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My story is a bit long...I will try to be as brief as possible. I have been an athlete all my life...basketball, boxing, surfing, weightlifting, etc. Also I happen to be in the medical field, I'm a board certified Physician Assistant. After a car accident 10 yrs. in which the vehicle I was in went off a 200 ft. hill I began to develop intermittent pain in the left rhomboidius region of my back from approx. t2 to t7. Over the last 6 months I've developed chest pain which started on the left side, and is located anywhere from the 2nd to 6th rib. where they attach to the sternum over the last 2 months I have had pain also on the right side. Sometimes the pain will be for 5 minutes once per day (rarely) but mostly it is intermittent all day, and worse when I get home from work. I have had lab work, with the only abnormality: mild hypogamma globulinemia at 6.9 (norm. above 7.0), I had a bone scan which showed slight DJD at t4, and at the right sternoclavicular joint. I had an EKG which showed borderline conduction abormality, a cardiac stress test that showed mild septal hypokinesis,( the kicker here is that I had knee surgery one week prior to the stress test, and the cardiologist stopped the test at 11 minutes which he said was due to leg fatigue, how he came up with that I don't know, my leg was fine), I then had an echo which was normal.
This situation is difficult for me because I know almost all the physicians in my small town on a personal basis, I don't want them thinking that when I hear hooves I think of zebra's yet I don't want to be a fool and ignore something ominous.
As long as this is costo, I'll be fine, it's just pain. But should I consider a CT scan, or MRI of the chest and abdomen?
Has any one out there had these symptoms and it did turn out to be something ominous?
Lastly, I have tried everything...massage,Ice,rest,nsaids,yoga you name it.
In Reply to: chest pain/costochondritis posted by william on October 26, 2002 at 00:39:08:
William,
among the "everything" you've tried, did you get checked by an experienced chiropractor?
In Reply to: chest pain/costochondritis posted by william on October 26, 2002 at 00:39:08:
Hi, William.
Aa a P.A., changing your paradigm will be especialy hard for you as it is for any conventionally trained allopathic practitioner.
This is classic bracing which has, along with your accident, precipitated costochondritis in that area. The accident stopped but the bracing did not. When you say "just costochondritis" you are neglecting to see how the bracing will eventually cause arthritis in that vertebral segment (something that is already happening to the extent that is can even be seen on your bone scan [primitive technology as it will be considered within 50 years]).
Regardless of your ability to ignore pain (your body's cry for help) you MUST get rid of the bracing.
See the glossary and then the archives for any unfamiliar terms and what to do about them.
Let us know what you learn and how you do.
Your yoga could not possibly help with this unless you did it at least 20 minutes twice a day (just like any SR). You have done no Alexander Technique and Rolfing. Ice, rest and NSAIDS are not worth mentioning except for possible temporary relief of the "message".
Once you understand WHY this is happening you will be able to actually DO what you need. Your patients will benefit by your expanding paradigm--although your docs will not like it.
Let us know what you learn and how you do.
Walt
In Reply to: Re: chest pain/costochondritis (Archive in bracing.) posted by Walt Stoll on October 27, 2002 at 07:02:36:
Dr. Stoll, thank you for your reply. I understand the pathogenesis in regard to costochondritis, as well as the SR benefits. I have just a few more questions......Do you think it would be a good idea to get a chest/Abd. CT to rule out cancer,etc., and my second question is do you think that 11 minutes is sufficient for the cardiac stress test? I'm the type that just needs to make sure that nothing is being missed. As long as I have that reassurance, then doing whatever is necessary to overcome this ailment Is not a problem.
thank you
william
In Reply to: Re: chest pain/costochondritis (Archive in bracing.) posted by willaim on November 01, 2002 at 01:25:37:
Hi, William.
Only you and your doc can decide when you have had enough testing to satisfy your anxiety. When you can easily prove the diagnosis by getting Rolfed (the Rolfing would only resolve costo and none of the other conditions you are worried about), it seems wasteful to spend thousands of dollars looking for elephants in the woodpile.
Our current technology for "ruling out the diagnoses you fear" is pretty primitive and would not CERTAINLY rule any of them out anyhow.
Let us know what you learn.
Walt
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