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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| Format: | Article |
| Language: | English |
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American College of Physicians
2024-04-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2023.0804 |
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| _version_ | 1849698896957145088 |
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| author | Vikas Agarwal Ajay Bansal Melissa Kolski |
| author_facet | Vikas Agarwal Ajay Bansal Melissa Kolski |
| author_sort | Vikas Agarwal |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-31c97f9bd39e4769be4ffe3d2334e8a8 |
| institution | DOAJ |
| issn | 2767-7664 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-31c97f9bd39e4769be4ffe3d2334e8a82025-08-20T03:18:46ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642024-04-013410.7326/aimcc.2023.0804Resolution of Noncardiac Chest Pain With Corrective Exercises for Neck and Upper Thoracic SpineVikas Agarwal0Ajay Bansal1Melissa Kolski21Mosaic Life Care, St. Joseph, Missouri2University of Kansas Medical Center, Kansas City, Kansas3Shirley Ryan AbilityLab and Northwestern University Feinberg School of Medicine, Chicago, IllinoisNoncardiac 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.https://www.acpjournals.org/doi/10.7326/aimcc.2023.0804 |
| spellingShingle | Vikas Agarwal Ajay Bansal Melissa Kolski Resolution of Noncardiac Chest Pain With Corrective Exercises for Neck and Upper Thoracic Spine Annals of Internal Medicine: Clinical Cases |
| title | Resolution of Noncardiac Chest Pain With Corrective Exercises for Neck and Upper Thoracic Spine |
| title_full | Resolution of Noncardiac Chest Pain With Corrective Exercises for Neck and Upper Thoracic Spine |
| title_fullStr | Resolution of Noncardiac Chest Pain With Corrective Exercises for Neck and Upper Thoracic Spine |
| title_full_unstemmed | Resolution of Noncardiac Chest Pain With Corrective Exercises for Neck and Upper Thoracic Spine |
| title_short | Resolution of Noncardiac Chest Pain With Corrective Exercises for Neck and Upper Thoracic Spine |
| title_sort | resolution of noncardiac chest pain with corrective exercises for neck and upper thoracic spine |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2023.0804 |
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