got doctors next week,but before then anyone had similar symptons,
feel fine on bike until doing anything that raises heart rate(yes use a monitor so z2 and above) above recovery/bimbling pace,then chest tight burning sensations tingling in hands and breathless to the point i have to almost stop,right in the middle fo the cross season!

Can’t say I’ve had those symptoms but anything where your chest gets tight and lack of breath, assuming you are relatively fit I would be done a&e.

Hyperventilating can cause the tingling sensation.

Disclaimer: Purely speculative Internet diagnosis, I am not a doctor 🙂

I was going to come on here and post an incredibly witty response telling you how I’d had the symptoms (expecting to see runny nose/runny bottom/runny eyes/runny whatever) and subsequently died two days later. But, having actually read your post, I’ve got all serious and would agree that you really should visit your Doctor, if only for peace of mind.

How old are you? Family history of heart disease? Smoker? High blood pressure? Diabetic?

Could it be stable angina?

GP seems like a good first port of call 🙂

I had similar symptoms – it was adult onset asthma.

I’m not saying that it’s what you have. Go and get it checked out. It come be something serious, but it could equally be nothing.

Sounds like anaemia, and what i had, lots of green veg, iron tablets and constapation, simple blood test and they can check.
COld extremities, and white bits under finger finger nails and a weird colour are also symptoms, along with extreme tiredness.

Alternatively…

First go and see your gp and explain symptoms. They’ll probably take bp, blood tests and ecg. They might even arrange a heart stress test. Do you generally have high bp, cholesterol? history of cardiovascular problems in the family? is it just when biking or with all activity? Angina tends to radiate pain to the left arm and chest but i would get it checked.

If all the tests are clear (and its worth getting them done) bear in mind that you can get these symptoms through musculoskeletal issues eg. Trigger points in the accessory breathing muscles such as upper traps and scalenes; or thoracic outlet syndrome. In this case it’s worth a consultation with a decent chiropractor.

If all the tests are clear (and its worth getting them done) bear in mind that you can get these symptoms through musculoskeletal issues eg. Trigger points in the accessory breathing muscles such as upper traps and scalenes; or thoracic outlet syndrome. In this case it’s worth a consultation with a decent chiropractor.

Can you give me the clinical reasoning behind that lot please?

I’m particularly interested in the trigger points in upper traps and scalenes, TOS and especially the recommendation for a chiropractor session.

Most people breathe using the diaphragm and intercostal muscles but when under increased stress or through poor breathing technique, the accessory breathing muscles including the scalenes (anterior and mid in particular) and upper traps come into play. If this is severe enough or there are other chronic factors such as poor prolonged posture, this can cause excessive tightness and compression of the underlying neurovascular structures and can lead to symptoms in the arms and hands.

A chiropractor would be able to diagnose this through various orthopaedic and neuro tests and treat the muscular hypertonicity through techniques such as myofascial release, PIR stretching, trigger point therapy, spinal manipulation and massage. As well as address any other causes that might be contributing such as faulty breathing patterns or ergonomics.

Don’t use a witch doctor / chiropractor. Go see you GP

mulv1976,have you any research based evidence for these statements?

No he doesn’t, there is not a chance a chiropractor could help in this instance. Apart from lighten your wallet that is. Spinal manipulation for a breathing disorder- you having a laugh right?

Mantastic,you should have let him answer,I used to work in respiratory medicine,and I need a laugh.OP,you need a thorough examination and tests to get a diagnosis,not manipulation of your spine,on the basis of a theory with no research basis.

OP, at the risk of sounding overly dramatic, it could well be underlying cardiac issues. Don’t want to panic you. But please be very, very careful until you see your doc, eh?

Some mixed symptoms in there, granted, but you don’t want to f*ck about.

Could well be other things of course.

But we don’t know yet.

So be careful.

yes?

Go see you GP

Gp is first point of call – as I said 🙄

I wouldn’t advise any treatment until cardiovascular ruled out.

Don’t use a witch doctor / chiropractor.

Lol. I wondered when stuff like this would get spouted by people who know nothing about our training.

My professional opinion – take it or leave it. I won’t get drawn into any debates…

@mulv – chiropractors deal with spinal bone issues – the OP’s issues have zero to do with his back bones …

OP yes first port of call your GP – push hard and try and get referred to a specialist where you can do a treadmill test (ie one where they monitor your heart trace and breathing) if you cannot get referred pay for the test

Good grief… I really do despair sometimes. I won’t bother trying to help again.

Mulv1976, you clearly mean well, but I wouldn’t be posting any diagnostic advice in your professional capacity on this, an internet forum, with a poster who has a fairly mixed bag of symptoms.

Just saying.

“My professional opinion – take it or leave it. I won’t get drawn into any debates…”

People have been sued for less.

Simon Singh, for example….

Mulv1976, you clearly mean well, but I wouldn’t be posting any diagnostic advice in your professional capacity on this, an internet forum, with a poster who has a fairly mixed bag of symptoms.

Just saying.

“My professional opinion – take it or leave it. I won’t get drawn into any debates…”

People have been sued for less.

Simon Singh, for example….

Hence my saying GO SEE GP FIRST!!

Does anyone read posts properly on here? TOS would be a differential once CV ruled out.

mulv1976,do I take it that you have no such evidence?

Not wanting to be morbid but I used to have a riding mate who began to feel poorly at higher heart rates, tight chest and queasy feeling. He had tests and ECG checks on treadmill. He died on a ride with me aged 40 from a heart attack.
Really not trying to panic OP but really get checked and get a second opinion if gp isn’t interested. Of course it probably isn’t a big issue but it does occasionally happen..

Oh,and seeing as you mention Simon Singh being sued,why did the British Chiropractic Association drop its libel suit against him?
http://en.wikipedia.org/wiki/Simon_Singh

In fairness mulv, you did advise the OP to get a GP workup first, can’t fault you for that.

CP is, rightly or wrongly, the butt of many jokes in medicine, and many were pleased to see the BCA back down over the Singh case. I followed the case with great interest.

Seriously, though, can chiropractic adjustment really help with TOS, is there any evidence, non-anecdotal, that you can point us towards? I’d be happy to see it. It would be nice to think that its finally treatable.

TBH I’d like to see some research based evidence for the same reason as codybrennan,but I just can’t find any,I don’t like to rubbish alternative treatments,but I like to see some hard evidence that they work.

Spinal manipulation is not the only treatment we use – I think it’s a very outdated idea that it is (usually from the medics) It is only used if spinal problems are present. We use the same soft tissue techniques and rehab exercises as physios, the same neurological and orthopaedic tests as consultants.

My main method of treatment for TOS (if the cause is functional and not structural) would be soft tissue techniques, strengthening/stretching of imbalanced muscle groups, and patient education, and treat any spinal movement problems as necessary. TOS is rare and there is very little evidence (outside case studies) that manipulation alone helps. That’s why I don’t just use manipulation…

CB – we get taught strategies for treating TOS. Cant think what a Chiro would do though as what we are taught is all hands off type treatments.

What evidence is there for manipulation and mobilisation of joints in any condition? Not a lot is the answer we are given.

CB – we get taught strategies for treating TOS

Such as?

What evidence is there for manipulation and mobilisation of joints in any condition? Not a lot is the answer we are given.

http://chiromt.com/content/18/1/3

thanks too all who contributed incredible response much appreciated(no fall outs please lets keep it civil)
at gp,s tmoz will keep you posted cheers