a magnetic resonance imaging (MRI) or ultrasound scan. The doctor may also request an electrocardiogram to test your heart’s electrical activity and/or a blood test to check for any abnormalities. It’s important for you to understand your chest pain. Be sure to describe what you are feeling to your doctor to help them determine the first steps of your treatment. Treatments for chest muscle strainTreating chest muscle strain can usually be handled at home. It’s important to control the swelling and limit the damage to the muscle. You should ice your injured area and restrict the use of your injured side. As part of your recovering, a doctor may suggest light exercise, stretching, and physical therapy. You can also manage your pain with the use of anti-inflammatory medications like ibuprofen. If your doctor finds that your chest pain stems from another condition, they will recommend different treatments for you.
How do I know if it's a panic attack or heart attack?When you feel your heart racing and start having pain in your chest, you may worry that you are having a heart attack. There are a lot of similarities in the way the body reacts when it comes to a panic attack vs. heart attack. However, the causes and outcomes of each condition are quite different. It’s common for people to confuse the symptoms of a panic attack with those of a heart attack. That’s why it’s important to understand the distinctions so you can receive the correct care. What is a panic attack? People having a panic attack often experience intense waves of fear washing over them. They may feel like they are trapped and unable to move. There is often no warning or obvious trigger when a panic attack strikes. It’s possible for a panic attack to occur whether you are awake or asleep. Panic attacks typically last anywhere from five to 30 minutes, usually peaking at 10 minutes. What is a heart attack? A heart attack, also referred to as a myocardial infarction, happens when a blockage stops blood from flowing to the heart, which keeps the heart from getting enough oxygen. As more time passes without that essential element, the heart muscle starts to die, which can eventually lead to death.
What are the symptoms and signs of a panic attack vs. heart attack?Because there are some similarities in the symptoms of a panic attack vs. heart attack, people often get them confused. Seek treatment from a medical professional if you suspect that your symptoms might be caused by a heart attack, even if it turns out to be a panic attack. Symptoms of a panic attack Some of the most common symptoms of a panic attack include:
The symptoms usually peak within 10 minutes of the onset of the panic attack. Most people recover without showing any complications. However, people who develop frequent panic attacks may remain in a constant state of worry about having another one. These are symptoms of panic disorder. Symptoms of a heart attack Heart attacks do not strike everyone in the same way. They can come on with intensity or start gradually. It’s essential that you learn to understand what’s happening so that you quickly get proper treatment. People who are having a heart attack often show signs like:
People can have different experiences when having a heart attack. Women are more likely to have symptoms like shortness of breath, jaw pain, and nausea. That may lead to a misdiagnosis of their condition. Also, women may mistake their heart attack symptoms for the flu. acid reflux, or signs of aging. What are the causes of a panic attack vs. heart attack?People who find themselves having constant panic attacks may have a panic disorder. While there is no consensus on what causes a panic attack, they can be brought on by certain factors, including: Various factors can increase your risk of having a heart attack, like: By clicking Submit, I agree to the MedicineNet's Terms & Conditions & Privacy Policy and understand that I may opt out of MedicineNet's subscriptions at any time.
How to diagnose a panic attack vs. heart attackTo diagnose, doctors typically conduct a physical exam that includes checking your blood pressure, listening to your heart, and discussing your symptoms. They will want to confirm whether you are having a panic attack or a heart attack. They may also request additional blood tests. When it comes to a potential heart attack, medical professionals typically have patients undergo various tests. To assess whether it’s truly a heart attack, doctors see if your episode caused heart damage and look for signs of coronary artery disease. Some of the tests you may need include: Your doctors will use your test results to determine a diagnosis and the next steps for treatment and prevention. Treatments for a panic attack vs. heart attackIf your panic attacks may be the result of a panic disorder, your doctor may recommend that you start attending some form of therapy, such as cognitive behavioral therapy or exposure therapy. Also, they may recommend that you start taking medication to manage your anxiety and panic symptoms. These include antidepressants and anti-anxiety medications. For heart attacks, doctors may inject a clot-dissolving agent to restore blood flow to the affected coronary artery. If that doesn’t work, they may resort to performing surgery to increase blood flow to your heart.
Medically Reviewed on 3/2/2022 References Center for Disease Control: "Heart Attack." Cleveland Clinic: "How to Cope with an Intercostal Muscle Strain." Harvard Health Publishing: "Chest pain: a heart attack or something else?" HelpGuide.org: "Panic Attacks and Panic Disorder." Heart.org: "Warning Signs of a Heart Attack." Heart.org: "Heart Attack Symptoms in Women." Heart.org: "Diagnosing a Heart Attack." Journal of Physical Therapy Science: "Effect of a combined thoracic and backward lifting exercise on the thoracic kyphosis angle and intercostal muscle pain." National Heart, Lung, and Blood Institute: "Heart Attack." NHS Wales: "Chest Injury Advice." Physio.co.uk: "Pectoralis major strain." Sports Clinic NQ: "Pectoralis major strain." |