Sternum Pain (Acute pain)

Hey Austin/Jordan, I need some guidance if possible.

Summary:

  1. I have sternum/chest pain in the middle of the chest; the breast bone. It’s been about 4 weeks since the pain started. It gradually got worse each day. I do not feel the pain as I walk around, but when I do any of the following below, I feel a sharp pain in the area. Things that hurt (from least to most painful):
  2. Pressing against the area: pain = 1/10
  3. Turning torso to either side: pain = 3/10
  4. The Rowing motion (at the peak contraction): pain = 3/10
  5. Hiccups, Sneezing, Coughing, deep breathing: pain = 3/10
  6. The Benching motion: pain =7/10
  7. Bending over motion: pain = 10/10! I am not sure what caused this pain. I was sedentary when the pain came about; e.g. I took a couple weeks off training to study for my final law school exams. I did not get sick during this period, now was I hit in the chest; I was literally studying all day. I did study in bed with a hunched over posture which might be the cause.

Also, it is worth mentioning that I was stressed in general for the past few months leading up to the onset of this pain. Also, I do suffer from anxiety/depression, although these conditions havent impacted my training in the past, nor have they brought about any physical pain. Training is usually my safe haven and something I look forward to.

Nonetheless, I went to the ER to rule out any heart-related issue. All tests came back negative and doc prescribed an NSAID (Celecoxib 200 mg) and said “take a few weeks off the gym”. Doc never diagnosed me precisely; e.g. what the condition is and what caused it. His main objective was to rule out any heart-related issue. However, he said it could be costochondritis or Tietze’s Syndrome, or simply a bruise/inflammation to the sternum. Tests that were done (blood test, blood pressure, urine, X-ray, ECG).

Having been sedentary for a while, I decided to go against the docs orders, and went to train anyways for the first time in a month to “test’ it out. The pain, although not caused by training, kept getting worse and worse as the weight on the bench press increased. I did my warmups and 3 X 5 on Bench and decided to call it quits due to the pain. It’s been a week since I trained, now what? Should I try training again? Perhaps try OHP to see if that movement is pain free. I just do not want to make the situation worse.

I am 25 years old and NOT a competitive lifter, nor do I intend on ever competing. However, I want to continue getting strong and prioritize strength training for the long haul. I am okay with “resting” a little longer if that means I’ll be pain free in the long term. I do not want this to be something that lingers as I have read that costochondritis is generally a misunderstood condition that can linger. I know you cannot give me advice since I am not your patient, but, if any of your patients had costochondritis or general pain/bruising in the sternum, what would your advice to them be?

Thank you.

I think you need to be evaluated by your PCP to obtain a precise diagnosis, which would influence subsequent training management. From here, we can’t tell you what to do or what you have outside of suggesting you need to be evaluated outside of the ER.