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Doctor insights on: Heart Pain Long Distance Running

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Intermittent intercostal pain (sternum area) for 6 months. Longtime weightlifter & tennis player. No pain when running hard. Why so long to heal??

Intermittent intercostal pain (sternum area) for 6 months.  Longtime weightlifter & tennis player.  No pain when running hard.  Why so long to heal??

Intercostal pain: Make sure its not related to a condition called ankylosing spondylitis which can affect ribs too. Have doctor check a test called 'HLA B27' especially if you have unusual spinal stiffness or a history of eye inflammation called iritis or conjunctivitis, usually in a single eye. ...Read more

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Will long distance cycliing cause back pain.?

Will long distance cycliing cause back pain.?

Certainly: Anything done in excess can cause pain, even good things like bicycle riding. Bicycle riding (not mountain biking or dirt biking) can even be used for back therapy. In fact, when suitable to the patient's condition, i recommend it. ...Read more

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Pain on inner, top of foot. Distance runner. Can still run but pain is always there and increases after long runs. Severe when standing certain way?

Pain on inner, top of foot. Distance runner. Can still run but pain is always there and increases after long runs. Severe when standing certain way?

Overuse issues: If you have not already seen a Podiatrist, I would....You just may need more support. Have you tried different shoes? If you let it go too far, it may interfere more significantly by causing you to favor your foot...then hurt something else that could be a bigger deal... ...Read more

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Suffering tightness in calf when climbing several flights of stairs, or running up hills. Tightness goes after rest, or walking or running on level?

Suffering tightness in calf when climbing several flights of stairs,  or running up hills. Tightness goes after rest, or walking  or running on level?

Clarification?: This sounds like intermittent claudication or leriche syndrome in which there is not enough blood or (circulation) to the legs during activity. I recommend seeing a doctor and checking the arterial circulation in the aorta and the lower extremities. ...Read more

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Walking short distance or going up steps and hills causes very bad burning calf pain,shortness of breathe, and chest tightness, leg weakness?

Walking short distance or going up steps and 
hills causes very bad burning calf pain,shortness of breathe, and chest tightness, leg weakness?

Unusual for your age: Your symptoms are quite unusual for a 17 year old patient. These symptoms suggest cardiovascular disease with narrowing of arteries supplying the lower extremities and heart, conditions which don't cause symptoms at 17 years of age. Severe obesity could cause symptoms like this without cardiovascular disease. You need to see your physician as soon as possible for a careful evaluation. ...Read more

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Numbness in left ft while running, abt mile 3. Walking makes it worse. Stop for 2 minutes then running fixes it. Roomy shoes, normal pronation. Thoughts?

Numbness in left ft while running, abt mile 3. Walking makes it worse. Stop for 2 minutes then running fixes it. Roomy shoes, normal pronation. Thoughts?

Fascia injury: Likely have a chronic repetitive injury to fascia attachment of butt muscles where they attach to your thigh bone. Feel around very carefully, and see what is most tender. That will be the very best clue. Do not be fooled by thinking this is spine and nerve related--or even foot related. www.blatmanhealthandwellness.com. ...Read more

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Chronic knee pain. Job requires sitting for long durations. Doing daily jog. Pain relieves while body is warmed upMild squats relieves pain for a day.

Chronic knee pain. Job requires sitting for long durations. Doing daily jog. Pain relieves while body is warmed upMild squats relieves pain for a day.

Keep up the good work!: You seem to have answered your own question. Chronic knee pain made worse with sitting is often mild to moderate arthritis. Sitting is really hard on arthritic knees because it causes pressure in one spot on the damaged cartilage. Changing the position of your knees can help. Can you adjust your workstation to stand? Exercising is how cartilage "Breaths". Keep up the good work! ...Read more

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Causes of athlete elevated hr?over past 3mo,HR much higher walking up stairs,showering,exercise,etc.pulsing stomach @rest.irregular laying right side

Causes of athlete elevated hr?over past 3mo,HR much higher walking up stairs,showering,exercise,etc.pulsing stomach @rest.irregular laying right side

Elevated Heart rate: I understand your distress. Elevated heart rate at age 18 can be due to: • Stress causing Anxiety • Intense emotions • Use of Alcohol • Use of Cocaine • Use of Amphetamines Your Health is Precious! Due to Heart rate higher even with showering and pulsing stomach at rest, please go to ER for Diagnosis and Treatment. ...Read more

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How does walking uphill and downhill in high heel shoes affect muscle kinesiology?

How does walking uphill and downhill in high heel shoes affect muscle kinesiology?

