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Musculoskeletal chest wall pain.

A G Fam, H A Smythe

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne

|September 1, 1985

Summary

Musculoskeletal chest pain from the thoracic wall and neck is common and often misdiagnosed as serious conditions. This review details common causes, clinical features, and management strategies for accurate diagnosis and effective treatment.

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Area of Science:

Orthopedics
Pain Management
Thoracic Medicine

Background:

Musculoskeletal structures of the thoracic wall and neck are a frequent source of chest pain.
This pain is often misdiagnosed as cardiac (angina pectoris) or pulmonary (pleurisy) conditions.

Purpose of the Study:

To discuss the clinical features, pathogenesis, and management of musculoskeletal chest wall disorders.
To differentiate these conditions from more serious causes of chest pain.

Main Methods:

Review of common musculoskeletal chest wall disorders.
Analysis of clinical features, pathogenesis, and treatment approaches.

Main Results:

Common causes include costochondritis, traumatic muscle pain, chest wall trauma, "fibrositis" syndrome, referred pain, psychogenic regional pain syndrome, and arthritis of sternal, rib, and thoracic spine articulations.
Accurate diagnosis relies on careful analysis of patient history, physical examination findings, and investigation results.

Conclusions:

Musculoskeletal chest wall pain requires precise diagnosis through thorough evaluation.
Effective management depends on identifying the specific underlying musculoskeletal disorder.

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