Axillary pain
Hello Doctor, for the past week or two, I've been experiencing pain in both armpits whenever I raise my arms (it's not a wound pain, but rather a pulling sensation).
When I press near the back of my shoulders, there's a slight swelling, and it hurts a little when touched.
Could this be due to my recent cold not fully resolving, causing lymphadenopathy? Or could there be other possible causes for this condition? Thank you, Doctor, for taking the time to respond!
Meng, 10~19 year old female. Ask Date: 2016/04/18
Dr. Li Zhonghuai reply Surgery
Hello! Please take care of your cold first, and then assess whether the swelling has decreased.
Take care! Changhua Hospital is concerned about you!
Reply Date: 2016/04/18
More Info
Understanding armpit pain can be quite complex, as it can stem from various causes, ranging from benign to more serious conditions. Based on your description of pain in both armpits when raising your arms, along with slight swelling and tenderness near the shoulder area, several potential causes can be considered.
One common reason for armpit pain, especially if you have recently been ill, is lymphadenopathy, which is the swelling of the lymph nodes. When the body is fighting an infection, such as a cold or flu, the lymph nodes can become enlarged as they produce more immune cells to combat the pathogens. This can lead to discomfort or pain in the surrounding areas, including the armpits. The lymph nodes in the armpit (axillary lymph nodes) can become particularly reactive to infections in the upper body, including respiratory infections.
Another possibility is muscle strain or overuse. If you've been engaging in activities that involve lifting your arms or repetitive motions, you might have strained the muscles in your shoulders or upper arms. This can lead to a sensation of pain that feels like a pulling or stretching when you raise your arms.
In some cases, pain in the armpit can also be related to issues with the shoulder joint itself, such as rotator cuff injuries or tendinitis. These conditions can cause referred pain to the armpit area, especially when moving the arm in certain ways.
Additionally, it’s important to consider other potential causes, such as:
1. Infections: Aside from viral infections, bacterial infections can also lead to swollen lymph nodes and pain. Conditions like cellulitis or abscesses in the armpit area can cause localized pain and swelling.
2. Cysts or tumors: Although less common, cysts or benign tumors in the axillary region can cause discomfort and swelling.
3. Nerve issues: Conditions affecting the nerves, such as thoracic outlet syndrome, can lead to pain in the shoulder and armpit area due to nerve compression.
4. Systemic conditions: Certain systemic diseases, such as autoimmune disorders or malignancies, can also present with lymphadenopathy and pain.
Given your recent illness, it is plausible that your symptoms are related to lymph node swelling due to your body’s response to infection. However, if the pain persists, worsens, or is accompanied by other concerning symptoms (such as fever, significant swelling, or changes in skin color), it is crucial to seek medical attention. A healthcare provider may perform a physical examination and possibly recommend imaging studies or blood tests to determine the underlying cause of your symptoms.
In the meantime, you can manage the discomfort with rest, applying warm compresses to the affected area, and taking over-the-counter pain relievers like ibuprofen or acetaminophen, if appropriate for you. Gentle stretching and avoiding activities that exacerbate the pain may also be beneficial.
In summary, while your symptoms may be related to recent illness and lymph node swelling, it is essential to monitor your condition and consult a healthcare professional if symptoms persist or worsen. Your health and well-being are paramount, and a thorough evaluation can help ensure that any underlying issues are addressed appropriately.
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