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Dr. Nandhakumar

Cardiologist, Chennai

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Dr. Nandhakumar Cardiologist, Chennai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Nandhakumar
Dr. Nandhakumar is a renowned Cardiologist in Tambaram, Chennai. You can meet Dr. Nandhakumar personally at Jawahar Hospital in Tambaram, Chennai. You can book an instant appointment online with Dr. Nandhakumar on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 30 years of experience on Lybrate.com. You can find Cardiologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English

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Jawahar Hospital

No.1, Lutheran Church Street, Kadaperi,Tambaram. Landmark: Near Ponnu swamy Hotel, ChennaiChennai Get Directions
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Should my father start bp tablet. His daily bp reading is 150/100 .nd his age is 50 years.

PDDM, MHA, MBBS
General Physician, Nashik
Should my father start bp tablet. His daily bp reading is 150/100 .nd his age is 50 years.
Yes, he must start medications. Hypertension is when your blood pressure is above 140/90, and is considered severe if the pressure is above 180/120.High blood pressure often has no symptoms. Over time, if untreated, it can cause health conditions, such as heart disease and stroke.Eating a healthier diet with less salt, exercising regularly and taking medications can help lower blood pressure.
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What is more dangerous- high pulse rate or high blood pressure Say, 104 and 145/93 are the figures. Cholesterol profile is normal. ECG is normal. So which aspect should I be worried about, pulse or B.P.?

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
What is more dangerous- high pulse rate or high blood pressure
Say, 104 and 145/93 are the figures. Cholesterol profi...
Your heart rate is within normal limit. BP is high, so start lifestyle measures 1) Daily 45 mins of brisk walking 2) Eating healthy, avoid fried, sugary and food containing too much salt. 3) Quit smoking and drinking if you do. 4) Get your BP evaluated after 4 weeks if still high, consult a cardiologist for medication and evaluation.
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I'm suffering four cold attack full chest pain so many cough split every time give me best medicine.

MBBS
General Physician, Cuttack
I'm suffering  four cold attack full chest pain so many cough split every time give me best medicine.
1. Do Warm saline gurgling and steam inhalation with karvol plus inhalant capsule 2-3 times daily. 2.put otrivin nasal drop one drop thrice daily. 3.Take Honitus syrup 2 tsf 2-3 times daily. 4. If no relief, you have to take antibiotic. Consult doctor for advice
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When I take a bath after go in sun my body got needle pain. Mostly got needle pain in chest and back its too hard for me to stay in sun I can't stand in sun for long time please give me some suggestion that I ill stop that pain.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
When I take a bath after go in sun my body got needle pain. Mostly got needle pain in chest and back  its too hard fo...
IT MAY ALLERGY BT SUN LIGHT. AVOID MORE STAY IN SUN LIGHT. PL. CHECKUP ALLERGY TEST IgE. BY BLOOD. USE SUNS - CREAM UVA 15 %. WHOLE BODY. TAKE TAB. ALLEGRA 120 MG ONCE A DAY.
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Sir, My Father is Serious Heart Patient, referred to CABG from Cardiovascular on dated 02.03.2017, Due to 3 Arteries Blocked almost 70%, Yesterday Blood sugar test has been done after 7 Days since Taking insulin, result came:- Fasting:- 157, P.P:- 112. Ejection factor (E.F) after ECO doppler Test it is found that EF=30. Eurik Asid:- 5.8, UREA- 14.7, SERAM creatinine- .9 ,Some medicine Has been Prescribed By Cardiologist for 30 Days, These are mentioned Below:- GTN SORBITRATE (6.4 MG) CR ECOSPRIN GOLD 20 MG TIDE PLUS 10 MG RAMIPRIL 2.5 + METOPROLOL 25 CYRA -D GLIMEPIRIDE-2 So I need some Guideline about the daily sugar free food chart, if you provide me. And also I want to avoid the surgery as age is 68, also EF-30. So I shall go for ayurvedic treatment. And also I want to know the Ayurveda medicines to cure total heart disease. On the other hand I want to know that if continues with Divya Hridyamrit Vati. Ao is it right, if so then please clarify it's dosage everyday.

