Differential Diagnosis for Severe Sharp Pain on the Left Side of the Body Torso
Single Most Likely Diagnosis
- Musculoskeletal strain or injury: This is often the most common cause of sharp pain on one side of the torso, resulting from overuse, trauma, or poor posture, leading to muscle or ligament strain.
Other Likely Diagnoses
- Costochondritis: Inflammation of the cartilage that connects the ribs to the breastbone, which can cause sharp pains on the side of the torso.
- Precordial catch syndrome: A condition characterized by sharp, stabbing pains in the chest or side, often related to the muscles between the ribs.
- Gallbladder disease: Gallstones or inflammation of the gallbladder can cause sharp pains in the right upper quadrant but can sometimes be referred to the left side.
- Kidney stones or pyelonephritis: While kidney issues typically cause flank pain, severe cases can radiate to the side of the torso.
Do Not Miss Diagnoses
- Pulmonary embolism: A blood clot in the lungs, which can cause sudden, severe chest pain that might be felt on one side of the torso. This condition is life-threatening and requires immediate medical attention.
- Aortic dissection: A tear in the aorta's inner layer, which can cause severe, tearing pain that often starts in the chest and radiates to the back or side.
- Pneumothorax: Air in the space between the lungs and chest cavity, which can cause sudden, severe chest pain that might be localized to one side.
Rare Diagnoses
- Sickle cell crisis: Individuals with sickle cell disease can experience episodes of severe pain due to vaso-occlusive crises, which can affect various parts of the body, including the torso.
- Herpes zoster (shingles): Reactivation of the varicella-zoster virus can cause a painful rash that might initially present as sharp pain on one side of the torso before the rash appears.
- Tumor: Rarely, a tumor in the chest or abdominal cavity can cause localized pain, depending on its location and size.