Is My Hypermobility Causing This Upper Back Discomfort?
This morning, I woke to a persistent discomfort in my upper back that intensifies with each breath. The sensation seems to extend toward my chest, which is quite alarming. Could this be a sign of a heart issue, or is it simply a result of my hypermobility? As a 22-year-old, I consider myself generally healthy despite facing various challenges. I do struggle with being overweight and occasionally deal with mental health concerns. I manage my symptoms with Venlafaxine and Bisoprolol, adjusting the Bisoprolol dosage between 2.5mg and 15mg based on my needs. I also have diagnoses of ADHD and frequent migraines. Last year, I was diagnosed with hypermobility spectrum disorder, and I have an appointment in a month to explore the possibility of hypermobile Ehlers-Danlos syndrome (hEDS). Additionally, I cope with temporomandibular joint (TMJ) problems. Through my experiences, I have noticed the most significant hypermobility-related pain occurs in my hands and legs, particularly affecting my fingers. An MRI conducted in 2022 revealed that my neck's spinal curvature is nearly flat, which is abnormal. I also have mild scoliosis and kyphosis. Throughout my teenage years, I grappled with poor posture, often slouching due to insecurities about my height, further exacerbating my spinal condition. I have experienced multiple episodes of pinched nerves, frequently occurring without warning when my body cracks or due to subluxations. This has led to a lingering sensation of pins and needles in my fingers. Sciatica has troubled me several times, even during my adolescent years, but muscle relaxants have effectively alleviated it within a week. In 2024, a neurologist diagnosed me with post-viral dysautonomia after conducting a tilt table test. While I didn't quite meet all the criteria for postural orthostatic tachycardia syndrome (POTS), it was close. On my journey to this diagnosis, I underwent numerous tests, including EKGs, a Holter monitor, and a heart ultrasound—all indicated normal results, aside from occasional elevated heart rates. Notably, my mother has a history of supraventricular tachycardia (SVT), requiring cardioversion multiple times. I have experienced two SVT episodes myself, both with heart rates exceeding 140. My neurologist suspects one of these episodes may have stemmed from a severe migraine coupled with poor hydration and repeated migraine medication use. Thankfully, both SVT incidents were managed with propranolol and resolved within a day. To summarize, my genetic makeup contributes to my joint challenges, but structurally, my heart appears to be in good shape. Returning to my current situation, I woke up with moderate pain in my upper back, which, while uncomfortable, is manageable; my pain tolerance is relatively high due to my experiences. However, each breath exacerbates the discomfort, notably in my upper back and more intensely within my chest—particularly centrally. While I've been at rest, my heart rate remains stable, ranging between 65 and 75 beats per minute while lying down, and around 100 when standing. I utilized my Apple Watch to conduct an EKG, keeping in mind the caveats regarding its reliability. However, my cardiologist certified that it can offer helpful insights into my heart's activity and track my dysautonomia. As the day progresses, I've noticed the chest pain intensifying, although the back pain remains steady in its location. I don’t have any other noticeable symptoms and attempted to relieve the tension by cracking my back—though this is debatable as a good strategy—and stretching without finding relief. Moving into an upright position only exacerbates the discomfort. I’ve described the pain as sharp and stabbing whenever I inhale. I feel confident that this isn't a heart attack, given my age, apparent heart health, and the fact that such an attack typically wouldn't worsen with deep breaths. Yet, should I be concerned? This pain has persisted for around four hours now. Could this significant unease genuinely stem from my hypermobility? I've never encountered such discomfort in my upper back or chest before.
Answers (1)
3/20/2025, 11:50:56 AM
OpenHealth AI
Given your background and the specifics of your symptoms, it sounds like you may be experiencing discomfort that could be related to your hypermobility, muscular strain, or possibly postural issues. However, the nature of your pain—specifically the intensification with each breath—requires attention.
Explanation
Hypermobility spectrum disorder can lead to increased strain on joints and muscles, potentially contributing to discomfort in your upper back. The symptoms you describe, especially the sharp, stabbing pain that worsens with deep breaths, might suggest muscular tension or rib dysfunction rather than a cardiac issue, given your normal heart tests. Nevertheless, the discomfort you're feeling in your chest warrants caution, especially because it is a new experience for you.
Next Steps
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Focus on Rest and Posture: Try to maintain good posture while sitting and lying down to reduce strain on your back. Using supportive cushions when sitting can help.
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Breathing Exercises: Practice gentle breathing exercises to manage pain and promote relaxation. This might involve deep, slow breaths while lying in a supported position to help alleviate tension in your upper back.
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Heat Therapy: If you feel comfortable doing so, applying a warm compress to the affected area may relieve tight muscles and ease discomfort.
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Gentle Stretching and Strengthening: Engage in gentle stretching and strengthening exercises targeted at your upper back and neck, but avoid any movement that exacerbates your pain. Consider focusing on stretching muscles in your chest and upper back.
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Pain Relief: Over-the-counter pain relief, such as ibuprofen or acetaminophen, may be used as needed, but please consider any medical advice you have regarding your medications.
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Monitor Symptoms: Keep a close watch on your symptoms. If the pain increases or you experience any new symptoms (like significant shortness of breath, dizziness, or changes in heart rate), seeking urgent medical attention would be essential.
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Follow-Up Communication: If your discomfort persists beyond 24-48 hours or if you have concerns about your symptoms, reaching out to your healthcare provider earlier than your scheduled appointment would be prudent to rule out any serious conditions.
It's good to hear that you feel confident about your cardiac health. However, don’t hesitate to communicate with your doctor regarding these new symptoms, as they can provide you with personalized insight considering your medical history. Take care, and I hope you find relief soon!
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