Potential Causes: Musculoskeletal Issues: Cervical Radiculopathy: Given the history of cervical spine issues, the symptoms could be due to nerve impingement in the cervical spine causing referred pain in the neck, shoulder, arm, and possibly the chest. Thoracic Outlet Syndrome: This could cause pain in the neck, shoulder, and arm, as well as weakness in the jaw. Neurological Issues: Peripheral Neuropathy: This can cause pain and weakness in various parts of the body, including the limbs and chest. Cardiac Concerns: Despite normal ECG and echocardiogram results, it’s important not to completely rule out cardiac issues without further evaluation, especially if there are new symptoms. Sometimes, conditions like angina can present with similar symptoms. Other Potential Causes: Referred Pain from Gastrointestinal Issues: Sometimes gastrointestinal problems can refer pain to the chest and back. Recommendations: Medical Evaluation: Advise the client to revisit their primary care physician or a cardiologist for further evaluation, especially if there are any changes or worsening of symptoms. A neurologist or orthopedic specialist might be helpful to further investigate the cervical and possible thoracic outlet issues. Diagnostic Tests: MRI of the Cervical Spine: To check for nerve impingement or other spinal issues. Nerve Conduction Studies/EMG: To assess for any peripheral nerve issues. Repeat Cardiac Evaluation: If symptoms persist or worsen, a stress test or additional cardiac imaging might be warranted. Physical Therapy: Consider referring the client to a physical therapist who specializes in cervical and thoracic spine issues. They can provide exercises and techniques to alleviate nerve impingement and improve posture and strength. Lifestyle and Home Care: Encourage the client to maintain a healthy diet and regular exercise to manage mild cholesterol levels. Proper ergonomic adjustments at work and home can reduce strain on the neck and back. Immediate Actions: If the client experiences severe chest pain, shortness of breath, or other alarming symptoms, they should seek emergency medical attention immediately. Occupational Therapist Role: As an occupational therapist can assist by evaluating the client’s daily activities and ergonomics. Implementing changes to their workstation, advising on posture, and recommending therapeutic exercises can help manage their symptoms. Additionally, educating the client on proper body mechanics and stress-relief techniques can be beneficial.

Hi, Pins like pain near the chest area sometimes happens bcoz of gastritis too. If it is related to heart it may radiate to your jaws area too. Most probably it seems more of related to cervical issue but again having a pain in left side of calf too might reflect there is deconditioning of muscles also. There are many evidences which shows direct impact of foot posture related to neck pain. So get it thoroughly checked.

Hello consult with near physiotherapist and have 2 - 3 sessions it maye b muscular pain of neck muscles and you have some trigger point becoz it last for many days if it will settle in few days by stretching and exercise then ok otherwise consult neurologist for confirmation of cause of pain it will be cervical radiculopathy it requires medical management also

Hey there! It's our body and everything is inter-related. And in your case I need some investigation to come up to a conclusion. Please consult online for further discussion. Anyways, as your tests were normal and the symptoms you are suggesting are of normally occurring cervical region issues,  it should not be a cause for worry. Please consult online.

It seems brain infarction . Brain mri and mri contrast advised for further investigation and confirmation Brain involvement likely . Must consult a neurologist

Yes it might be due to vitamin deficency , stressed or poor sleeping posture .

Hi please take an online consultation for best diagnosis treatment.

No it’s not related to ur heart . Problem come from ur jaw might be jaw locked . If the jaw locked trigmminal nerve compression so that neck becomes stiff and paining

It is not related to heart ...when cervical muscles biomechanics is affected due to cervical issues ..both pain and tingling are the symptoms. But there are lot many reasons ..so get checked with the physiotherapist first.

This is due to deficiency of vitamins and cervical pain, its not related to heart, dont worry. Consult online or on person with expert neuro physiotherapist for proper assessment or can also contact with Neurologist for treatment.

It is probably related to your nerves. Such pain could also be present because of lower levels of vitamins as well. It is also important that you check with a cardiologistwith your reports, and let them know any significant family history.

Hello , KINDLY TAKE ONE ECG FOR YOUR SATISFACTION AND ITS LOOKS LIKE ROUNDED SHOULDER THEN WEAK AND TIGHT MUSCLES CAUSING THESE PROBLEMS KINDLY GET A PROPER ASSESSMENT AND TREATMENT FROM NEARBY PHYSIOTHERAPIST FURTHER DETAILS KINDLY CONTACT [ELYSIANN HEALTH AND WELLNESS] , INDIRANAGAR , BANGLURE , KARNATAKA

It's certainly not related to your heart test are normal. Please consult nearby Physio for proper examination and diagnosis .

Wronge posture n deficiency of vitamins leads to such issues. Your heart is normal but u seem to be stressed