Pain in sternum is pain or soreness felt in the region of breast os ( breastbone ) . The breastbone is present as a flat bone in the nerve center of the chest , to which the rib are impound in the front . painful sensation in sternum can be of short term nature , call acute bother or may be present for long as inchronic pain . nuisance may be felt in and around the sternal area or may be felt behind the bone .
painful sensation in sternum can hap due to various effort related to various organic structure organization , hence evaluation of sternal pain in the neck is essential . The nature and continuance of the botheration may vary calculate on the lawsuit . It is important to understand that although bother in sternum is presented aschest botheration , it need not create panic . Stressand anxiousness often only adds to the existing job . Hence , being cognizant of possible causes of pain in breastbone and its management can assist in deal with such situation .
What Can Cause Pain in Sternum?
Some of the crusade of hurting in breastbone include :
Musculoskeletal Causes of Pain in Sternum
pain sensation in sternum can be directly relate to problem with the sternal osseous tissue , its surrounding structure , muscles and tissues .
Gastric Causes of Pain in Sternum
Gastric and abdominal causes can lead to painfulness in breastbone , particularly cut type of pain behind the sternum . Conditions touch to acid reflux , esophagitis , gastritis , peptic ulcers and inflammation of abdominal electric organ like pancreatitis , cholecystitis , etc . can cause sternal infliction . Indigestion , bloating of venter and excessive accumulation of natural gas can cause pain in upper part of abdomen , often felt under the rib and sternum .
Cardiac Causes of Pain in Sternum
Various conditions affecting the kernel can stimulate dresser pain , which is feel as pain in sternum . centre stipulation likecoronary artery disease , cardiomyopathy , heart valve diseases , aortic disorders , pericarditis , myocarditis , etc . can cause pain in the neck in breastbone .
Pulmonary Causes of Pain in Sternum
Lung colligate or respiratory disorderliness can cause pain in breastbone , which include bronchial asthma , COPD ( continuing obstructive pneumonic disease ) and bronchitis . infection like tuberculosis andpneumoniaor kindling of structures behind the sternum like tracheitis can induce sternal pain .
Other Causes of Pain in Sternum
Pain in breastbone can mimic a heart attack with no underlying cardiac cause and is call as non - cardiac chest pain . divisor like anxiety and stress can contribute to the nuisance . Other causal agency like cancers of the lung , breast and bone can also cause hurting in sternum .
Symptoms of Pain in Sternum
Pain in sternum can be have as a dumb ache pain or knockout penetrating infliction . muscular tissue muscle spasm or tissue wound often result in pain proportionate to the rigorousness of the trauma and botheration is often felt on movement and ventilation . Any fall or sport combat injury may be obvious as symptom may start before long after the effect or within few twenty-four hour period .
When pain in breastbone is due to cardiac or pulmonary cause , it may award with other associated symptoms like sudation , trouble in breathing , cough , etc . With gastric causa , abdominal symptoms like nausea , vomiting , burning sensation in stomach , abdominal pain orbloating , etc .
Diagnosis of Pain in Sternum
Careful history taking and clinical examination can help to reveal the potential causes of pain in breastbone . Arthritis and joint trouble may show joint inflammation and nuisance on touch . Muscle injuries orfibromyalgiamay give away tender stop .
Further investigation can be done base on existing associated symptom . parentage investigating to detect presence of inflammation , infection , etc . may be perform . These may include hug drug - rays , bone scan and MRI to predominate out crack of the bone and tissue injuries . Additional tests like electrocardiogram ( ECG ) , gastroscopy may be considered , if required .
Treatment of Pain in Sternum
discourse for pain in breastbone usually depend on the implicit in cause . For sternum painful sensation get due to injuries and muscleman strain , ice pack or red-hot compress may be applied . residual is normally required to aid healing of the damage tissues . Anti - seditious medicines are ease up . Physical therapy may be propose .
stomachic andacid reflux diseasecausing pain in sternum is treat with gastric antacid and bland solid food is advised . Cardiac and pneumonic grounds require specific treatment and some may call for hospitalization , depending on the severity of the botheration in sternum .
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