Based on what you’ve shared — neck pain at the back, right-sided chest pain that worsens on deep breathing, and normal ECG, ECHO, and chest X-ray — the most likely cause is musculoskeletal pain, not a heart or lung disease.
Common possibilities include:
• Cervical / upper thoracic muscle strain
• Costochondritis or intercostal muscle inflammation
• Postural strain (long phone use, laptop work, stress-related muscle tightening)
• Myofascial pain syndrome or trigger points
• Anxiety-related muscle tension (very common when pain persists for months)
The key reassuring points are:
• Cardiac causes are ruled out (normal ECG/ECHO)
• Lung causes are ruled out (normal chest X-ray)
• Pain increases with movement and deep breathing, which strongly favors a muscle or nerve origin
Chronic pain for 6 months can itself cause exhaustion, frustration, and fear — but persistent pain does not mean something dangerous is being missed, especially when investigations are normal.
Next Steps
1. Consult an orthopedician or physiatrist (pain / rehab specialist)
They can assess posture, muscle imbalance, and cervical–thoracic spine issues.
2. You may need:
• Cervical spine X-ray or MRI (only if clinically indicated)
• Targeted physiotherapy (not just painkillers)
3. Short-term treatment often includes:
• Muscle relaxant (for a few days)
• Anti-inflammatory medication (if safe for you)
• Heat therapy
4. If anxiety or stress is prominent, addressing it is part of treatment, not a sign that pain is “imaginary.”
Health Tips
• Avoid prolonged phone/laptop use with bent neck (“text neck”)
• Use a firm pillow, keep neck neutral during sleep
• Apply warm compresses 2–3 times daily
• Gentle neck and upper-back stretches (guided, not random)
• Deep breathing exercises to reduce chest wall muscle spasm
• Reassure yourself: this pattern is very common and treatable
You’ve been dealing with this for a long time, and feeling “tired of life” because of chronic pain is completely understandable — but this can improve with the right approach.