What causes chest tightness and pain at the clavicle area, and what should be done about it?

Jun 04, 2023 Source: Cainiu Health

Dr. Tian Hongbo

Introduction

Chest tightness and pain around the clavicle may be related to excessive exercise, intercostal neuralgia, myocardial infarction, or other causes. Treatment options include appropriate rest, medication, surgery, and other interventions. If the pain is severe or accompanied by symptoms such as difficulty breathing, it is recommended to seek timely medical attention at a hospital to avoid delays in diagnosis and treatment.

Chest tightness and pain around the clavicle may be related to excessive exercise, intercostal neuralgia, acute myocardial infarction, and other causes. Treatment options include appropriate rest, medication, surgery, etc. A detailed analysis is as follows:

1. Excessive Exercise

When engaging in heavy physical labor or intense exercise, muscles may go into spasm due to overstretching, leading to symptoms such as pain and shortness of breath. It is recommended to avoid overexertion in daily life and allow for adequate rest after fatigue, which can help improve symptoms.

2. Intercostal Neuralgia

Intercostal neuralgia refers to an aseptic inflammatory infection affecting the intercostal nerves, which may cause compressive pain in the rib area, feelings of suffocation, or a sense of impending doom. Patients may take medications such as celecoxib capsules or ibuprofen sustained-release capsules as directed by a physician. If necessary, surgical treatments such as intercostal nerve terminal block or radiofrequency-controlled thermocoagulation may also be used.

3. Acute Myocardial Infarction

Acute myocardial infarction is a condition caused by myocardial ischemia or hypoxia, which may lead to symptoms including chest pain, chest tightness, and a sensation of blockage in the precordial area. Patients may take medications such as nitroglycerin tablets or suxiao jiuxin pills as prescribed to alleviate symptoms. When necessary, procedures such as cardiac stent implantation or coronary angioplasty may be performed.

In addition to the common causes mentioned above, chest pain may also be associated with rib fractures, gastroesophageal reflux disease (GERD), gastric ulcers, pulmonary embolism, and other conditions. If pain is severe or accompanied by symptoms such as difficulty breathing, prompt medical evaluation is recommended to avoid delays in diagnosis and treatment.

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Can I get vaccinated if my blood pressure is 155 over 85?

If this blood pressure level has been stably maintained over a long period (e.g., through regular use of antihypertensive medication) and the individual does not experience symptoms such as dizziness, headache, or chest tightness, with overall stable health status, vaccination generally will not cause significant blood pressure fluctuations nor affect vaccine efficacy. After medical evaluation, routine vaccination can be administered, followed by continued blood pressure monitoring.

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Is it safe to receive a vaccine with a blood oxygen saturation level of 70%?

Under normal circumstances, individuals with a blood oxygen saturation level of 70% should not receive vaccines. It is important to closely monitor blood oxygen levels daily, ensure good air circulation in the surrounding environment, and avoid enclosed spaces. Rest appropriately according to physical condition and reduce physical exertion. Diet should include foods rich in protein and vitamins to strengthen overall health. Seek medical attention promptly if symptoms such as worsening shortness of breath or chest tightness occur.