Shoulder, Chest or Arm Pain: Is It Orthopaedic or Heart-Related?

Expert Review: Dr Subhajit Maji
Orthopaedic Surgeon (AIIMS)
Special interest: Trauma & Sports Injury

Pain in the shoulder, chest or arm can sometimes be confusing. Many patients worry whether the cause is orthopaedic or related to heart disease. Understanding the difference is essential for timely diagnosis and treatment.

Important: Not all chest or arm pain is heart-related, but certain warning signs require immediate medical attention.

Common Orthopaedic Causes of Shoulder or Arm Pain

  • Rotator cuff injuries
  • Frozen shoulder
  • Shoulder impingement syndrome
  • Cervical spine nerve compression
  • Muscle strain or ligament injury
  • Fractures or trauma

Orthopaedic pain usually worsens with movement, lifting, or specific arm positions. Localized tenderness and reduced range of motion are common findings.

When Pain May Be Heart-Related

Cardiac-related pain may present differently. Symptoms suggesting possible heart involvement include:

  • Pressure-like chest pain
  • Pain radiating to left arm or jaw
  • Shortness of breath
  • Sweating or nausea
  • Pain unrelated to movement

Key Differences Between Orthopaedic and Cardiac Pain

Feature Orthopaedic Pain Heart-Related Pain
Movement Worse with movement Usually unrelated to movement
Location Localized tenderness Diffuse pressure sensation
Associated Symptoms Stiffness, weakness Breathlessness, sweating

When Should You Seek Medical Attention?

Immediate medical evaluation is required if pain is severe, associated with breathlessness, dizziness, or sudden onset chest pressure. Early diagnosis can be life-saving.

Orthopaedic Evaluation and Treatment

An orthopaedic surgeon evaluates movement, performs clinical tests, and may recommend imaging such as X-ray or MRI. Treatment depends on diagnosis and may include physiotherapy, medication, or surgical options when necessary.

Conclusion

Understanding whether shoulder or chest pain is orthopaedic or cardiac helps guide appropriate treatment. When in doubt, seek professional medical evaluation.

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