Published on: 4/28/2025
Radiating chest pain can stem from heart conditions such as heart attacks or angina, although musculoskeletal problems and nerve disorders can also cause pain to spread.
Radiating chest pain can be a sign that your heart isn't getting enough blood or oxygen. This type of pain commonly occurs with heart problems like heart attacks or angina (a condition where blood flow to the heart is reduced). The pain typically starts in the center or left side of your chest and radiates to your left arm, shoulder, neck, or jaw because the nerves in these areas are interconnected. Beyond heart-related conditions, the pain may originate from musculoskeletal issues around your chest, such as costochondritis—inflammation of the rib joints. Additionally, nerve conditions in the rib area (intercostal neuralgia) can cause pain that radiates from your chest. Conditions affecting the esophagus, such as acid reflux, can also cause pain that radiates to the neck or upper back. Even anxiety may produce symptoms that resemble a heart attack. Given these various potential causes of radiating chest pain, it's crucial to see a doctor for proper evaluation and diagnosis to ensure appropriate treatment.
(References)
Johnson K, Ghassemzadeh S. Chest Pain. [Updated 2022 Dec 14]. In: StatPearls [Internet].
Malik MA, Alam Khan S, Safdar S, Taseer IU. Chest Pain as a presenting complaint in patients with acute myocardial infarction (AMI). Pak J Med Sci. 2013 Apr;29(2):565-8. doi: 10.12669/pjms.292.2921. PMID: 24353577; PMCID: PMC3809224.
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