Cervicothoracic Angina
Palpation: True angina pectoris will exhibit chest wall tenderness. Palpation of segments with accessory motion testing from C7-T6 may elicit pain as well with T2-T3 joint motion eliciting the most symptoms. Pain may be described as “squeezing” and “sharp” and may be described as being present for a long period of time. Pain may also be described as constant in nature. This pain description differs from thoracic outlet syndrome, which is more of a throbbing, shooting, or tingling pain in the neurological type. Symptoms in thoracic outlet syndrome may awaken a patient at night, but typically are not constant in nature.
(Christensen et. al., 2005)
(Christensen et. al., 2005)