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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 refers to pain felt anywhere in the chest area from the level of your shoulders to the bottom of your ribs. It is a common symptom. There are many causes of chest pain. This leaflet only deals with the most common.