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20 years
I have pain in the right side of my chest(upper area) it hurts when tint my arm and sometimes burns...its been like that aprox. 1month...what is the problem and what diagnose should i do
Jun 16, 2015

Dr. Zakia Dimassi Pediatrics
The pain you are describing may be originating from the shoulder joint, which is traversed by a bunch of large nerves, or the rib cage. One entity I can think of is thoracic outlet syndrome. This condition consists of a group of disorders that occur when there is compression, injury, or irritation of the nerves and/or blood vessels (arteries and veins) in the lower neck and upper chest area. The thoracic outlet is the space between the lower neck and upper chest, the home of this grouping of nerves and blood vessels.
The following may predispose for the development of thoracic outlet
Sleep disorder
Stress or depression
Participating in sports that involve repetitive arm or shoulder movement, such as swimming, volleyball
Repetitive injuries from carrying heavy shoulder loads
Injury to the neck or back (whiplash injury)
Weightlifting

Symptoms of thoracic outlet syndrome vary according to the affected nerves or blood vessels. usually it is what we call a compression injury, meaning the nerve or blood vessel is subject to continuous pressure. Symptoms from nerve compression are much more common than symptoms from blood vessel compression.Pressure on the nerves (brachial plexus): a vague, aching pain in the neck, shoulder, arm, or hand. Pain, numbness, or tingling on the inside of the forearm and the fourth and fifth fingers of the hand may also take place. Weakness may make your hand clumsy.Pressure on the blood vessels: this results in poor blood flow of your arm, with secondary swelling and redness of the affected arm. Overhead activities become especially difficult because they worsen both types of compression.The range of motion of the shoulder joint may be limited.Of course, details of your symptoms, how they evolved, and a physical examination are necessary to properly evaluate your pain and manage it accordingly. So visit the doctor's office.
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