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What You Should Know About a Pulled Chest Muscle

Written by Resurchify | Updated on: January 09, 2023

What You Should Know About a Pulled Chest Muscle

A pulled or strained chest muscle may leave you with a stabbing discomfort. When your muscle is stretched or ripped, you experience a strain or pull.

Pain in the upper body from pulled chest muscles can range from minor to terrible. The pectoralis major and pectoralis minor, also referred to as your "pecs," are two substantial muscles that are located on either side of your chest. It's possible for the pain from a torn chest muscle to travel down your arm or shoulder. The signs of pulled, strained, or torn chest muscles can therefore resemble those of a heart attack. Of course, you should get any chest pains examined, especially if they are accompanied by other symptoms, are difficult to diagnose, or have no apparent reason.

In most cases, pulling and straining of the chest muscles results from excessive physical activity. The signs of a pulled chest muscle can range from a mild twinge in your chest to excruciating agony if the pec muscle has been torn, depending on the extent of the damage. Athletes are typically more susceptible to straining their chest muscles. However, falling puts not only small children and the elderly at risk for injuries to their upper body muscles.

Intercostal muscle strain is thought to be the cause of up to 49% of cases of chest pain. Your chest has three layers of intercostal muscles. You can breathe more easily and keep your upper body stable thanks to these muscles.

Having Muscles in Your Chest

Most of the muscle mass in your chest is composed of your pectoralis major and pectoralis minor muscles. Your breastbone, upper arm, and shoulders are all connected to your pectoralis muscles, according to the Encyclopaedia Britannica. It takes strength from these muscles to pull yourself up, lift heavy things, perform pushups, and engage in other workouts, which are practically all performed with the arms.

Generally speaking, chest muscle tears in healthy individuals are uncommon. Orthopedics reports that those who exercise in the gym or who are sports are more likely to get major pec muscle injuries. The majority of the time, ripping a chest muscle occurs when performing a bench press or lifting weights. In proportion to how severely the chest muscles were injured, these types of injuries cause loss of mobility, pain, and discomfort.

Symptoms

Some basic symptoms of a pulled chest muscle that you and everyone should know are as follows-

  • Tenderness: A strained chest muscle as a result of trauma is the source of this discomfort. It may manifest right away or take a few days to manifest. By applying pressure on the injury with your fingers, you can feel the discomfort. To help you pinpoint the precise cause of your chest pain, it's also a good idea to recall the moment it initially appeared.
  • Weakness: The amount of weakness that is appreciated frequently depends on the severity of the ailment. The chest muscles and tendons are frequently torn in moderate-to-severe injuries, resulting in significant pain and weakness, whereas minor injuries sometimes produce no disability. The afflicted chest muscle is frequently painful to extend, lift, reach, or use forcefully.
  • Spasticity of the muscles and swelling: A strained chest muscle may also cause localised swelling. Muscle spasms, in which the muscles suddenly contract, may also be caused by this. The injured site may exhibit visible bruises.
  • If your pain strikes unexpectedly while you are performing a strenuous activity or exercise, get medical attention.
  • If your discomfort is accompanied by any of the following, go to the emergency room or dial your local emergency services:
    • fainting
    • dizziness
    • difficulties
    • sweating
    • rapid pulse breathing
    • irritability
    • fever
    • sleepiness

These are indications of graver problems, like heart attacks.

Causes

When the arm is stretched, the chest muscles are frequently injured. Bench pressing is the most frequent cause of injury. Overuse is frequently the cause of chest wall pain from a pulled or strained muscle. You might have hurt yourself while playing sports or lifting a big object. For instance, repetitive action is used in sports like gymnastics, rowing, tennis, and golf, which can lead to chronic strains. Therefore, pulling a muscle in your chest could result from engaging in any demanding physical activity that requires an extended arm that is suddenly yanked, wrenched, or jerked.

