Hi, ken Mc:
How do you tell the difference between AS chest pain and chest pain that comes from a heart problem?
I just wonder if people with AS would know if they are having a heart attack, or would you think it was chest inflamation?
I also push on my chest the way someone would if they were giving you CPR (not as vigorously). This will usually help the AS pain because I've moved the costochondral joints, which is were the pain is coming from.
This is exactly how I used to tell--in the now distant past when I had terrible costochondritis, which often affects more the sternum, but wraps around to the back in a front-downward, back-upwards arc. Changing pains when lying or rolling on my side was always a giveaway. Problem is that chest inflammation is a sign that there is inflammation in other places we might not be able to feel--like my heart valves that now have some baubles due to AS. NSAIDs masked things long enough for this to happen.