February 8, 1980

Relief of Nocturnal Chest Pain

Author Affiliations

Physical Therapeutics for Pain and Posture Control Beverly Hills, Calif

JAMA. 1980;243(6):515. doi:10.1001/jama.1980.03300320013008

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To the Editor.—  In their timely and important article, Epstein et al (241:2793, 1979) clearly relate the importance of recognizing the frequency of posture-related nocturnal chest pain. They describe chest pain while the patient is sleeping in one position and not another and how patients must arise from bed to relieve their pain. These patients' conditions are often misdiagnosed as being true angina, and the patients carry the emotional, financial, and physical burdens of that awesome diagnosis. These patients also commonly have neck pain and headaches.The authors' treatment suggestions include physical therapy and emotional support. No mention was made about controlling the precipitating cause of the pain, ie, poor posture in bed with irritation of neck or chest wall structures.In 1977 I presented an article titled "Bedroom Posture: The Critical Role of a Unique Pillow in Relieving Upper Spine and Shoulder Girdle Pain" to The American Congress of