Injuries from sports, auto accidents, or other incidents, as well as lifting while twisting your body, are additional activities that could result in tension-

  • Avoiding warm-ups before a game
  • Muscle fatigue from using faulty equipment
  • Insufficient flexibility
  • Low sports fitness (broken weight machine, for example)
  • Overexertion during physical activity: If you engage in arduous exercise or activity without first adequately warming up your body, it is possible to pull a muscle in your chest. If you are not accustomed to regularly engaging in this kind of action, this is particularly true.
  • Lifting a heavy object: If you lift a heavy object without utilising good form, you run the risk of pulling a chest muscle.
  • Unexpected trauma or impact: An unexpected trauma or impact to the area, like that from a vehicle accident, can also result in a pulled muscle in your chest.
  • Falls: A fall may occasionally result in you pulling a muscle in your chest.
  • Repeated motions: Another frequent reason for pulled muscles. When you repeatedly do the same action, such as typing on a computer or swinging a golf club, you run the risk of pulling a muscle. Although some repeated strain injuries to the chest muscles are less dramatic, they can nevertheless cause minimal pain and discomfort.
  • Pulling a muscle in your chest may have a secondary consequence related to age. Our muscles, tendons, and ligaments become less flexible and strong as we become older. If you fall while your arm is extended, you run a higher chance of pulling your chest muscle.
  • Chest muscular tension is a potential side effect of some disorders. It's conceivable that you pulled a muscle when coughing if you recently suffered from a chest cold or bronchitis.
  • Angina pectoris- Chest pain brought on by coronary heart disease is known as stable angina, or angina pectoris. When the arteries are blocked or narrowed, angina pectoris develops as a result of insufficient blood flow to the heart.

While the duration of stable angina symptoms may be less than that of a heart attack, they normally go away within five minutes.

Typically, these signs and symptoms appear after physical activity and disappear after resting or taking medication.

Pleuritis

Inflammation of the lining of the lungs is referred to as pleuritis or pleurisy. The most frequent cause is a bacterial or viral illness.

Pain from pleuritis may resemble that from a torn chest muscle. Usually, it comes on suddenly, sharply, and gets worse when you breathe in.

Pleuritis, as opposed to a pulled muscle, may also result in additional symptoms like fever and muscle aches. Anyone who thinks they may have pleuritis should see a doctor, who will use a stethoscope to listen to their lungs and make a diagnosis.

Pneumonia

An illness called pneumonia causes the air sacs in the lungs to swell with fluid or pus. Pneumonia can be brought on by bacteria, fungi, and viruses.

A person with pneumonia could feel a stabbing or piercing pain in their chest, which gets worse when they cough or breathe hard.

The following are additional pneumonia symptoms: a cough that discharges green, yellow, or red mucus wheezing, a high temperature, chills, clammy skin, heavy sweating, disorientation, and exhaustion.

Embolism in the Lungs or a Pulmonary Embolism

An obstruction of the blood arteries in the lungs is known as a pulmonary embolism (PE). A blood clot is the most frequent cause. A PE is a medical emergency because it prevents blood from reaching the lungs. The following signs and symptoms of a PE include respiration difficulty, a cough that may be bloody feeling faint, lightheaded, or disoriented high heart rate.

Are some people more at risk than others?

Chest muscle strain can happen to anyone:

  • Older people are more likely to have chest wall injuries from falls.
  • Adults may have a higher risk of suffering from chest pulls or other injuries as a result of auto accidents or physical activity.
  • The least likely age group to sustain chest muscle injuries is children.

Anytime there is a quick jerk, too much pressure, or excessive stretching of certain muscles, these injuries may happen. Although this injury can occur to anyone, athletes who undertake repeated or abrupt movements of the chest muscles in an unusual or rigorous manner are the most likely to sustain it.

Due to confusion, poor balance, poor coordination abilities, and/or a lack of the necessary muscle power to prevent falls, an elderly person may suffer this type of damage when they fall. This kind of damage can also result from a fall in a young child. Young children are naturally inquisitive and are less aware of the dangers that may exist in their surroundings. A parent, guardian, or friend could also pull the child's arm firmly and unnaturally. The young youngster is at risk in these circumstances.

