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

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 Me...

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Bibliographic Details
Main Authors: Vikas Agarwal, Ajay Bansal, Melissa Kolski
Format: Article
Language:English
Published: American College of Physicians 2024-04-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2023.0804
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Summary: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.
ISSN:2767-7664