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Published on: 7/15/2026

What might cause chest pain on the left side above the breast?

Chest pain above the left breast has several possible causes. The most common include musculoskeletal issues like costochondritis (inflammation of the cartilage connecting the ribs to the breastbone), Mondor's disease (inflammation of a vein just under the skin), and heart-related conditions such as angina, which occurs when the heart muscle doesn't get enough oxygen-rich blood.

Because these causes range from mild to potentially serious, identifying the source of your pain matters. A quick, private symptom check can help you understand what may be behind your discomfort and guide your next steps—whether that's self-care, a doctor's visit, or urgent evaluation. It's free, takes just a few minutes, and gives you clarity when you need it most.

Reviewed for medical accuracy: 07/14/2026

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Explanation

When you feel pain on the left side of your chest, right above your breast, there are a few reasons that could be causing it. One common cause is costochondritis. This happens when the cartilage that connects your ribs to your breastbone gets swollen or irritated, making the area sore. Another possibility is a rare condition called Mondor's disease, where some of the veins just under the skin develop inflammation or clots, leading to sharp pain. In some cases, chest pain in this area could also be related to heart problems. Angina, for example, is when your heart does not get enough blood, and it can cause pain in parts of the chest, though this pain sometimes feels different from pain in the rib areas. There are also cases where heart rhythm issues, like a left bundle branch block, can mimic pain that feels like it is coming from the heart. Since many different factors can cause chest pain, it is important to get personalized insights—try our free AI symptom checker to better understand what might be causing your discomfort and help determine if you need to see a doctor.

(References)

  • Pipal DK, Pipal VR. Mondor's Disease: A Rare Cause of Chest Pain. Cureus. 2022 Feb 17;14(2):e22320. doi: 10.7759/cureus.22320. PMID: 35317031; PMCID: PMC8934013.

  • Updated 2024 Apr 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532931/

  • Malozzi C, Wenzel G, Karumbaiah K, Courtney M, Omar B. Chest pain associated with rate-related left bundle branch block and cardiac memory mimicking ischemia. J Cardiol Cases. 2013 Dec 12;9(3):87-90. doi: 10.1016/j.jccase.2013.10.008. PMID: 30534304; PMCID: PMC6277911.

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