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So back to your question: 1  Your chest hurts when you're emotionally sad because your brain processes physical and social pain in the same brain regions (dACC and AI) (the affective aspects of the pain). The fact that both pains overlap means the factors that decrease physical pain also decrease emotional pain.
Chest pain anxiety symptoms can feel like a pain, sharp shooting pains, or persistent chest pain in the chest area. It can also feel like you have muscle twitches and spasm in the chest. It can also feel like you have a burning, numbness, stabbing pain, an uneasiness, fullness, or pressure in the chest area. Some describe it as having a chest tension, odd pressure, or sharp pains in the chest and abdomen areas.