instruction: hello doctor I have been having infrequent deep chest pains along with pain in my left arm right arm and legs at times the pain mics that of a heart attack but I had an ekg echo blood and it everything has come up normal so far when I am on the computer I usually slouch and have poor posture could my pain be related to the back like the thoracic spine and is there any way this could be diagnosed or a chiropractor could do about this
output: hello you have already ruled out the fearful cause of such pain so the second most common cause of such pain is improper posture more than a chiropractor you need to understand the need for correct posture as you have to continue working in a similar environment for the next 40 years proper working table and chair are a must for good posture the chair should be stable and adjusts easily for the height and tilt chair with a backrest that supports the curve of your lower back should be used you should sit back in the chair when you work on a computer thighs should be horizontal with your knees and hips at the same level feet should rest comfortably on the floor or on a footrest while seated the height of the desks is at about elbow level when sitting down the chair should be adjusted such that back can rest against the chair while working on the computer your elbows should stay near your body in an open angle allowing circulation to the lower arms and hands your arms are nearly perpendicular to the floor your wrists are nearly straight along with this regular muscle stretching and isometric strengthening exercises for the neck shoulder girdle and lower back must be done to avoid such pain acute pain such as in your case requires analgesic narcotic hot fomentation tens transcutaneous electrical nerve stimulation ultrasound by a physiotherapist and alternative treatment modalities like acupuncture for immediate relief and yoga and meditation for long term benefits I hope this helps