Pain neuralgia usually Duration - they do not cease even at night. Pain worse when you change body position, walking, flexion and rotation of the torso, coughing, deep breathing or exhaling, sneezing, etc.
Heartache, unlike neuralgic - short. Usually it passes quickly - in three to five minutes after taking nitroglycerin tablets or validol. Pain in the heart, as a rule, does not change with deep breaths, changes in body position and movement. When cardiac pain often have irregular heartbeat, increased or decreased blood pressure.
In any case, to adopt for the myocardial neurogenic pain or vice versa, it is necessary to conduct diagnostic studies of the heart and the spinal column. Refer to the cardiologist, click ECG, if necessary, make a heart ultrasound. Check the spine by using the magnetic resonance imaging and x-rays.
If you have first appeared suddenly intense pain in the heart, radiates to the shoulder, shoulder blade, or anywhere else, heart medications do not help, and the pain does not go - call an ambulance. At this stage, the diagnosis must put a doctor. Quite often, to get rid of these "heart" of pain prescribe massage, physiotherapy, anti-rubbing and intramuscular injections.