Its all about the: Achilles tendon. Walking on flat surfaces with high heeled shoes on a regular basis causes shortening/tightening of the tendon. Doing so on hills is a bigger issue between the extra stress on the tendon when going uphill and the strain on the anterior muscles of the leg and overall balance when going downhill. ...Read more

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Intense ankle pain (front & lateral) prohibits climbing stairs, pivoting, running. No injury, full ROM w/o weight on it. What did/should I do? Thanks!

Intense ankle pain (front & lateral) prohibits climbing stairs, pivoting, running. No injury, full ROM w/o weight on it. What did/should I do? Thanks!

Ortho Eval needed: Seek evaluation by your orthopaedic surgeon. Along with a thorough examination of your ankle, X-rays would likely be obtained to assess for a potential loose body of osteophyte that may make stair climbing painful. Instability or ankle looseness would also be assessed as the anterior and lateral aspect of the ankle is where the main stabilizing ligaments are located. ...Read more

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31 yrs, t.Chol. 240, LDL 170, BP ok. Chest ache near both armpit on brisk walking. After 10 secs rest, no ache, and can walk w/o pain. Cardiac issue?

31 yrs, t.Chol. 240, LDL 170, BP ok. Chest ache near both armpit on brisk walking. After 10 secs rest, no ache, and can walk  w/o pain. Cardiac issue?

possibly: Your pretest probability of coronary artery artery disease from a standardized risk table is 70%. You should undergo a stress test to further stratify your risk. Regardless of outcome, your cholesterol is too high and should be addressed as well. ...Read more

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63yr old female. Bike rides once a year. After 26 mile ride, not well hydrated, experiences lower right quadrant pain. Pain remains 9 hours after ride?

63yr old female. Bike rides once a year. After 26 mile ride, not well hydrated, experiences lower right quadrant pain. Pain remains 9 hours after ride?

Appendix: Make sure it is not your appendix. Please see a doctor to get checked out especially if the pain is still there or worsening. ...Read more

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I feel lots of pain in my testicle while walking long distance.

I feel lots of pain in my testicle while walking long distance.

Testis pain: Most cases of pain in the testicle will resolve on their own. A scrotal ultrasound may also be helpful. In general, i would advise that if your symptoms persist longer than three months, you should probably see an urologist. ...Read more

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Head pain when flying or driving long distance, why?

Head pain when flying or driving long distance, why?

Depends: I might need to ask for more information to answer your question. But one possibility that I know is tension headache caused by paying attention and lack of sleep during flying or driving long distances. ...Read more

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During long hike, going uphill was fine. On downhill, sharp knee pain under kneecap. Any ideas? Why only pain on downhill not uphill? Thank you.

During long hike, going uphill was fine. On downhill, sharp knee pain under kneecap. Any ideas? Why only pain on downhill not uphill? Thank you.

Likely: Your patella (kneecap is the issue). Whether its due to arthritis and cartage wear or muscle weakness around the knee is a decision that your and your doctor will discuss. Suggest seeing an musculoskeletal orthopedic specialist to evaluation and treatment. ...Read more

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Am 33,5.10 height weight 83kg.not doing physical activity from years.should i Walk fast or jogg to reduce weight? Walking cause pain in outer leg side

Am 33,5.10 height weight 83kg.not doing physical activity from years.should i Walk fast or jogg to reduce weight? Walking cause pain in outer leg side

Brisk walking: especially at first, is the best way to go. Please see your doctor to rule out conditions that may preclude the safety of you doing exercise. If cleared, build up length of time and use earphones. Boredom is a main reason people stop exercising. Just walk around the house, yard, street, whatever works. Peace and good health. ...Read more

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I am running three or more miles everyday for the past six years. I just started receving heart pain like someone on top of me.What should I do?

I am running three or more miles everyday for the past six years. I just started receving heart pain like someone on top of me.What should I do?

Heart pain: Stop the running. Report this pain immediately to your doctor and check check up. This may or may not be related to your heart and only your doctor can help you figure it out. ...Read more

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Heart pain and pins and needles running up my neck with burning pain. Should I seek help? I've been heavily depressed for days.

Heart pain and pins and needles running up my neck with burning pain. Should I seek help? I've been heavily depressed for days.

Yes: i am sorry to hear you are feeling depressed. You should definitely seek help for these symptoms from a qualified mental health professional. There are ways they can truly help. The physical symptoms you are feeling could be related to depression, or could be something else, but at your age are very unlikely to be related to the heart, which is good news. Still you should see a primary care doc. ...Read more

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I am a 14 year old girl that does a lot of long distance running. Is a resting heart rate of 42-48 bpm too slow?