Diagnosis

Consult your doctor if you have concerns about your chest pain or are unsure if it is caused by a torn muscle or anything else. Your doctor will inquire about your signs and symptoms, medical history, and any actions that might have caused your discomfort.

Acute or chronic muscle strain can be divided into two categories:

  • A fall or automobile collision are examples of direct traumas that might cause acute strains.
  • Longer-term activity, such as repetitive motions employed in sports or specific work responsibilities, can cause chronic strains.

On the basis of severity, strains are then graded:

  • Grade1- Less than 5% of muscle fibres are somewhat damaged, according to Grade 1. Your ability to continue participating in sports will not be affected even though this causes localised pain. Mild chest muscle strains are classified as grade I.
    • discomfort and chest pain
    • shoulder and arm movement restrictions
    • swelling (edoema) (edema)
    • strength decline
  • Grade 2- Grade 2 denotes more severe injury; although the muscle isn't completely ruptured, there is a loss of strength and movement. More chest pain will result from this, and it may be difficult to stretch or rotate your arm, for example. Your ability to continue engaging in any vigorous physical activity may be hampered by the pulled chest muscle, which may be uncomfortable to touch. Mild chest pain, especially with arm and/or shoulder movement, is a symptom of grade II chest muscle pulls. A muscular mass can be felt or palpated since the area is enlarged, considerable loss of strength and range of motion, as well as pain at the injury's site.
  • A total muscle rupture, which occasionally necessitates surgery, is described in grade 3. The chest, shoulder, arm, and back will all experience severe discomfort as a result. If the injury has ruptured small blood vessels in the chest, you can also have bruising. The Journal of Trauma states that surgical intervention may be necessary to treat grade III pectoralis muscle injuries in order to avoid long-term damage and impairment. among the warning signs and symptoms are:
    • Profound chest pain and muscle aches that seriously restrict power and mobility
    • Bruising
    • Hematoma

In some circumstances, your doctor could prescribe tests to rule out conditions including heart attack, bone fractures, and other problems. The following tests can be recommended by the doctor and performed for knowing condition of heart-

  • X-ray
  • Magnetic resonance imaging (MRI)
  • electrocardiogram (ECG) (ECG)

Other potential reasons for chest discomfort include:

  • damage-related bruising
  • worrying episodes
  • gastric ulcers
  • gastrointestinal distress, such as pericarditis and esophageal reflux

The following are more worrying possibilities:

  • blood flow to your heart is lessened (angina)
  • Your lung's pulmonary artery has a blood clot in it (pulmonary embolism)
  • aortic tearing (aortic dissection)

Treatment

Rest, Ice, Compression, And Elevation (rice) Is The First Line Of Treatment For Mild Chest Muscle Strains.

  • Rest. As soon as you feel discomfort, stop what you're doing. Two days after the injury, you can resume light exercise; however, if the discomfort comes back, cease. It's crucial to take a break from any physical activity that can put additional strain on the pectoral muscles. Try to limit any movements of your arms or upper body if they make your chest pain worse. This stage of the healing process is crucial.
  • Ice. Up to three times each day, apply ice or a cold pack to the injured area for 20 minutes each time. Ice packs can assist to stop bleeding, reduce inflammation, and relieve pain by limiting blood flow to the hurt chest muscles. You can use a sealed plastic bag, a bag of frozen veggies, or a bag of ice that has been smashed. Always cover the ice pack in a small towel rather than applying it to your skin directly.
  • Compression. To aid with any swelling, if you can, place an elastic bandage across the affected area of your chest. Additionally, the compression bandage will aid in preventing your chest muscles from moving too much. Any regions of inflammation can benefit from being bandaged with an elastic band, but avoid wrapping too tightly to avoid restricting blood flow.
  • Elevation. Sit up straight if you can to improve blood flow and accelerate the healing of wounds. Maintain an upright posture, particularly at night. Sleeping in a recliner might be beneficial.
  • Your symptoms from light pulls should go away with home treatment in a few weeks. You can take ibuprofen (Advil, Motrin IB) or acetaminophen to ease your discomfort and inflammation while you wait (Tylenol). Physical therapy and exercises to fix muscle imbalances that cause strain may be helpful if you suffer from chronic strain. Muscle tears that are more serious may require surgery to be repaired. Make an appointment to see your doctor if the pain or other symptoms you are experiencing don't go away after applying at-home remedies.