Diploma in Family Medicine, Fellowship in Diabetology, Diploma in Diabetology, FCCP, MBBS
General Physician,
Sir, My Father is Serious Heart Patient, referred to CABG from Cardiovascular on dated 02.03.2017, Due to 3 Arteries ...
lybrate-user ,I understand your father condition. Since EF is 30, he needs CABG. If you are not willing for surgery you better go for ECCP treatment to relieve the heart block, many centres are available. I do not known from which area you are from, or state- you have not mentioned. You can have ECCP in your area, that is the only alternate to CABG. Other system of medicines will not work much. If the EF reduces further your father will have serious problems, so act swiftly do not delay.
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Total cholesterol 235 HDL 54 LDL 148 Triglycerides 242 VLDL 483 Sir /madam herbal medicine tell me Pls help me.

BAMS
Ayurveda, Ambala
Total cholesterol 235
HDL 54
LDL 148
Triglycerides 242
VLDL 483
Sir /madam herbal medicine tell me Pls help me.
To reduce cholesterol& triglycerides in body : * Avoid Butter , Ghee & cream in your diet . * Eat five leaves of Kari patta and five leaves of neem once in a day . * Avoid non veg( chicken, fish) food because it contain high fat content. * Do running and jogging daily for 15 minutes . Start with 5 minutes then increase time period slowly.Do morning and evening walk daily . * Do not drink alcohol it harmful to your liver and disturb your metabolism causes increase in cholesterol. * Add Kali mirch( black pepper ) in your breakfast . * Drink 6 to 7 glass of water daily . * Take sound sleep in night of 6 to 7 hrs .Do not take stress . *Take one tablet of GUGGALU of HIMALAYA company once a day. You can consult me privately for more medicine treatment & doubts.
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I am 33, having sinus tachycardia so taking tablet (telmisartan metoprolol) suggested by cardiologist since 2 yrs. BP absolutely normal 120/80 whenever I check it. Stil 5 months back I was feeling some needle type pain and reading about heart issues made me scared so done EKG. Which shows abnormal EKG with probably mi infarction but impression was no significant changes in the t-st wave. But doc said sometimes machine is at fault so done stress test which I ran well and completely normal. 2d echo was normal too except mild mitral valve prolapse but again doc said lot of ppl hv it. Now last 3 nights on finishing work had to wake till morning and sleep 4-5 hours but changed timings. Now some very small needle type around chest on off comes and goes but now really concern is once I lie down I get sleep quickly (since past a month). Once I am in deep sleep, I may hv strange dream which makes me suddenly wake up and even eyes open I can see that dream for mini seconds and heart is racing and it gets cool down in few min but once woke up not able sleep easily. Today afternoon while having nap, same thing happened, was very sleepy as earlier day not slept much, after few min of slept I murmur some string and found heart racing and woke up. After that I might slept 1: 45 am today and got up 1: 52 with hand thrown feeling and heart racing. Then I able to sleep like. 3 am and nd got up around 4 with palm of hand felt any, heavy,yellow in color but once I woke up it gone in Mili seconds and heart racing which cools down in few seconds. Now almost every time I sleep since 2 days it's happening. Guys please tell me anyone experienced or to whom should I consult.

MBBS, PG Diploma In Clinical Cosmetology (PGDCC)
Cardiologist, Purba
I am 33, having sinus tachycardia so taking tablet (telmisartan metoprolol) suggested by cardiologist since 2 yrs. BP...
U may feel this type of chest pain in mitral valve prolapse. And for sleep disturbances, abnormal dreaming I suggest take a opinion of psychiatrist he may help most.
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Sir I get pain in my heart in morning time before taking breakfast. Pls tell me reason and precautions I should take to avoid.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Sir I get pain in my heart in morning time before taking breakfast. Pls tell me reason and precautions I should take ...
Dear it can be due to gastritis..Take 1tsf avipattikar churna twice a day empty stomach and 2 tab soothshekhar ras 30min after meals twice a day for 7 days. Get an ECG done. If u have cough then get an XRay chest done. Revert back with reports.
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I had bad fall 8 months ago in hospital for 2 months have TBI PTA 33 days. My blood pressure has recently got high 185/92 I was hypothyroid now hyper very depressed and gaining weight but my GP does nothing about it. What should I do.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
I had bad fall 8 months ago in hospital for 2 months have TBI PTA 33 days. My blood pressure has recently got high 18...
Dear Lybrate user, You should take Boiled ginger water daily. Add two tablespoons of organic apple cider vinegar to a glass of warm water. Mix in a little honey. Drink this solution daily on a regular basis. Let me know some more details so that homeo medicines can be started. Call back.
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I am having chest pain on top center and also pain on my back of rib points all the times. Feeling sleepy and lazy. Don't able to think most of the times. My thinking mental power got decreased as compared to previous 2 years. Drinking sufficient amount of water taking healthy foods also consulted on some clinics and hospital but problems remain same. My age is 28 and I am the only boy who take care my family but if my health is like this then how can I perform in my official life. please help me. I am soo much worried because from 2 years it's going on and I feel disappointed. Please help.

