Non-Cardiac Chest Pain

Non-cardiac chest pain refers to the pain felt in the chest which is not caused by heart disease. It is often perceived as a squeezing pain behind the breast bone which may radiate to the left arm, back, or neck. For most patients, this is linked to esophageal problems like gastroesophageal reflux disease or GERD. Other causes include problems related to the bones, muscles, and stomach. Stress, depression, and anxiety are also contributing factors. The treatments include medications such as proton-pump inhibitors (PPI), tricyclic antidepressants (TCAs), and pain relievers. Simple treatments include stretching exercises and using a heating pad. When the NCCP is caused by psychological factors, stress management techniques, CBT, and other kinds of therapy may be helpful.