- Look at this.
- Hi folks, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- We are the most famous physical therapists
on the internet.
- In our opinion, of course, Bob.
- You're playing like a little child again, Brad.
- Did you ever play that?
- Uh no.
Oh I know what you're talking about, yeah.
What we're going to talk about today is three
common causes of chest pain, emergency or not,
that's the big question, isn't it Brad?
- Right, you gotta get excited, you need to go in,
we're gonna let you know.
- Yeah, we're going to talk about some common things
causes of chest pain that are not a heart attack.
- Right, so there's some good news here.
- Alright, by the way, if you're new to our channel
please take a second to subscribe to us,
we provide videos on staying healthy, fit, pain free
and we upload every day.
And yes siree Bob, you're gonna want to go to
bobandbrad.com because we're always giving something
away and you go to the giveaway section
and what are we giving away Brad?
- Say it Bob!
- A SleepOvation mattress!
- He said a SleepOvation mattress by the way.
(laughter)
- You can also go to Facebook and it's pinned
to the top of the page there.
Want a shorter version of us? Like a shorter version of Bob,
less speaking, go to Instagram or Twitter.
- He's four foot six on those.
- That's right.
- So this is not a full mattress, it's not for short people,
this is just a sample of how they're made.
- They really are great for comfort as far
as if you have painful sleeping, this is your baby.
Alright I'm gonna take it out of the way Brad.
- Say goodbye!
So chest pain you know it's one of those things
I think most people know that if you're having chest pain
there's potential that you may be having a heart attack
or what they call in the medical world
a myocardial infarction, but we'll say heart attack
cause it's a lot easier.
And the bad thing about them is they can be fatal.
- Oh yeah.
- You can easily just fall over and die from those.
- Right.
- But the good news is that they're treatable
if you get in in time and you can live
very healthy lives afterwards.
- You know I can just tell you in my brief time
on this earth that you used to see so many more deaths
from heart attacks and now I think they're
so much better at treating high cholesterol
and high blood pressure.
- And even now the surgeries often times
they don't even split the chest and go in there
they'll go in through the femoral vein
and they'll put stints in,
all that stuff has really come a long way
so it's not near as invasive.
- The wonder of medicine.
- Right but we got some good news coming up
near the end of this video that's gonna give you
some more positive. - More hope.
- Yep exactly.
So what are symptoms of a heart attack Bob?
- Gotcha, chest pain and shortness of breath.
- There you go give me some more Bob.
Worse with activity! - Worse with activity.
Nausea, heart burn, and stomach pain.
- Stomach pain, right.
Left arm pain, typically the left arm.
Jaw. - Jaw.
Really people talk about it like they feel like
there's an elephant on their chest.
- Yep, right.
- And a lot of them you know I've had a couple friends
that have had heart attacks and they said
that I mean you really don't feel well,
you know what I mean?
And your color often isn't great either,
if someones around you, you kind of have
that gray looking palette.
- Ash tray, you're like an ash try.
- Sure.
- Then the other two and I'm really good at
these other two because I've had them
and I've gone in to the doctor to make sure
that I wasn't having a heart attack.
- So you can speak from experience here.
- Yeah I've gone in three times in the last seven years
to make sure my chest pain wasn't a heart attack.
- And I applaud you for that Brad I really do
because it's really easy to go in with a false positive
and then you think oh my god that's what's going
on again and you don't go in.
So you need to go in each time.
- And I'm the kind of person that I don't like doctors.
- Yeah you don't, you don't like doctors
and I could see you not going.
- I like them I just don't like to go see
them on a professional basis.
Anyway so heartburn. - Very common.
- In the medical terminology it's GERD is
the abbreviation.
- Gastral esophagal reflux disease.
- Right that's why they call it GERD.
- We actually see this a lot.
Brad I bet you it's one of the more common diagnosis
that we see in people.
- More often with elderly or getting up there,
50's 60's and so on.
And you know that's from the hydrochloric acid
in your stomach does really well in there
it's very potent and helps digest food,
but it can come up.
- Yeah it's not meant to go back up.
- Yeah then it starts to burn,
and I actually had this that's what I went in
for this last time because I also have costochondritis
which is the other cause.
- We'll talk about that in a minute.
- A little bit, so I knew I wasn't having symptoms
from that because I had that twice before.
- And you knew what it was.
- Yeah I mean I have it on and off all the time
but this is different cause I was laying in bed
and it was like oh I was burning right in here
like this is not my normal thing going on
and I thought oh I gotta go in cause I've got
some big stuff coming up, I've got a bike race
coming up this week and I'm going up
to the blah blah blah, I don't wanna be-
- You're gonna be in remote areas.
- Yeah I've gotta know I'm healthy,
and you know you gotta do it anyways.
So I went in and they said well what kinds of things
have you been doing in the last week or two.
