Q: Can you explain different kinds of chest pains? How do I know when to see a doctor? – K. T. A: There are several types of chest pain because chest pain may also be caused by problems in your lungs, esophagus muscles, ribs or nerves. Coronary Artery Disease – Blockage in the heart blood vessels that causes reduced blood flow and oxygen to the heart muscle. The chest pain may spread to your arm, shoulder, jaw or back. It may feel like a pressure or squeezing sensation. Pages: 1 2.