I am a 14 year old girl that does a lot of long distance running. Is a resting heart rate of 42-48 bpm too slow?

Bradycardia : It is slow but seen commonly in people who are involved in sports , as long as it dies not lead to any symptoms, it does not require intervention if it is only sinus bradycardia ... ...Read more

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What type of specialist should I see for prolonged, unexplained "heart" pain?

What type of specialist should I see for prolonged, unexplained "heart" pain?

Primary care: Usually i would recommend to start with your primary care doctor. Usually then can figure it out and if needed get you to the right specialists. "heart pain" can mean many things. It could be heart, but also lung, musculoskeletal, esophagus to start with. Each needs a different specialists. The specialists for heart disease are called cardiologists. But i would start with you family doctor. ...Read more

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Can you have prolonged (I.e 24/7) stress cardiomyopathy symptoms (or heart pain caused by stress). As opposed to just one significant event?

24/7 chest pain is: usually not the heart.There are many other structures in the chest that can cause persistant pain.Seek help from your doc.He can rule out heart problems,which would ,at least,give you some peace of mind. ...Read more

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Can U hav prolonged (on & off pain all day) stress cardiomyopathy symptoms (or heart pain caused by stress). As opposed to just one significant event?

CM not painful: Cardiomyopathy is not painful. It's damaged heart muscle that leads to impairment of the pumping action of the heart. It usually leads to shortness of breath with exertion. You may be talking about Takotsubo cardiomyopathy which seems to be associated with a very high level of stress, usually an acute event. but again, not painful. It's diagnosed by echocardiogram and resolves in most cases. ...Read more

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Can heart pain present on the right side?

Can heart pain present on the right side?

Yes but not usually: The pain from coronary artery disease is most commonly in the middle of the chest or in the left chest. Pain more to the right would be unusual but possible. Of course, it the patient had the rare condition of dextrocardia (heart on right side of chest), then the pain would indeed be likely to be on the right side. ...Read more

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Sometimes i experience heart pain. It comes and goes. What could it be thanks in advance?

Sometimes i experience heart pain. It comes and goes. What could it be thanks in advance?

Chest pain: Chest pain in a 27y/o isn't terribly likely to be cardiac related. More likely some chest wall or gastointestinal issue. Since its recurrent should go see a dr. And find out what's going on. ...Read more

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Could heart pain get better with rest?

Could heart pain get better with rest?

It should: Typically, angina (heart pain) gets better when you stop to rest since the heart has less work to do and can catch up so to speak. ...Read more

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Is heart pain caused by a broken spirit?

Is heart pain caused by a broken spirit?

Poetry: What a poetic question : ) chest pain can be caused by anxiety and there is a complex interaction between stress, depression, anxiety and cardiovascular status. It certainly can feel like our heart hurts, but if one seriously has acute chest pain, radiating arm pain, pressure on chest etc call 911. If not acute see a cardiologist, many cardiac conditions are missed due to disregarding symptoms. ...Read more

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Is it possible to have heart pain without it being life threatening?

Is it possible to have heart pain without it being life threatening?

Yes.: Some people have "atypical chest pain" with non-life-threatening conditions such as mitral valve prolapse, a virus with mild inflammation of the tissue surrounding the heart and lungs (called pleuropericarditis) and hypertrophic cardiomyopathy or asymmetric septal hypertrophy (abnormal thickening of one or more walls of the heart). However, any cardiac pain merits a careful cardiac evaluation. ...Read more

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What to do if heart pain while on quetiapine?

See your doctor: If you are having chest pain/heart pain, I recommend seeing your doctor to rule out a more serious cause of the chest pain. ...Read more

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Can the common cold cause chest or heart pain?

Can the common cold cause chest or heart pain?

Yes: A cold or virus particularly with lots of coughing, but sometimes without can cause diffuse aches and pains in chest. Some viruses can lead to an inflammation of the lining around the heart called pericarditis which also can be painful. ...Read more

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Heart pain is it a heart attack, how can I tell?

Heart pain is it a heart attack, how can I tell?

Heart attacks...: Present in many ways. Women may be diagnosed late if symptoms vary from classic "elephant on my chest. Symptoms are often mistaken for indigestion, fatigue or reflux disease. A sharp pain that is fleeting or pain that is reproduced by pushing on the area is unlikely cardiac. Heavy pain beneath the breast bone, jaw or neck pain and left arm pain are classic. If there is concern, go to the er! ...Read more

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Is it common to have a heart pain every time you breathe deeply?

No: No it is not normal, and it may not be heart pain. It may be chest wall (ribcage) pain or even pericardial pain or pulmonary embolism pain see your doctor. ...Read more

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