I have undiagnosed chest or back pain which over the last 4 to 5 months has been getting increasingly worse. Full spinal MRI performed, have not seen the report but was told by the doctor that there was nothing there that would account for the pain. I would really appreciate a fresh perspective.
Pain (4 to 7/10) behind left breast and radiating around the side and underarm. Not affected by posture or activity but unable to breathe deeply. Episodes last from 90 seconds to 4 to 5 hours, some days it only happens 2 to 3 times, other up to 20 times. Sometimes, the pain will wake me at night. This pain is different from other episodes in that it is much sharper (10/10) and makes lying down impossible. Cardiac causes and blood clots have been eliminated. Nuclear bone scan showed a hot spot at L1, which prompted a lumbar CT. From that, I was told that I have severe arthritis in the lumbar with possible nerve impingement. Advice from spinal MRI was no nerve impingement.
Previous history: Have confirmed the diagnosis of DISH in the neck (C3 to C7) and possible diagnosis of ankylosing spondylitis (being treated with Humira, which helps immensely). No problems with any other joints. Current medications: Mobic 15 mg once daily, Humira 40 mg fortnightly, Targin 40/20 mg twice daily, Endone 5 mg as required, Sevikar HCT 40/5/12.5 once daily, Thyroxine 200 mcg once daily, Oestradiol 2 mg once daily.
Comments: Have lost 5 cm in height in the last 5 to 6 years. Probably not relevant to my thoracic pain, but when I go to the toilet, most times I have severe lower back pain for some time after, and occasionally pain down the back of both thighs.