Pain in ribs/spine/shoulder are when i breathe

So yea…its seems like each new day I feel different. It is not horrible. It is not so painful. So not really complaining. But…I will say each new feeling brings a Hmm? To my mind. Like yea its probably related.
Today I have had this uncomfortable feeling in my spine and back and in my left ribs-close to my spine. Combination of just being uncomfortable and a little stiff. Worse when sitting. Been going all day and then sat down for close to two hours and my Women’s Bible study- and yea I felt it then. I remember the days where I felt better after resting. Lol. Anyways-hope everyone is doing well.
Karyn

Had the same issues, for me it was the worst when i was laying down trying to sleep.....felt like i couldnt breathe sometimes and it actually hurt to breathe...what made it worse was i couldnt lay on my side or stomach only on my back which didnt help much....Each day bring something new and i actually found out from my GYN that PsA can also cause "female issues" aswell which my Rhumey also confirmed. Best of luck to you!

I have experienced the rib and side pain too. Have you looked into costochrondritis? It seems to be another issue related to PSA.

Back in 05 I had my son and my psoriasis got really bad after that. About a month to two months after I had my son I went to the er for “chest pain”. I was 21…and very healthy lol. Dr said it was costochondritis. I still get a major pain in my sternum when I sneeze. I realized just recently it could be related.

As I've said before, I haven't received a "formal" diagnosis of psoriatic arthritis from a rheumatologist, but from an infectious disease specialist. I get to see a rheumatologist in ten days. However, my symptoms seem more and more characteristic of PsA, as one toe or finger joint after another "goes."

Chest/rib pain was one of my first symptoms, last October, unless some other things a couple of years ago were incorrectly attributed to other causes. My doctor says that the "bursitis" in my hip joint and "osteoarthritis" of the knee could be rheumatoid arthritis instead. Whatever. I'd just like to be able to lie on my side comfortably. All the little things I took for granted!

From what I know, there are several problems caused by PsA that result in chest pain. Costochondritis is definitely one of them, as achy mentioned. Cartilage is the kind of tissue that PsA attacks. As you probably know, cosotochondritis is an inflammation of the cartilage that connects all but two of our ribs to the breastbone. I had costochondritis involving the cartilage on one side a few years ago. My family doctor gave me a mild pain reliever and said it was nothing to worry about and it would go away. It eventually did. She said that she diagnoses it by pressing on the cartilage and if it reproduces the same pain I feel, that it's costochondritis. (I'm not a doctor, so I can't say if she was right or wrong.) I can't "reproduce" my rib pain by pressing on the cartilage; I could way back when I probably did have it, as my doctor said.

Another PsA manifestation can be pleuritis, more often called pleurisy when I was younger. It's an inflammation of the pleura - the tissue that lines the large chest area that holds our lungs. If your chest hurts, and it hurts worse or worst when you inhale and stretch that pleural tissue, that's considered one of the signs of pleuritis. (Again, I'm not making a diagnosis! Just sharing what my doctors have told me.)

I have had that in the morning since last October, except on a few occasions when I've taken heavy-duty pain medication before I went to sleep. It often wakes me at 2 a.m. or 3 a.m. Now it kind of half-wakes me usually, because I've gotten familiar with it and don't have the panic that I can't breathe and that something is terribly wrong.

Kary, I think you were really smart to go to the ER, because chest pain shouldn't be ignored - heart attacks can have odd symptoms, especially in women, and even very young women, like you, can have heart attacks.

I went to Immediate Care a couple of times when the problem started. No one there was too interested.

I CAN breathe, it's just painful. I had chest x-rays a few weeks ago that my Infectious Disease doctor said looked normal, but he's used to looking for things like TB, and I don't know how they would look to a rheumatologist. (They looked OK to me, but what do I know?) I'm eager to hear what she says, and what she suggests might help.

Of course, I dislike having these pains and the shortness of breath first thing in the morning. It's painful lying on my back - feels like I'm lying on round bars or pipes. Sometimes I just get up very, very early, and other times I just dose while one thing or another aches or stabs. But this used to be one of the favorite cuddle times my husband and I had, and I miss it. I also feel bad about asking him not to put his arm over me when I'm lying on my side, as it just makes my chest feel so compressed that I feel like I'm suffocating. Sometimes I just endure it without saying anything to him. Now it's better for us to cuddle in afternoon naps, and the afternoon naps help with my fatigue.

I would certainly mention your ribs/spine/shoulder pain to your doctor, as I'm sure you will. If it's another PsA manifestation, that's important to know, and if it's an unrelated problem, there may be some quick remedy for it.

Good luck!



Gardener said:

As I've said before, I haven't received a "formal" diagnosis of psoriatic arthritis from a rheumatologist, but from an infectious disease specialist. I get to see a rheumatologist in ten days. However, my symptoms seem more and more characteristic of PsA, as one toe or finger joint after another "goes."

