Injury can overstretch a muscle on the front or back of the chest wall. This is called a chest wall strain. The injury may occur during play or sports. It may also happen during repeated coughing or when lifting a heavy object. Symptoms include sharp pain and soreness. But, there is no serious injury or lasting damage.
Muscle strain can be treated with over-the-counter or prescription medicine for pain and swelling. Pain from a muscle strain usually resolves within a week.
Home care
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Your doctor may prescribe medicine for pain and swelling. If the chest is strained from coughing, a cough medicine may be prescribed. Follow the doctor's specific instructions. Don't use any other pain medicine unless you check with your doctor first.
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Rest as needed.
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Use cold, as directed. It can help reduce swelling and pain. Wrap a cold pack or a bag of frozen peas in a thin towel. Apply this to the affected site for up to 20 minutes, 4 to 8 times a day. Don't apply cold for longer than 20 minutes at a time.
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Hold a pillow to the affected area when coughing. This can help ease pain from the injury.
Follow-up care
Follow up with your doctor, or as advised.
When to get medical advice
Contact your doctor if you have:
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Pain that is not relieved by medicine.
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Pain that continues for longer than 7 days.
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Trouble moving normally.
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Redness developing, swelling, or pain getting worse and not better.
Call 911
Call
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Trouble breathing, shortness of breath, or fast breathing.
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Chest pain that is new or suddenly gets worse.
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Sudden weakness or numbness.
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Online Medical Reviewer: Eric Perez MD
Online Medical Reviewer: Ronald Karlin MD
Online Medical Reviewer: Tara Novick BSN MSN
Date Last Reviewed: 05/01/2025
© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