Surgery

  • Doctors may advise getting an MRI scan to determine the amount of the muscle tear if you have a severe muscle strain in your chest. In some circumstances, surgery is necessary to heal the harmed pectoral muscle and give the affected muscle its motion and strength back.

Medication

  • Ibuprofen is one example of an NSAID that can be used to treat pain and inflammation. Stronger analgesics, muscle relaxants, or both may be prescribed by a physician for severe or ongoing pain in order to lessen painful muscular spasms.
  • A chronic cough might occasionally be the cause of a strained muscle in the chest. Cough suppressants can assist reduce coughing fits, reducing further stress on the intercostal muscles.

Rehabilitation

  • The services of a physical therapist can help a lot of people regain their pre-injury level of function. As with other workouts, it is important to speak with your doctor if you have just sustained an injury.
  • Stretching, low-intensity resistance training, and strength training activities are all very helpful during the healing process; nevertheless, it is crucial to obtain your doctor's permission before beginning these exercises or any physical treatment.

Recovery

While you're recovering, you should stay away from physically demanding activities like heavy lifting. You may gradually start engaging in your former sports and activities as your pain subsides. Pay attention to any discomfort or other symptoms you have, and take a nap if you feel like it.

Depending on how severe your strain was, your healing period will vary. Even two or three weeks after the injury, minor pulls may begin to heal. Particularly if you've undergone surgery, more severe strains can take months to heal. For the best outcomes, heed any particular recommendations your doctor makes.

Complications

Trying to do too much too quickly could make your injury worse or aggravate it. Key is to pay attention to your body.

Your breathing could be impacted by complications from chest trauma. You may be at risk of getting a lung infection if your strain makes breathing challenging or prevents you from inhaling deeply. Breathing exercises may be recommended by your doctor to aid.

Chest Pain From A Pulled Muscle Or A Heart Attack?

When experiencing chest pain, a lot of people frequently worry that they are having a heart attack. Sometimes it can be challenging to determine what is really causing chest pain or pain behind the ribcage. Numerous muscles, bones, and organs in your chest might be impacted by a variety of illnesses. The first indication of a heart attack may be chest pain, so you should never dismiss it.

Heart attack and strained muscle Sometimes, chest pain can seem like a never-ending or sporadic discomfort. The latter is referred to as intermittent chest pain, in which you experience chest pain intermittently. Chest pain that comes in waves can be mild and linger for hours, days, or even weeks, or it can be searing and intense and only last a short while.

Angina, which is brought on by inadequate blood flow to the heart, is a common heart disorder that causes intermittent chest pain. A torn muscle of grade I or II is one such non-cardiac ailment that can cause intermittent pain around the heart.

What is the best way to distinguish between a heart attack and a pulled muscle in the chest? The medical professionals or doctors in clinics and hospitals are the ones that qualify to advise that if what you have experienced is chest pain because of pulled chest muscle or heart attack and will advise you what to do next.

What's The Maximum Duration Of A Chest Muscle Strain?

How serious the strain is will determine this. It should go away in a few days or weeks if your strain is modest. It can take up to two months for severe strains to recover. Chest pain is regarded as chronic if it lasts for more than twelve weeks and may be brought on by long-term activities and repeated motions. Physical therapy can help you feel better whether you have acute or chronic pain by strengthening the affected muscles, restoring your range of motion, and minimising any potential long-term postural effects. You might need to see a doctor or orthopaedic surgeon if physical therapy does not help your pain get better.

Conclusion

A person must visit the doctor and get proper medical advise if they experience any sort of chest pain as chest and heart are one of the most important parts of a human body, without heart a person would not survive. Any problem or pain related to them must not be delayed from checking or treatment. Thus, it is important to get heart checked from time to time and know what is the condition of the heart.


         

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