What causes chest pain after doing pull-ups?

May 11, 2023 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
Chest pain after doing pull-ups may be caused by physiological factors, or it could result from trauma, high blood pressure, and other reasons. Prolonged exercise can lead to local lactic acid buildup, and failing to take proper precautions during pull-ups may cause localized pain. Additionally, if a patient has hypertension, physical exertion can increase myocardial oxygen consumption, leading to chest pain.

Chest pain after doing pull-ups may be caused by physiological factors, or it could result from trauma, hypertension, and other reasons. A detailed analysis is as follows:

I. Physiological Factors

If the exercise duration is relatively long, excessive strain on the chest muscles can lead to local lactic acid buildup, causing soreness. This is a normal phenomenon and will subside after rest.

II. Pathological Factors

1. Trauma

If proper protection is not taken during pull-ups, local soft tissue injury may occur, resulting in localized pain accompanied by symptoms such as bruising, redness, and swelling of the skin. In such cases, patients should take medications like Sanqi tablets or Shujin Huoxue tablets under a doctor's guidance.

2. Hypertension

Patients with hypertension may experience increased myocardial oxygen consumption after exercise, leading to chest pain, along with other discomforts such as headache and head pressure. In this case, treatment should follow medical advice using medications such as nifedipine controlled-release tablets or amlodipine besylate tablets.

Besides the common causes mentioned above, other conditions—such as pleurisy, coronary atherosclerotic heart disease, or valvular heart disease—could also be responsible. Patients should seek timely medical attention to prevent worsening of the condition.


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