Persistent Discomfort in Chest and Left Arm
Age: 30, Gender: Male, Height: 5'11", Weight: 94.3 kg. Approximately five weeks ago, while on my walk to work, I began experiencing significant back discomfort. Once I took my seat, I noticed that the pain radiated to my left arm, where I felt a dull ache in the upper part, as well as a sharp, transient pain in my chest. Additionally, I experienced tingling sensations primarily in my left arm, although my right arm was occasionally affected, along with episodes of shortness of breath. A nurse, who shared my workplace, suggested that my symptoms could be linked to a panic attack. However, since that incident, I have been enduring intermittent chest pains that vary in intensity (ranging from sharp to dull, particularly near my lower left ribs), persistent back pain, random shortness of breath without any feeling of panic, and episodes of arm pain, which often arise from certain movements. Sleeping on my left side has become uncomfortable, inducing immediate soreness in my arm, and I sometimes find myself short of breath while engaging in simple activities such as moving around my house. I consulted with a general practitioner, and my electrocardiogram results were normal. My breathing was clear, and standard examinations did not reveal any irregularities. Typically, I might chalk this up to anxiety, but I haven’t genuinely felt panicked—just concerned. I do struggle with poor posture, and while striving for better alignment occasionally alleviates the discomfort, it can sometimes exacerbate my symptoms. Understanding the underlying cause of my issues feels elusive, making it difficult to determine how to proceed. Given this situation, I would greatly value any insights or recommendations.
Answers (1)

8/11/2025, 5:11:19 PM
OpenHealth AI
Thank you for sharing your symptoms and concerns. It sounds like you're dealing with a complex situation involving chest discomfort, arm pain, and shortness of breath. Given that your electrocardiogram (EKG) is normal and there were no significant findings from your examination, it's important to focus on understanding the factors that could be contributing to your ongoing symptoms.
Main Points
- Your symptoms may be multifactorial, potentially involving musculoskeletal issues, posture, or stress-related responses.
- Addressing posture and incorporating stress management techniques may be beneficial.
- It’s crucial to monitor your symptoms closely and adjust activities accordingly.
Explanation
The discomfort you're experiencing in your chest and left arm, combined with shortness of breath and back pain, could stem from several sources. Since you mentioned poor posture, it’s possible that your muscles and joints might be straining due to how you're sitting or standing, which can lead to pain radiating from the back to the chest and arms. Additionally, since you mentioned occasional episodes of shortness of breath, this could be influenced by factors other than panic, such as muscle tension or anxiety regarding your symptoms.
Next Steps
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Posture Improvement: Focus on improving your posture, especially when sitting. Try to ensure that your back is supported, shoulders are relaxed, and your feet are flat on the ground. You may consider ergonomic furniture or supports.
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Physical Activity: Aim for gentle stretching and strengthening exercises, particularly for your back, shoulders, and neck. Activities such as yoga or pilates can help improve flexibility and posture without straining your muscles.
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Stress Management: Incorporate relaxation techniques into your routine, such as deep breathing exercises, meditation, or gentle aerobic activities like walking, which may help alleviate muscle tension and reduce anxiety.
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Symptom Monitoring: Keep a daily log of your symptoms, noting when they worsen or improve, what activities you were doing at the time, and any other relevant factors (like stress levels). This can be helpful for future consultations with healthcare providers.
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Regular Movement Breaks: If your work involves prolonged periods of sitting, set a timer to remind you to stand up, stretch, and walk around regularly.
If your symptoms continue to persist or worsen, reconsider discussing further evaluations with your healthcare provider, potentially looking into muscular or neurological assessments to rule out any underlying issues.
Please feel free to share any updates or further questions!
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