Resolution of Noncardiac Chest Pain With Corrective Exercises for Neck and Upper Thoracic Spine

Vikas Agarwal; Ajay Bansal; Melissa Kolski

doi:10.7326/aimcc.2023.0804

Resolution of Noncardiac Chest Pain With Corrective Exercises for Neck and Upper Thoracic Spine

Vikas Agarwal^*, Ajay Bansal, Melissa Kolski

^*Corresponding author for this work

Physical Therapy and Human Movement Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

Noncardiac chest pain (NCCP) is difficult to diagnose and often leads to excessive tests, negatively affecting patients’ lives. This case series presents 3 patients with severe NCCP who had extensive investigations with no definitive diagnosis. They then received a structured assessment using the Mechanical Diagnosis and Therapy approach. Through specific corrective exercises for the cervical and upper thoracic spine, all 3 patients experienced complete resolution of NCCP and remained symptom-free for 6 months. This study emphasizes the importance of recognizing spinal abnormalities as potential causes of NCCP and highlights the effectiveness of Mechanical Diagnosis and Therapy in managing this condition.

Original language	English (US)
Article number	e230804
Journal	Annals of Internal Medicine Clinical Cases
Volume	3
Issue number	4
DOIs	https://doi.org/10.7326/aimcc.2023.0804
State	Published - Apr 2024

Keywords

Case series
Diagnostic techniques
Exercise
Ischemia
Mechanical Diagnosis and Therapy (MDT)
Noncardiac chest pain
Physical therapy
Sclerotomal map
Spine

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Internal Medicine
Clinical Biochemistry

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10.7326/aimcc.2023.0804

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title = "Resolution of Noncardiac Chest Pain With Corrective Exercises for Neck and Upper Thoracic Spine",

abstract = "Noncardiac chest pain (NCCP) is difficult to diagnose and often leads to excessive tests, negatively affecting patients{\textquoteright} lives. This case series presents 3 patients with severe NCCP who had extensive investigations with no definitive diagnosis. They then received a structured assessment using the Mechanical Diagnosis and Therapy approach. Through specific corrective exercises for the cervical and upper thoracic spine, all 3 patients experienced complete resolution of NCCP and remained symptom-free for 6 months. This study emphasizes the importance of recognizing spinal abnormalities as potential causes of NCCP and highlights the effectiveness of Mechanical Diagnosis and Therapy in managing this condition.",

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AB - Noncardiac chest pain (NCCP) is difficult to diagnose and often leads to excessive tests, negatively affecting patients’ lives. This case series presents 3 patients with severe NCCP who had extensive investigations with no definitive diagnosis. They then received a structured assessment using the Mechanical Diagnosis and Therapy approach. Through specific corrective exercises for the cervical and upper thoracic spine, all 3 patients experienced complete resolution of NCCP and remained symptom-free for 6 months. This study emphasizes the importance of recognizing spinal abnormalities as potential causes of NCCP and highlights the effectiveness of Mechanical Diagnosis and Therapy in managing this condition.

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Resolution of Noncardiac Chest Pain With Corrective Exercises for Neck and Upper Thoracic Spine

Abstract

Keywords

ASJC Scopus subject areas

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