Chiropractors/Chest Pain

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Expert: - 1/25/2008


Question
Dr. Durnin,

I have been experiencing chest pain in the center of my chest and both pecs deep and long lasting.  I am 34 yrs old and run marathons and have been through several tests with physicians and no luck.

I have had a stress test, echo graph, cardio catheter, an upper GI, endoscopy of my stomach for acid reflux.  So far no luck solving this pain that I'm experiencing.  I have had chest x-rays and still no luck of bone fracture and/or lung defect.  

Could I have just torn my pecs doing push-ups or lifting light weights.  Any suggestions would be greatly appreciated.

Respectfully,

Steve

Answer
Hi Steve,

To know for sure if it is cardiac or muscle origin, take a tab of nitroglycerine when you have symptoms, if they go away you have angina. If it makes no difference, it probably is a pectoralis minor insertional problem from overuse. This can be verified by doing butterfly's, if under load the chest pain increases, it is most likely a tendonitis which will require rest and ice for a few weeks. In the mean time, avoid stressing these tissues to give them a chance to heal. A hiatal hernia may also be a possibility, a barium study can rule this out.

Good Luck,

Dr. Timothy Durnin

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Dr. Timothy K. Durnin

Expertise

Anything Chiropractic related, Internal Medicine, Neurology, Hematology, Physical Therapy, Orthopedics Herniated or Slipped disc problems, Sciatica, Carpal Tunnel Syndrome, Spinal Injuries, Arthritis, Nutritional Advice, Diet and exercise, Supplement Knowledge, Orthotics, Laser Therapy, Pinched Nerves, Imaging Interpretation,(X-ray, MRI, Ultrasound, CT ect), any and all Neuromusculoskeletal Disorders. Expert Witness for 19 yrs, dealing with Medical Malpractice, Personal Injury, Workman's Compensation, Medicare and HIPPA issues. Active in clinical practice for 16+ yrs, I am a second generation Chiropractor, my father practiced for over 50 yrs in private practice and as a Diplomat in Radiology (DACBR) Currently on staff at Olympia Fields Osteopathic Hospital, active in private practice with several disciplines including Pediatrics, Orthopedic Surgery, Family Practice, IME's and Internal Medicine M.D.'s.

Experience

I own or am actively involved with 24 multidisciplinary clinics in the Chicago area employing M.D.'s, Orthopedic Surgeons, Pediatrics and Family Practice. My home practice is a continuation of my fathers which has existed for more than 55 yrs.

Organizations
AASP, ACA, ICS, AASP, AOPA, CPA, BBB, FCER, PADI

Education/Credentials
B.S./D.C. National College of Chiropractic 1991 Board Certified AMA impairment ratings. Presidential Cabinet Member NUHS. Phi Theta Kappa National honorary fraternity

Awards and Honors
Phi Theta Kappa/Who's Who in America Chiropractor of the year award 2001

Past/Present Clients
Many Chicago Bulls players

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