A member asked:

I have a pain under my left shoulder blade that causes my left arm to be numb & i can't sleep on my left side,i have nausea & sharp chest pains to my heart. its now 3 weeks with this pain but x-rays are clear yet doctors can't find a diagnosis.

4 doctors weighed in across 2 answers
Dr. Ed Kaplan answered

Specializes in Hematology and Oncology

Need better history: The nausea suggests that it may be GI (like GERD) but that symptom can also be heart related. Because of the pain and numbness, I suspect muskuloskeletal. Were you exercising or lifting? In a funny position for a while. Any trauma? Are you a smoker or drinker? Does food or deep breathing aggravate it? Would check basic labs and maybe an echocardiogram and even consider an upper endoscopy.

Answered 1/7/2019

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Dr. Edward Hellman answered

Specializes in Orthopedic Surgery

Further workup : Certainly would need further workup to rule out potential cardiac, pulmonary, and spinal causes. An X-ray is not terribly sensitive to evaluate you for the symptoms you are describing. Further work up towards obtaining an accurate diagnosis should be pursued.

Answered 1/7/2019

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