MBBS, cc USG
General Physician, Gurgaon
I am having chest pain on top center and also pain on my back of rib points all the times. Feeling sleepy and lazy. D...
Do not worry treatment options are available for this problem, we need to do some tests get following tests done and review with reports CBC Liver fuction test Serum B12, Vitamin D3 TSH Fasting blood sugar And Take Capsule Supradyn, one capsule after breakfast once a day for 10 days Chest pain may be due to 1.acidity. 2. Severe anxiety 3. Muscular problem Local application of Volini gel 1% twice a day for 2-3 day Consult Physician/me for Further Management.
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My Mom is feeling heavy Dizziness (chakkar) since today morning. She is 63 years old, and Has diabetes, high sugar, cholesterol & high triglycerides. Please advice as soon as possible, WHAT IS THE IMMEDIATE STEP TO TAKE. SHOULD WE TAKE HER TO A SPECIALIST? Since today is a Saturday and festival time. Most Doctors are unavailable. Should we admit her to a hospital? PLEASE ADVICE SOON. Thank you.

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
My Mom is feeling heavy Dizziness (chakkar) since today morning. She is 63 years old, and Has diabetes, high sugar, c...
Check bp and blood sugar if normal give her tab stager on one stat and later see a physician. Keep her lying down. If fasting give some orange lemon juice. Admit if she has no improvement after above.
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Three months back I was diagnosed with left and lipid profile. Result was quite high. doctor gave medicine. After one month my result was perfect. But for now its been one month since I left my medicine I recently checked my left and lipid. The result was not normal. Derails r given below. Sgpt-64 Sgot-40 Ggt-87 triglyceride-189 Ldl-145 Vldl-37.8 Hdl-64.6 Total cholesterol-258 I do exercise for half an hour. My diet is also good. But I do not know what's the reason for d above result. please suggest me advice so that my lipid and lft be normal. I do not drink.

BAMS
Ayurveda, Ambala
Three months back I was diagnosed with left and lipid profile. Result was quite high. doctor gave medicine. After one...
To lower level of lipid profile in body: * avoid butter, ghee & cream in your diet. * eat five leaves of kari patta and five leaves of neem once in a day. * avoid non veg (chicken, fish) food because it contain high fat content. * do running and jogging daily for 15 minutes. Start with 5 minutes then increase time period slowly. Do morning and evening walk daily. * add kali mirch (black pepper) in your breakfast. * drink 6 to 7 glass of water daily. * take sound sleep in night of 6 to 7 hrs. Do not take stress. *take one tablet of guggalu of himalaya company once a day.
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My Dad has diabetes and often the Sugar level goes up and he always get severe headache and knee pains alot please help if anything can be done to reduce it. And my father is also suffering fron high blood pressure please give me some remedy for it also.

MBBS
General Physician, Cuttack
My Dad has diabetes and often the Sugar level goes up and he always get severe headache and knee pains alot please he...
1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet, . 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult physician for advice and treatment 8.If he is having hypertension he has to take medicine after consulting doctor and should take salt restricted diet
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I am suffering from dry cough for last two weeks. And I have chest pain also whenever cough come I sniff harder that time chest pain also came have is this any severe symptoms.

M.D.MEDICINE
General Physician, Rajkot
I am suffering from dry cough for last two weeks. And I have chest pain also whenever cough come I sniff harder that ...
Hi there. Dry cough and chest pain which increases on coughing and sneezing warrants a chest x ray as symptoms suggest pleuritic chest pain (pain due to lung conditions) to rule out any lung conditions. Please upload your xray and may be I cud help you with that. If severe please see a physician. Take care.
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I am 34 and my cholesterol is on higher side. Triglycerides is 300 and my liver report is also not good kindly advice.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 34  and my cholesterol is on higher side. Triglycerides is 300 and my liver report is also not good kindly advice.
for reducing your T.G. level by taking tab. atorvas 10 mg and tab. ecosprin 75 mg at night for 30 days.. take low fat.low salty food, avoid bad habits alcohol intake,smoking, non - veg., take whole grain ,green veg., plenty of water, 1 glassa of water at night before bed. change in your life style.
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I'm 22 years old I am having suddenly having alcohol problems, I get rapid heartbeat, metallic taste in mouth, dizziness, red eyes after a drink, if I drink more these symptoms gets severe even vomiting. Please help me find a solution to this problem. I never had these kind of problems before.

