What causes pain in the left front chest and back?

Apr 16, 2023 Source: Cainiu Health
Dr. Sun Qifeng
Introduction
Left-sided chest and back pain may be caused by long-term overexertion or intense physical activity, leading to muscle strain and excessive accumulation of lactic acid in the muscles. It could also result from neuritis or thoracic nerve compression causing intercostal neuralgia, with pain radiating to the front or back of the chest. Additionally, pleurisy may be responsible; in severe cases, inflammation can involve the anterior chest and back.

Generally, pain in the front and back of the left chest may be caused by muscle strain, intercostal neuralgia, pleurisy, or other reasons. A detailed analysis is as follows:

1. Muscle Strain

This may result from prolonged overexertion or intense physical activity, leading to muscle fatigue and accumulation of excess lactic acid within the muscles. Local heat application and appropriate massage can help alleviate symptoms.

2. Intercostal Neuralgia

This may occur due to neuritis or compression of nerves by the thoracic vertebrae, causing intercostal neuralgia. Pain typically appears in the area innervated by the intercostal nerves and may radiate to the back or front of the chest. Medications such as carbamazepine tablets, phenytoin sodium tablets, or gabapentin capsules may be used under medical guidance for treatment.

3. Pleurisy

Pleurisy may also cause such pain. Patients often experience chest pain, coughing, and difficulty breathing. In severe cases, inflammation may spread to involve both the front and back of the chest. Treatment may include medications such as amoxicillin capsules, metronidazole tablets, or azithromycin dispersible tablets, used under a physician's direction.

In addition, this pain could also be caused by angina pectoris. It is recommended to seek timely medical evaluation to determine the exact cause and receive targeted treatment.