<s>[INST] I am a 54 year old woman in good physical condition. I have recently started having intermittent chest pressure with an increase in pressure when I bend over or take a deep breath. I m not sure weather it could be from push ups with a row at the top,using 5lb wt. or something else. I feel that maybe that particular exercise is too strenuous for me. I also should say that I work in a nursing home in rehab as a therapist. Many of the patients I work closely with have pneumonia this time of the year, and are coughing when they are with me. I have had a flu shot, but not a pneumonia shot as I feel I am too young and have a healthy immune system . Did I get too cocky? What do you think. [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. Possibility of musculoskeletal pain is more. But since you are in direct contact with pneumonia patients and pneumonia spreads through aerosol, we should definitely rule out lung infection in your case. So get done chest x ray. If chest x ray is normal then no need to worry for pneumonia. Musculoskeletal pain is more likely. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Take painkiller and muscle relaxant drugs. Apply warm water pad on affected areas.. Don't worry, you will be alright with all these. And it is advisable to take pneumococcal vaccine in your profession. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>