MS - ENT,MBBS
ENT Specialist, Kolkata
I'm 22 years old I am having suddenly having alcohol problems, I get rapid heartbeat, metallic taste in mouth, dizzin...
These are symptoms of alcohol intoxication occurring due to abnormal rise in blood alcohol level. The dizziness occurs as the inner ear hair cells (responsible for balance) malfunction because of high alcohol levels. Initially this will become normal once blood alcohol normalises with repeated such symptoms there's a real risk of permanent problem. Get a pta tympanometry lft (liver function test) done to rule out any damage. You can share your reports on lybrate. Hope this helps
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I'm 20 years old. And I have lots of problem. I have fast heart beats without doing any works I get my hands shivered at that time, I feel something wrong is going to happen and my heart burns, when I get exposed to sunlight or walk under sunlight my heart beats fast, I get blurred visions, my ear rings, constant heavy headache, I'm not able to stand for long, I need rest in short periods. When I stand too long my back Nd body pains. Im suffering from heavy hai fall. Nd there is rarely any hair left now. I went to consult many ENT doctors But I didn't get a proper answer for it, just gave lots of medicines. I tested thyroid. Nd I dont have it. Pls help me.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I'm 20 years old. And I have lots of problem. I have fast heart beats without doing any works I get my hands shivered...
Good to know that your thyroid is normal & I am sure if you get other basic tests like cbc for hb & infection in body, blood sugar may also be normal. At 20 you are suffering from anxiety and it happens with lots of girls because the formative years towards a mature womanhood takes longer in absence of proper guidance. Please do not take any anti anxiety medicines, you will be hooked for life. Modify your lifestyle. Face the fear of sunlight but do get your eyes examined. Do write back your hb. Hair fall can be due to general weakness or a local infection on scalp. Use ketaconazole shampoo, easily available on any shop-this shampoo does remove impurities from scalp. Home remedy is to apply either of these & wait for an hour, shampoo later clearing every area of scalp of these 1) curd 2) vinegar 3) lemon juice but it can be drying for hair, though it is an excellent antiseptic 4) henna powder mixed with water only. Initially the hair loss will be more, do not get upset as they are the weak hair & they have to fall. But hair growth of new hair will be healthier.
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I am 37 years old and BMI is 27 (weight 80 kg & height 172 cm) last year I have done angioplasty because of blockage found. Now I take medicine regularly for that. I want to reduce my weight at least 10 kg. So suggest diet plan & exercise (keeping in mind thad I am angioplasty patient)

Diploma in Diet and Nutrition, B.Pharma, MD - Alternate Medicine
Dietitian/Nutritionist, Gurgaon
I am 37 years old and BMI is 27 (weight 80 kg & height 172 cm) last year I have done angioplasty because of blockage ...
Hi lybrate-user There could be many reason of weight gain. To lose weight we need to focus upon some basic food plan like cutting down on grains and sugar .we should avoid processed food. The healthy weight loss diet should contain ample amount of vegetable with sufficient protein. Taking some dietary supplements helps in weight loss as well. I am suggesting a general diet and supplement for you. You can visit my clinic for free detailed body composition analysis. Sample Diet Plan Breakfast - Russian salad with boiled eggs and fish Lunch – green vegetable +salad +curd. Dinner - Paneer tikka with green chutney. Snacks - Dry fruits and Nuts with green tea. Suggested Supplements Microfruit and Cytofresh tablets daily after breakfast Lipolyzer tummy tablet after lunch and dinner.
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I am having heart problem and I had suffered from heart attack 3 year ago and I got angioplasty from Nagpur can you please tell me about my diet.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am having heart problem and I had suffered from heart attack 3 year ago and I got angioplasty from Nagpur can you p...
Take lots of seasonal fruits and vegetables, both raw or cooked with minimal oil. Avoid transfats present in street food, burgers, pizzas. Use mustard oil for cooking, saute and steam vegetables but do not fry. Eat good fats like a spoon of desighee/ butter + a katori of assorted nuts everyday. Use carbs but reduce sugar and salt despite bp and blood sugar being normal, if high keep them under control. Do not compare your diet with others, eat according to your likes and constitution.
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Heart Attack Warning Signs

MBBS, DM - Cardiology, MD
Cardiologist, Hyderabad
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Symptoms of Heart Attack

Hello! Good day, I’m Dr. Balaji. I’m a cardiologist, practicing at city of Hyderabad. Today I’m going to briefly educate you about the Chest pain.

