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16 Possible Causes for Chest Pain Radiating to the Back, Chest Pain Worse when Lying Down

  • Pericarditis

    The pain may radiate to the neck and shoulders, and occasionally, the arms and back.[webmd.com] Described as "elephant on the chest." Radiation Pain radiates to the trapezius ridge (to the lowest portion of the scapula on the back) or no radiation.[en.wikipedia.org] The pain may also radiate up from your chest into your left shoulder and neck. It's usually worse when breathing in, coughing, eating and lying down.[nhsdirect.wales.nhs.uk]

  • Acute Pericarditis

    pain that radiates to his back.[cfp.ca] It is usually worse when coughing, eating and lying down. Sitting up or leaning forward will usually help relieve the pain.[your.md] Chest pain is the most common symptom of pericarditis. Classically, the pain is begins in the center of the chest and radiates to the neck or upper back.[medicinenet.com]

  • Diaphragmatic Hernia

    The pyo-pneumopericardium is a very rare complication of an incarcerated diaphragmatic hernia. Usually, it depends on the existence of a gastropericardial fistula and, in most cases, it is a deadly complication. We present the case of a 65 year old man who was admitted to our emergency service with clinical signs of[…][ncbi.nlm.nih.gov]

  • Spinal Compression Fracture

    The pain often gets worse with motion, particularly when you are changing positions. It is often relieved by rest or lying down.[orthoinfo.aaos.org] Vertebral compression fractures most commonly occur near the waistline, as well as slightly above it (mid-chest) or below it (lower back).[orthoinfo.aaos.org]

  • Suppurative Pericarditis

    Described as "elephant on the chest." Radiation Pain radiates to the trapezius ridge (to the lowest portion of the scapula on the back) or no radiation.[en.wikipedia.org] The unique presentation of substernal pain that is worse during inspiration or when the patient is lying down and is relieved by leaning forward is helpful in making the diagnosis[atsu.edu] The pain radiated to his back, neck, left shoulder and left arm. He could not tolerate lying down.[ceufast.com]

  • Postcardiac Injury Syndrome

    pain, often radiating to the neck, shoulders, or back.[clevelandclinicmeded.com] Symptoms include: chest pain that’s worse when lying down chest pain that worsens with deep breathing or coughing (pleuritic pain) fever difficult or labored breathing fatigue[healthline.com] Hydralazine Methysergide Minoxidil Penicillin Phenytoin Procainamide Signs and Symptoms Acute pericarditis typically presents with acute onset severe, sharp retrosternal chest[clevelandclinicmeded.com]

  • Costochondritis

    Costochondritis pain originates in the anterior chest wall and may radiate into the chest, back, or abdomen.[ncbi.nlm.nih.gov] The pain may be made worse by: a particular posture – such as lying down pressure on your chest – such as wearing a seatbelt or hugging someone deep breathing, coughing and[nhs.uk] The pain usually will be sharp and located on your front chest wall. It may radiate to your back or abdomen and is more common on your left side.[webmd.boots.com]

  • Constrictive Pericarditis

    The pain may radiate to the neck and shoulders, and occasionally, the arms and back.[webmd.com] Chest pain is the most common symptom of pericarditis. Classically, the pain is begins in the center of the chest and radiates to the neck or upper back.[medicinenet.com] It can be made worse when lying down, coughing , or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate .[webmd.com]

  • Pancreatitis

    The pain may radiate throughout the abdomen and into the chest or mid back, is often associated with nausea and vomiting, and may be worse when the patient is supine.[aafp.org] Symptoms Acute disease: moderate to severe abdominal pain that may spread to the chest, back, and sides (and is often worse when lying down); nausea and vomiting; abdominal[healthcentral.com] Initially, the pain worsens after eating or drinking, especially fatty foods, and then typically becomes constant over time.[aafp.org]

  • Tietz Syndrome

    The pain usually will be sharp and located on your front chest wall. It may radiate to your back or abdomen and is more common on your left side.[jenlynn401.wordpress.com] Signs and symptoms When the costochondral joint becomes inflamed, it can result in sharp chest pain and tenderness.[knowyourdoctor.com.cy] The pain may be made worse by: a particular posture – such as lying down pressure on your chest – such as wearing a seatbelt or hugging someone deep breathing, coughing and[nhs.uk]

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