SCAD (spontaneous coronary artery dissection) is a major cause of myocardial infarction (MI) and sudden chest pain before period in young women.
Chest Pain before Period
Despite the lack of observable ischemia or coronary blockage, many women with a history of SCAD have recurring before period chest pain or discomfort.
Before period chest pain was most common 1 to 2 days before menstruation when ovarian hormones were at their lowest in the menstrual cycle.
The Menstrual Cycles of Women May Influence Heart Symptoms
At periods of the month when less estrogen is circulating in their bloodstreams, these women report more pain in chest before period or angina and perform worse on treadmill tests meant to look for insufficient blood flow to the heart.
Angina is a type of transient pain in chest before period produced by a decrease in blood flow to the heart. It has been characterized as tightness, heaviness, numbness, burning, or pressure felt beneath the breastbone.
Angina is commonly induced by activity or tension and can extend to the arms, neck, and jaw.
More about Angina Attack
Angina attacks are typically less than five minutes long but can last anywhere from 30 seconds to 30 minutes. Angina is not a heart attack, but it can develop into one, requiring medical treatment, especially if the episodes become more frequent, continue longer, or are induced by less intense activity than normal.
Doctors may diagnose angina by placing patients on a treadmill. And monitoring their hearts for symptoms of not getting enough blood.
Research on Nine Women with Chest Pain before Period
According to a research, the research included nine women, aged 39 on average, who had heart disease, chest pain before period starts and tested positive for inadequate blood flow on activity testing. They tested on the treadmill once a week for four weeks, always at the same time of day. The researchers also tested the women’s estrogen and progesterone levels.
The worst impacts were found during or soon after menstruation when estrogen and progesterone levels are lowest. When compared to the phase shortly before the period began. When levels of the hormone estradiol were greatest, exercise performance was lowest during this time.
During this period, it also took less time for symptoms of angina to appear once the women began exercising.
In terms of total exercise time and time to angina onset, the greatest results were obtained during the period shortly before menstruation, when both estrogen and progesterone levels were high. According to the researchers, progesterone levels did not influence these findings.
“Premenopausal women with heart disease are typically underinvestigated and undertreated due to the rarity of the diagnosis.”
And, while a woman is in menstruation, the symptoms may be disregarded much more quickly, he claims. Patients should be aware, however, that these symptoms might be an indication of heart disease.
Exercises for Mobilizing the Chest in Physiotherapy
Physiotherapy is the essential exercise for chest pain method for eliminating or considerably reducing physical pain and inflammation without invasive medicines, medication, or surgery. It is a crucial aspect of post-operative care, particularly in orthopedics. Physiotherapy is critical for stroke recovery.
It has also been shown to be beneficial for patients suffering from chest pain before period starts or various neurological illnesses such as Parkinson’s disease and degenerative conditions such as diabetes and osteoarthritis.
We may speed up the healing process by using various exercises for chest pain and exercises to improve our balance, posture, and mobility. Chest therapy for chest pain before period starts, which helps patients with breathing and pulmonary difficulties, is an important field of physiotherapy.
What Is Chest Therapy Or Exercises For Chest Pain?
Exercises for chest pain (Chest Therapy) are a type of treatment that improves breathing and the other conditions like (left chest pain before period) or (right chest pain during period). It expands the chest regions for easy, regulated breathing and eliminates secretions from the lungs that indirectly interfere with the respiratory process.
This type of therapy can help those with respiratory difficulties, chronic obstructive pulmonary disease, pneumonia, and other illnesses. Chest physiotherapy methods include postural drainage, chest percussion, deep breathing, coughing, chest vibration, and chest mobility exercises.
What Chest Therapy Is All About?
Chest mobility exercises, which are an important element of chest physiotherapy, combine dynamic torso and extremity movements with deep breathing. It is because to enhance the mobility of the shoulders and chest wall trunk, allowing for easier breathing.
In certain circumstances, a person who has tension or stiffness in the trunk muscles on one side of the body cannot extend that part of the chest adequately during breathing. Chest physiotherapy exercises, that stretch these muscles while deep breathing can increase airflow, resulting in better ventilation in the chest area.
In this situation, a physiotherapist should focus on reinforcing regulated expiration. One method is to have the patient lead forward at the hip area or flex the spine during the expiration phase (breathing out). This action efficiently thrusts the viscera into the diaphragm, allowing for simple expiration.
Chest Cavity Physiotherapy Exercises
To activate the upper chest and extend the PECS
Make the patient sit on a chair, hands intertwined behind the head; draw the arms horizontally, elongating the pectoralis muscles; and instruct the individual to breathe deeply.
To Mobilise the Upper Chest and Shoulders
The patient sits on a chair and raises both arms upward to 180 degrees bilaterally while inhaling. After that, have the person lean forward at the hips and exhale while trying to touch the floor.
To Mobilise One Side of the Chest
While seated, instruct the patient to lean away from the stiff side and extend the chest area during inhalation. Push the patient’s hand into the lateral region of the chest while bending towards the tight side and exhaling.
Raise the patient’s arm over their head, towards the right side of the chest. And instruct them to bend away from this tight side. It will stretch the tight tissues of the chest, allowing it to expand more easily.
To Promote Expiration or Exhalation by Deep Breathing
Ask the patient to slightly bend the hips and knees and breathe in. Then, while breathing out, have them lift both knees to the chest area, one at a time. It forces the abdominal region into the diaphragm, resulting in improved expiration.
Patients with neuromuscular disorders such as Guillain-Barré syndrome, cystic fibrosis, and myasthenia gravis (progressive muscle-weakening) might benefit from physiotherapy and those with respiratory difficulties.
Chest pain during period should not be ignored, even if it appears to you that it is just due to your menstrual cycle. It may have been a coincidence that you saw it at that moment.
You should consult a doctor and inform them of your situation. Women may experience symptoms that differ from the “normal” ones associated with heart disease or even a heart attack.
A young lady should not suffer chest pain before period or during her period, and I’ve never heard of that before.