It was all normal with the exception I went fishing
on Lake Michigan for salmon,
three to five foot swells and I was vomiting
over the side of the boat and I could
just feel that you know.
- Well I gotta say it was worth it because he brought back
the best salmon, I'm gonna have some of it today
it is awesome, sorry Brad you need to go back.
- Yeah so the heartburn that I experienced
then took me to a $1000 emergency room check up,
that's an expensive chunk of salmon you got there.
- I'll enjoy it.
But I want to make the point that I have treated people
that had a heart attack and they didn't go in right away
because they thought they were having heartburn.
Many times I've seen this I've seen them go,
well I thought I was having heartburn so I didn't go in
then it ended up being an actual heart attack so.
- Some of the things with heartburn
some common symptoms I think chest pain again,
often times with bending forward because you know
that acid can work it's way up easier
from gravity helping.
Lying, and that's what it is I was just lying in bed there
and I wasn't aware of that,
and then of course with eating.
- That's where a lot of people sleep
like propped up right.
- Yeah you tilt the bed up a little bit
you know if you've got a hospital bed
or you put a bunch of pillows under you
or use the wedge that we showed.
- I imagine one thing Brad maybe I'm speaking
out of turn here but if you take like is it Prilosec?
What is it they take for that, heartburn right?
- Yeah Liz?
- Liz thinks it's Prilosec.
- She's pretty sure.
- My son in law actually takes milk and it takes it away,
and so if you took that and it went away
I think that's a pretty good sign you were having heartburn.
- Trying to self diagnose.
- Well I mean if you did it really quickly
and you go oh it takes it away immediately
I think you could feel pretty sure.
- One thing I noticed when I drank hot coffee
it felt really good there.
- It did.
- Yeah it did so I could've put two and two together
but I'm glad I went in cause well this gets back.
- Yeah let's get number three.
- Back to number three, costochondritis.
It's a mouth full and all it is, and this is not
that unusual, where your ribs connect
to your sternum that is actually a joint there
and it should be cartilaginous joint.
Did I say that right, did I pronunciate?
- Yes you did pronounce that very well.
- I was thinking about it.
But anyways often times
there's tender spots right along the sternum
and I found when I was in the emergency room
and the doctor said is it tender here,
I was like no well so then I went over
and I did find one spot it was just on fire.
- I bet it was.
- So it's not like the whole areas inflamed
like in this case it was just one spot.
- You mean when you had costochondritis,
not this last time?
- Well I had both at the same time evidently,
costochondritis on top of heartburn.
- Oh I see.
- That's why I went in Bob it was a double header.
- Sure, gotta make sure it wasn't a triple header.
- Exactly right.
- If you have costochondritis by the way
we've got a great video on how to treat it
and it does work pretty well.
- I've gotta get the ball out or the,
what's that called?
- The back pod.
- The back pod, right.
- So invented by a guy from Australia,
I mean I know we're talking out of turn here
because you don't know what that is
but it's a device that you actually lay on
and stretch out your ribcage and it takes away
the sticky points.
- Yep exactly.
So with that often times like if I lay on the ball,
can you see the ball up there Liz?
So if you do exercise and you lay down chest on
the ball or anytime you put pressure on your chest
that can flare up costochondritis.
Like with me, throwing a football and things like that
can throw it up.
- Which all makes sense, even biking right?
- Yep, when I stand up.
- I know a friend that got it biking, so.
- You can get shortness of breath a little bit,
anything that makes your chest go in and out
it can be irritated.
So overall the bottom line and we mentioned this,
what are you gonna do?
Is it an emergency or not?
Well you really need to go with this.
- You can't mess with this, you can't.
- You gotta go in.
- Sorry you gotta go in, I mean its just not worth it
I mean the downside is so huge if you're wrong.
- And the good side, there's two good sides about it.
Number one, when you leave and they say your heart is fine.
- You got a piece of mind.
- You feel so much, you sleep so much better.
My wife was better with me she treated me better,
she didn't nag at every oh your chest is hurting,
you're going in, no I'm not!
- Good thing she's watching over you.
- Yeah I hope she doesn't see this video.
Anyways and the other thing is I was talking
to the ER doctor, everything was all done,
I was getting ready to go and I said
well how often do people come in with chest pain
and it's not a problem?
He said well I've been working a lot,
he was a resident, you know they work them 24/7.
He says I've been a lot for the last three weeks
and there's been about 15 between 15 and 20 people
that came in with chest pain, and he said zero.
None of them had cardiac problems.
So it's common not to have it but if you're the one,
you don't want to be the one so you got to go out.
- Exactly I mean it's in my family my dad had it,
I've got relatives who've tipped over too.
- You've especially got a history too,
but don't even think about that because very often
it's underdiagnosed in women because
they don't think women are gonna have heart problems, so.
- It can be a quagmire can't it?
- By the way we can fix just about anything.
- Except for - - A broken heart!
- This really fits in it though.
- Yeah it does.
So let's fix that thing!