Is It a Heart Attack or Muscle Tension? Understanding Chest Pain Experiencing chest pain can be alarming, often leading people to fear a heart attack. However, not all chest pain signals a cardiac issue. At Chiropractic & Physiotherapy Health Centre in Nairobi, we frequently encounter patients whose chest pain stems from muscle tension, particularly in the intercostal and pectoralis muscles. This article explores a common case of chest pain caused by muscle tension, its causes, symptoms, and effective physiotherapy solutions to help you find relief
Chest Pain Misdiagnosis Recently, a patient visited our clinic complaining of persistent low back pain that had troubled him for three weeks. During the examination, I noticed tension in several core muscles contributing to his discomfort. As we prepared for the session, the patient struggled to lie face down, reporting chest pain. By providing a pillow for support, we adjusted his position to ensure comfort and proceeded with the treatment.
After the session, the patient felt fatigued but showed improvement by the next visit. However, the recurring chest pain when lying down raised concerns. Upon further inquiry, the patient revealed that a previous X-ray showed no significant issues, and he relied on painkillers to manage the discomfort. The pain typically flared up after physical exertion or specific movements, such as lying on his stomach with arms outstretched.
Investigating the Root Cause
The patient, a regular exerciser with a well-defined physique, exhibited significant muscle tension in his chest and restricted shoulder movement. The pain was triggered when his chest muscles were stretched beyond their normal range. This suggested tension in the intercostal muscles (located between the ribs) and pectoralis muscles, which are critical for chest expansion during breathing.
To address this, I performed targeted muscle relaxation and stretching techniques, which were initially painful but necessary. I also treated his back pain and prescribed simple arm stretches for him to do at home. By his next appointment, the patient was visibly relieved, reporting a significant reduction in chest pain. He could lie down with minimal discomfort, and after six sessions, he was pain-free and ready for discharge.
What Causes Muscle Tension in the Chest?
Muscle tension, often mistaken for more serious conditions, is a common issue that can affect any muscle group, including the chest. The intercostal and pectoralis muscles are particularly prone to tension due to their role in breathing and upper body movement.
Common causes of chest muscle tension include:
Overuse or Prolonged Activity: Engaging in intense exercise or physical labor without proper stretching can strain muscles. Dehydration: Inadequate hydration can lead to muscle cramps and tension. Static Postures: Holding a position for extended periods, such as sitting at a desk or sleeping awkwardly, can tighten muscles. Lack of Stretching: Failing to stretch after workouts or daily activities can cause muscles to remain contracted.
When the intercostal or pectoralis muscles are tense, they can cause severe chest pain, mimicking more serious conditions like a heart attack.
Symptoms of Chest Muscle Tension
Unlike cardiac-related pain, chest pain from muscle tension has distinct characteristics:
Localized Pain: A sharp, stabbing sensation at a specific point, often around the ribs or mid-chest. Worsens with Movement: Pain intensifies when stretching, moving, or breathing deeply. Steady Heartbeat: If the patient is not anxious, the heart rate remains normal. Duration: Pain may last from a few minutes to over an hour. No Systemic Symptoms: Unlike heart attack symptoms, muscle tension pain doesn’t typically cause nausea, sweating, or shortness of breath.
Effective Solutions for Chest Pain Relief
If you suspect chest pain from muscle tension, try these steps: Stretch Regularly: Lie flat with your arms extended above your head to gently stretch the chest muscles. Perform stretches daily, especially after workouts. Stay Hydrated: Drink plenty of water to prevent muscle cramps. Consult a Physiotherapist: A professional can assess and treat muscle tension with targeted techniques to relax and stretch affected muscles. Practice Good Posture: Avoid prolonged static positions to reduce muscle strain.
When to Seek Help
While muscle tension is often benign, persistent or worsening chest pain warrants professional evaluation. At Chiropractic & Physiotherapy Health Centre, our experienced physiotherapists can diagnose the cause of your pain and create a personalized treatment plan to restore mobility and comfort.
Final Thoughts Chest pain doesn’t always indicate a heart attack. Muscle tension in the intercostal or pectoralis muscles is a common culprit that can be effectively treated with physiotherapy. By addressing the root cause through stretching, relaxation techniques, and professional care, you can achieve lasting relief. If you’re experiencing chest or back pain, contact Chiropractic & Physiotherapy Health Centre in Nairobi today to schedule a consultation and take the first step toward a pain-free life.
By Naomi Wausi
Physical Therapis
