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Find out what causes pain in the triangle between the breasts and when to be concerned

What Chest Pain Between the Breasts Can Mean and When You Shouldn't Ignore It

Pain between the breasts, specifically in the chest triangle where the sternum is located between the right and left breast, can be concerning. Not only are important organs located in this part of the body, but it is also an area people often automatically associate with the heart. It's no wonder that pain in this location can trigger anxiety or worry.

Although pain in the area between the breasts—sometimes described as pain in the middle of the chest or "in the triangle between the breasts"—does not always mean something serious, it's important to listen to your body. For some, it may be a muscle problem, for others a warning that should not be underestimated.

Various Causes of One Pain

Pain in this part of the chest can be caused by a number of factors—from completely banal to potentially serious. Understanding them isn't always easy, especially because pain is a subjective experience and can vary in intensity and character. Sometimes it burns, other times it presses or stabs. It often appears only with certain movements, while sometimes it persists even at rest.

One common cause could be inflammation of the cartilage between the ribs and the sternum, known as costochondritis. This condition is uncomfortable but usually not dangerous. It can occur after a severe cough, physical overload, or even stress. Typically, the pain worsens with touch or deep breathing.

Another common cause of pain is muscle tension or strain. People with stressful lifestyles often unconsciously tense their chest muscles, which can lead to pain in the aforementioned area. This can be compounded by poor posture, a sedentary lifestyle, or long hours spent at a computer. After all, who among us hasn't experienced that "something pressing on the chest" after a day hunched over a laptop?

On the other hand, precisely because the pain affects the area near the heart, it's necessary to keep in mind the cardiovascular potential. Chest pain can also be a symptom of heart problems, including angina pectoris or, in extreme cases, a heart attack.

Can You Tell the Difference Between Muscle and Heart Pain?

Distinguishing whether the pain originates from the muscles or the heart isn't always straightforward. Generally, however, muscle pain is localized, precisely identifiable, often associated with movement, and can be sensitive to touch. In contrast, pain associated with the heart tends to be more like pressure, spreading to other areas (e.g., to the left arm, neck, jaw) and is often accompanied by other symptoms—shortness of breath, sweating, nausea, or dizziness.

An interesting case is that of Mrs. Alena, a forty-year-old accountant who worked from home for a long time. After a few weeks, she began to notice stronger discomfort between her breasts, especially in the evening. She suspected a cardiological problem, but after an examination, it turned out to be a combination of tight chest muscles and blockages in the thoracic spine. A change in work environment, regular stretching, and massages were enough—and the pain disappeared.

However, this does not mean that similar pains should be ignored. "Chest pain that does not subside, intensifies, or recurs is always a reason to see a doctor," says MUDr. Eva Novotná, an internist specializing in emergency medicine.

When Should Pain in the Area Between the Breasts Raise Concern?

There are several symptoms that should be warning signs:

  • pain that arises suddenly and is very intense
  • spreading of pain to the left arm, neck, back, or jaw
  • feeling of pressure or tightness in the chest
  • shortness of breath, dizziness, or cold sweat
  • nausea or vomiting

If any of these symptoms occur along with pain between the breasts, it is necessary to seek medical help immediately. This is not about unnecessary panic but about a responsible approach to one's health.

In some cases, the pain may also be related to digestive system issues, such as reflux or esophageal irritation. In reflux disease, stomach acid returns to the esophagus, causing an unpleasant burning sensation that can also manifest as chest pain. This pain is typically burning and often worsens after eating or when lying down.

Influence of Lifestyle and Prevention

Lifestyle plays a significant role as well. Sedentary jobs, stress, poor diet, and lack of exercise can contribute to chest pain. Regular stretching, mindful breathing, and especially healthy movement—such as yoga, swimming, or brisk walking—can help relieve problems both physically and mentally.

Interestingly, even an inappropriately chosen bra can cause pressure and pain between the breasts. A too-tight underwire, too narrow straps, or poorly padded center can press on the sternum, which manifests as unpleasant pain, especially with prolonged wear. For women, checking well-fitting underwear should be part of preventing pain in this area.

A healthy lifestyle and conscious care for the body are thus key not only to a healthy heart but also to the comfort of the entire musculoskeletal system. Many health issues start with minor symptoms that we don't pay attention to—but chest pain can be a bodily signal that it's time to change something.

How to Help Yourself at Home

When the pain is not very intense and no more severe symptoms appear, feel free to try a few home methods that can relieve it—such as applying a warm compress to the painful area, gently stretching the chest and back muscles, focusing on deep breathing, indulging in (self-)massage of the chest, or engaging in relaxation techniques like mindfulness, calm music, or perhaps the scent of a favorite essential oil.

Using natural dietary supplements that support heart and vascular health can also be beneficial—for example, omega-3 fatty acids, vitamin D, or coenzyme Q10. However, it is necessary to choose carefully and always in accordance with expert recommendations.


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Pain between the breasts can thus have many forms and causes. From muscle tension and digestive problems to heart issues. The key is to notice the connections, listen to your body, and not be afraid to consult your issues with a doctor. Many people today are trying to listen to their bodies more than before—and this is a positive trend, because responsibility for our health starts with ourselves.

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