Chest pain is one of the commonest symptoms that I keep seeing in my daily OPD. Different spectrum of age groups come to me with chest pain from very small children to the elderly people. People are very confused about the origin of chest pain, what I mean, if it any kind of chest pain any place in the body they think it’s something to do with the heart, they’re going to get a heart attack, it’s going to be a serious, life threatening condition and few of them come with a stricken of panic that they are going to collapse. Fortunately all chest pains are not heart pains and then today we are going to learn which kinds of pains are heart pains, which are not. When we need not go to a doctor, when we can just relax, when we need not get panicky and then probably we can also assure our friends, colleagues, family members if they have chest pain by gaining knowledge form this lecture.

See, once we have chest cage, the chest cage basically contains what? We have a skin, we have a hard tissue below that, we have a rib cage, we have a sternum, a vertical bone in the middle and we have nerves, we have arteries, we have lung tissue. We have lung tissue on either side and we have heart in middle and we have some blood valves coming from these. So, let us go one by one. Heart we know is important organ which gives pumping the blood all through our day and night and then the heart itself should get blood supply from arteries, these are called as coronary arteries. When these coronary are flowing and supplying the blood to the heart muscle then only the heart keeps pumping effectively without any pain.

So, let us just go to the, what are the causes of chest pain? What cause chest pain? The first thing I’ve said is the muscle symptoms. So, we know that the chest wall is made of muscles and when these muscles become sore, when they become sprained, strained. When you life a weight or you know you have some kind of trauma tissue, you joined the gym or you lie down on the bed and particularly in a bad posture you can get some kind of pain. So if somebody gets chest pain probably during these activities we think it is a muscle pain, one need not be panicky, it’s not heart pain. Okay!

The second pain is joint pains, what is called costochondritis. This is one of the very common pains in the practice. This middle bone this is called the breast bone or sternum hinges at the ribs through a joint. That’s how when we breathe, when we breathe our rib cage moves because our hinges have joints. So, this is called as costochondritis. This costochondritis is nothing but a joint inflammation. You see that red spots, these are the inflammations. That means if there is an inflammation in these joints you’ll have pain, the pains are localized, there are in the area not more than fingertip. They increase with pushing or pressing the chest and also they increase with deep breathing. So, if these kinds of pains are there, this can be because of the viral illnesses, there are innumerable, unknown causes of these kinds of problems. Pushing the weights, lifting heavy weights, this can also cause these symptoms. So, don’t worry, these are not heart pains.

The other problems now-a-days we’re seeing more with the software professionals, the persons who works systems, the persons who sit and do a job like clerical jobs, is spondylosis pain. You know this is the spine, you know we have a spine, which comes from, goes up to the coccyx. This is the spine which is a series of a bones arranged one above other like boxes and from between these boxes you’ll get the nerves. These nerves supply the chest in a manner where each nerve supplies a specific area for example these are the different colours you are seeing in this diagram. These are supplied by different nerve roots so each nerve root supplies an area of the chest. So, when these kinds of nerve roots gets compressed for example c5, c6 nerve root gets compressed you’ll feel pain along the hand. So, many of the patients come with, you know these software professional come with the pain that just goes along the hand. So this pain and we know by convention that you know that heart pains can go to the hands and is a popular belief even though there is no complete truth in it that heart pain always goes to the hand.

Most of times somebody complains about only pain in the hand especially in the neck, especially here in this region, this is basically a nerve root compression because of cervical spondylosis. As you see this, as I’ve said the spine is a series of boxes of bone, from in between the nerve roots come. When they get compressed you feel this pain along the hand and also sometimes in the upper chest and also in the neck. If this series of nerves gets compressed they can have pain all around, and sometimes this pain can also goes to the chest and this causes confusion whether some heart pain is there, but this is not the heart pains. Please make sure that no, these kinds of pains are not heart pains and these kinds of pain does not cause a heart attack.

You see this, in these cervical spondylosis where does the pain go? See in this man the pain goes to the clavicle, this collar bone, it goes to the shoulder. It also can go along the chest. So, the pain can go all along left upper limb, sometimes right upper limb and maybe there, only in the shoulders not into the chest or to the hands or maybe go little down to the arms. These are all cervical spondylosis pains, nerve root pains not heart pains. One need not be worried about this kind of a pain.
 

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