Pain is localized to one area of the chest
Pain worsens when pressing on the sore spot
Pain increases with movement, twisting, reaching, or lifting
Pain started after exercise, heavy lifting, coughing, or injury
Pain feels sharp, tight, sore, or aching
Pain changes with breathing, posture, or certain positions
Pain improves with rest
Pain is not associated with sweating, nausea, dizziness, or shortness of breath
Pain does not spread to the arm, jaw, back, or shoulder
Pain is similar to a pulled muscle or chest wall strain
Pain is reproducible with the same movement or touch
Pain lasts longer or worsens with muscle use rather than exertion alone