“Musculoskeletal discomfort?”
I was diagnosed with GERD in 2013 but haven't had significant flair-ups for some time (only if I really overdo it with certain food or drink). In any case, I've taken some PPI's for the last month or so...it hasn't made a difference. I have continued to train athletically - not overdoing it, but I guess that's all relative. My main activity is running and cycling, with a bit of weight training every now and then. The pain is not sharp. It is dull. I wondered if it might be persistent costochondritis. I can pop or crack my sternum dozens of times per day (which sometimes helps the discomfort just slightly), especially when straightening from a period of slouching. This has been going on for years, with varying frequency (but never goes away). But from what I understand costochondritis means that the area would be sensitive to the touch (which it isn't, or not much).
I am concerned that this is some kind of cancer - perhaps lung or - due to the GERD, esophagus cancer (or something else I don't know). Could a growing tumor be causing this? Could it be musculoskeletal? A doctor when I was a teen suggested I might have a touch of scoliosis...but it's never caused problems. I scheduled an appointment with a new family doc, but it's only in Sept - as there's a delay in seeing new patients.
Male | 36 years old
Complaint duration: 4/5 months.
Conditions: GERD
6 Answers
GeneralPractitionerGeneralPracticeBased on what youve described, this pattern of dull, positional chest discomfort, occasional neck and shoulder blade involvement, and relief with movement or stretching sounds more consistent with a musculoskeletal cause, such as
Costochondritis inflammation of the chest wall cartilage which can persist without obvious tenderness
Postural strain or myofascial pain from training, cycling posture, or prolonged slouching
Muscle imbalance or mild thoracic outlet involvement due to posture or repetitive motion
Your history of GERD likely isnt directly related, especially since PPI treatment hasnt helped.
Also, the lack of sharp pain, systemic symptoms like weight loss, persistent cough, night sweats, or worsening despite activity makes serious conditions like cancer less likely though only a proper evaluation can rule them out completely.
Its good youve scheduled a doctors visit. In the meantime
Monitor for any red flag symptoms unexplained weight loss, persistent cough, shortness of breath, night sweats, or worsening pain not related to movement
Consider seeing a physical therapist or sports medicine doctor sooner if possible they may help address postural or musculoskeletal causes
Focus on posture correction, core strengthening, and avoid repetitive aggravating movements
If youd like, I can help you with safe stretches or exercises to try while you wait for your appointment.
If your symptoms worsen or you experience new symptoms like severe pain, difficulty breathing, or significant weight loss, consider seeking medical attention sooner.
Ronald Peters MD
480.607.7999http://www.MindBodyMC.com