What Are the Causes of Severe Pain Behind the Sternum?

The sternum, or breastbone, is found in your chest. Its two major functions are to protect your heart and airway, and connect your ribs and shoulder bones. Something as simple as a pulled muscle or major as a heart attack can cause breastbone pain.

Significance

According HealthHype.com, breastbone pain---ranging from sharp and stabbing to mild soreness---is common and typically harmless, but seek medical attention if it persists.

Significance

Breastbone pain can be caused by injuries, such as those sustained during exercise or a car accident. It can also be a sign of respiratory disorders, such as emphysema, or an illness like bronchitis. A heart attack or a panic attack can also produce chest pain.

Considerations

The pain of gastroesophageal reflux (GERD) is sometimes mistaken for a heart attack.

Diagnosis

Your doctor may order an electrocardiogram, stress tests, blood tests and/or a chest X-ray to rule out a heart attack, says the Mayo Clinic. She can use your test results and medical history to diagnose the cause of your pain.

Treatment

Treatment for breastbone pain is typically on an outpatient basis. Your doctor will tailor any medication to the pain's cause---for example, a panic attack could be treated with anti-anxiety drugs, while heartburn treatment might include antacids.

References

• HealthHype: Causes of Breast Bone Pain
• Mayo Clinic: When to Seek Medical Advice