pectoralis major discomfort ??: Hi, For a few... - PMRGCAuk

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pectoralis major discomfort ??

Fishtacoqueen profile image
11 Replies

Hi,

For a few months before I was diagnosed with PMR I had discomfort across my upper chest. I attributed it to everything from poor posture to muscle strain even though I felt I had done nothing to aggravate it. It lasted several months , went to a physio thinking it would help and I did the recommended exercises . A couple of month s later I had typical PMR pain which involved shoulders, hips and then backs of knees. Doctor diagnosed and prednisone almost immediately stopped all pain. That was in May 2023 . Titrated down to 4, had a flare , went back up and now back down to 5. All that time there was no upper chest discomfort. I am now noticing this again. It’s not painful but I am aware of it. Sorry for long story but just curious if anyone else has experienced this or knows about this. I have never read anything about it being part of PMR but this disease seems to have some surprises. Thanks for any input.

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Fishtacoqueen
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PMRpro profile image
PMRproAmbassador

What do you mean by upper chest? I had decided discomfort across my collarbones - the sternocleidomastoid muscle is a double headed muscle that attaches at the sternum and collarbone and that can all be seen as inflammation in PMR

Fishtacoqueen profile image
Fishtacoqueen in reply to PMRpro

That is exactly where it was. Just didn’t pinpoint it properly. I mentioned that to my rheumatologist and she didn’t really say much. I wonder if this is starting up again if I might expect a flare? I have only been on 5 mg a couple of days. Thought I would give it a few until my body adjusts….

PMRpro profile image
PMRproAmbassador in reply to Fishtacoqueen

Could be though I suspect it can play up without a generalised flare. But if it spreads - don't ignore it!!

There are stretches for SCM tightness. SnazzyD has posted a lot about SCM problems and we do have lots of people posting who get the set of links from Snazzy and me! So it isn't uncommon.

Fishtacoqueen profile image
Fishtacoqueen in reply to PMRpro

Thank you. Very helpful.

PMRpro profile image
PMRproAmbassador in reply to Fishtacoqueen

Haven't seen this one before

posturedirect.com/sternocle...

Loads on there though!!

Fishtacoqueen profile image
Fishtacoqueen in reply to PMRpro

Thanks. Some good stretches here !

PMRpro profile image
PMRproAmbassador in reply to Fishtacoqueen

piglette says a friend showed her a stretch in a cafe and it looked as if she was tying herself in knots - pretty sure it is in one of the links I found!!!!

marionofnorwich profile image
marionofnorwich

Helpful thank you. Does anyone know a good stretch for the muscle that runs from the outside of the knee to the ankle, sorry of between shin and calf? I get very painful area below my knee and think it is a tight band between knee and ankle

PMRpro profile image
PMRproAmbassador in reply to marionofnorwich

Below the knee or the side of the knee?

Below could be patellar tendinopathy

nhslanarkshire.scot.nhs.uk/....

To the outside it is possibly iliotibial band syndrome

my.clevelandclinic.org/heal...

and this gives a set of exercises to stremgthen the requisite muscles

mskdorset.nhs.uk/knee-pain/...

It is difficult to stretch because it is a fascia problem and the fascia doesn't stretch, Since it tends to be an athlete's problem the stretches that would work tend to be "in your dreams" for us! However, No 2 here

wellandgood.com/how-to-stre...

is one that is used for a lot of problems including piriformis and isn't too horrendous to achieve. But your glutes are the region to work on really - all part of the same sort of system.

This

worcsacute.nhs.uk/documents...

if about the only realistic set of stretches I can find!

The second one here using the band might be an option

youtube.com/watch?v=i6SpciI...

marionofnorwich profile image
marionofnorwich in reply to PMRpro

Thanks, I will give some of these a try. It is below the knee but to the right hand side. Not really involved in the knee joint as my osteopath just pointed out

YogaJM profile image
YogaJM

As part of my symptoms, I had a tightness across my upper chest, above the breasts, and I couldn't extend my arms out straight horizontally. It, along with all my other symptoms has gone now, 18 months into decreasing Pred. Best wishes.

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