What causes pain in the chest and collarbone area?
In general, sternum pain may be related to factors such as overexertion, trauma, costochondritis, intercostal neuralgia, myocarditis, and others. Patients are advised to follow medical instructions for symptomatic treatment. Specific analysis is as follows:
1. Overexertion
If a patient frequently lifts heavy objects or engages in strenuous physical labor, it may lead to chronic local strain, resulting in symptoms such as dull pain, soreness, and swelling in the sternum area. It is recommended to get adequate rest in daily life and avoid excessive or intense physical activity. Local heat application may also help improve blood circulation and relieve symptoms.
2. Trauma
If the sternum area suffers external impact, local soft tissues may be injured, leading to pain. Initial management may include ice packs to reduce swelling; after a few days, this can be switched to heat therapy.
3. Costochondritis
This is a nonspecific inflammatory condition affecting the junctions between the sternum and ribs, causing localized pain and swelling. Treatment may include oral medications such as ibuprofen sustained-release capsules or acetaminophen tablets, taken as directed by a physician.
4. Intercostal Neuralgia
The main clinical symptom is nerve-related pain along the intercostal nerves, which may radiate in a semi-circular pattern along the rib spaces, causing the patient to feel pain in the sternal region. Targeted treatment may include oral medications such as carbamazepine tablets or gabapentin capsules, taken under medical guidance.
5. Myocarditis
Sternum pain may also be caused by myocarditis—a condition characterized by inflammation of the heart muscle due to viral infection or immune system dysfunction. The pain is often accompanied by symptoms such as palpitations, shortness of breath, and fatigue. Treatment may involve antiviral medications such as ribavirin tablets or acyclovir tablets, used as prescribed.
In addition, sternum pain may also be associated with other conditions such as pulmonary embolism or pericarditis. If patients experience any discomfort, they should seek timely medical evaluation at a hospital to avoid delays in diagnosis and treatment.