Concluded Case

Pectoral Pain

X-Rays of the previous case posted. Kindly give the findings. Symptoms worsening a bit. C/o Pain & swelling over right pectoral area, breathlessness after walking for 5-10 mins, inability to eat , nauseating, Giddiness & insomnia.

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Concluded answer

With the Gynaecologist consultation, it is clear that there is no sign of any nodules or lumps in breast due to which the pain might have occurred. X-ray shows spondolytic changes in cervical area with straightening of the spine. This case seems to be of Rt. Pectoral Muscle strain with costochondritis at 2nd, 3rd & 4th level (as palpated). Muscle relaxants started to relieve the strain and Physiotherapy, in the form of SWD & IFT to Rt. side shoulder & pectoral area alongwith mild strengthening exercises.

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X-ray is normal. Check MMT for pectoralis major, minor & serratus anterior, costal muscles too. Check muscle length. Rule out first where is pain? What type of pain he/she feels & there is any trigger point pain or regional pain??

Please do read the linked case history. Thank you
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No bony injury Cervical spondylosis with loss of cervical lordosis, suggestive of paraspinal muscle spasms

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With the Gynaecologist consultation, it is clear that there is no sign of any nodules or lumps in breast due to which the pain might have occurred. X-ray shows spondolytic changes in cervical area with straightening of the spine. This case seems to be of Rt. Pectoral Muscle strain with costochondritis at 2nd, 3rd & 4th level (as palpated). Muscle relaxants started to relieve the strain and Physiotherapy, in the form of SWD & IFT to Rt. side shoulder & pectoral area alongwith mild strengthening exercises.

Check for muscle spasm , check for dowager hump, check ROM, there is straightening of spine present , check for the trapz tightness If all these then go for pain reduction and release tight muscles and do check the posture is it forwrad neck posture if yes then check for pecs tightness

C5/6 level posterior disc osteophyte complex If local lesions are not causing symptoms,get MRI cervical spine

Straightening of cervical spine Osteoporosis and Osteophytic lesions seen