Chest/rib pain was one of my first symptoms, last October, unless some other things a couple of years ago were incorrectly attributed to other causes. My doctor says that the "bursitis" in my hip joint and "osteoarthritis" of the knee could be rheumatoid arthritis instead. Whatever. I'd just like to be able to lie on my side comfortably. All the little things I took for granted!

From what I know, there are several problems caused by PsA that result in chest pain. Costochondritis is definitely one of them, as achy mentioned. Cartilage is the kind of tissue that PsA attacks. As you probably know, cosotochondritis is an inflammation of the cartilage that connects all but two of our ribs to the breastbone. I had costochondritis involving the cartilage on one side a few years ago. My family doctor gave me a mild pain reliever and said it was nothing to worry about and it would go away. It eventually did. She said that she diagnoses it by pressing on the cartilage and if it reproduces the same pain I feel, that it's costochondritis. (I'm not a doctor, so I can't say if she was right or wrong.) I can't "reproduce" my rib pain by pressing on the cartilage; I could way back when I probably did have it, as my doctor said.

Another PsA manifestation can be pleuritis, more often called pleurisy when I was younger. It's an inflammation of the pleura - the tissue that lines the large chest area that holds our lungs. If your chest hurts, and it hurts worse or worst when you inhale and stretch that pleural tissue, that's considered one of the signs of pleuritis. (Again, I'm not making a diagnosis! Just sharing what my doctors have told me.)

I have had that in the morning since last October, except on a few occasions when I've taken heavy-duty pain medication before I went to sleep. It often wakes me at 2 a.m. or 3 a.m. Now it kind of half-wakes me usually, because I've gotten familiar with it and don't have the panic that I can't breathe and that something is terribly wrong.

Kary, I think you were really smart to go to the ER, because chest pain shouldn't be ignored - heart attacks can have odd symptoms, especially in women, and even very young women, like you, can have heart attacks.

I went to Immediate Care a couple of times when the problem started. No one there was too interested.

I CAN breathe, it's just painful. I had chest x-rays a few weeks ago that my Infectious Disease doctor said looked normal, but he's used to looking for things like TB, and I don't know how they would look to a rheumatologist. (They looked OK to me, but what do I know?) I'm eager to hear what she says, and what she suggests might help.

Of course, I dislike having these pains and the shortness of breath first thing in the morning. It's painful lying on my back - feels like I'm lying on round bars or pipes. Sometimes I just get up very, very early, and other times I just dose while one thing or another aches or stabs. But this used to be one of the favorite cuddle times my husband and I had, and I miss it. I also feel bad about asking him not to put his arm over me when I'm lying on my side, as it just makes my chest feel so compressed that I feel like I'm suffocating. Sometimes I just endure it without saying anything to him. Now it's better for us to cuddle in afternoon naps, and the afternoon naps help with my fatigue.

I would certainly mention your ribs/spine/shoulder pain to your doctor, as I'm sure you will. If it's another PsA manifestation, that's important to know, and if it's an unrelated problem, there may be some quick remedy for it.

Good luck!

The chest/rib/back pain is my biggest complaint. One day I felt great. I had my other symptoms...hip, foot pain etc. but three years ago I woke up one morning and I could not sleep. I couldn't sleep in any position but in a recliner. It was awful! I couldn't breath, it was so painful. Eventually that flare subsided a bit after taking some OTC anti inflammatories. I have since been to the doctor and was diagnosed with Psa. As of now I woke up at 1 am in severe pain. I am 26 weeks pregnant and have not had any type of medication since a couple months before we conceived. This is the hardest thing to do, but of course so very worth it. I am so ready to have her so I can take some aleve!

I've had lots of chest/rib/back pain lately and REALLY need to call my doctor about it. The last time I had pain this bad in this location, I had a craniosacral therapy appointment the next day and felt tons better afterwards.

My thoracic spine is often impacted by my PsA, so when I breathe deeply and that part of the spine moves, I feel pain. It's usually worse if I cough or hiccup. Regualr breathing is usually fine. I'm not sure about the other conditions described above, but I've usually attributed my pain to inflammation in the spine. When I've spoken to my rheumatologist about it, he's never suggested anything else. But, I don't really have any rib involvement or chest pains...that would probably scare me.

PNfree, sure hope you get to feeling better.

A little girl, huh? How wonderful! Congratulations!

interesting.. i had pain when i would breathe in (like it hurt when i breathed in to a certain point so i had to take shallow breaths) three thursdays in a row. it would only last a short while, but the first time was 3 hours which scared me.. i just went to the doctor the other day and she ordered a chest xray on me to make sure there is nothing up with my heart or lung but i am sure nothing will show up. i wonder if this is what it was..