Arm Pain and Lumps: When to See a Doctor - Surgery

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Hello!


I woke up yesterday with pain in my left arm, and when I touched it, I found a hard lump that hurts.
My menstrual period just started; could this be related? If I need to see a doctor, which specialty should I consult, or what type of clinic should I go to?

Ping, 20~29 year old female. Ask Date: 2018/11/15

Dr. Tang Yuxiong reply Surgery


Hello, you may be experiencing axillary lymphadenopathy.
Swelling of the lymph nodes can be an important warning sign, indicating that there may be an infection or inflammation in some part of the body.
You should continue to monitor the situation, and if you experience any discomfort, it is advisable to seek medical attention promptly.

Reply Date: 2018/11/15

More Info


When experiencing arm pain accompanied by a lump, it is essential to approach the situation with caution and awareness of potential underlying issues. The symptoms you describe—pain in the left arm and the presence of a hard lump—can arise from various causes, some of which may require medical attention.

Firstly, it is important to consider the timing of your symptoms in relation to your menstrual cycle. Hormonal fluctuations during menstruation can lead to breast tenderness and swelling, which may sometimes be felt in the surrounding areas, including the arms. However, if the lump is distinctly separate from breast tissue and is painful, it may not be solely related to your menstrual cycle.

Common causes of arm pain and lumps include:
1. Muscle Strain or Injury: Overexertion or an awkward sleeping position can lead to muscle strain, resulting in pain and localized swelling. If the lump feels like a muscle knot, it could be due to muscle tension.

2. Lymphadenopathy: Swollen lymph nodes can occur due to infections, inflammation, or other medical conditions. If the lump is near the armpit or along the arm, it could be a swollen lymph node reacting to an infection.

3. Cysts or Lipomas: These are benign growths that can develop in the soft tissues. They are usually painless but can become tender if they press on surrounding structures.

4. Tendonitis: Inflammation of the tendons in the arm can cause pain and swelling, particularly if there has been repetitive use or strain.

5. Nerve Issues: Conditions such as carpal tunnel syndrome or cervical radiculopathy can cause pain that radiates down the arm, often accompanied by tingling or numbness.

Given the variety of potential causes, it is advisable to consult a healthcare professional for a thorough evaluation. The type of doctor you should see depends on the specific characteristics of your symptoms:
- Primary Care Physician: This is often the best starting point. They can assess your symptoms, perform a physical examination, and determine if further testing or referral to a specialist is necessary.

- Orthopedic Specialist: If the pain is suspected to be related to musculoskeletal issues, an orthopedic doctor can provide specialized care for bones, joints, and muscles.

- Rheumatologist: If there is a suspicion of an autoimmune condition or systemic issue, a rheumatologist may be appropriate.

- Neurologist: If nerve involvement is suspected, a neurologist can evaluate and manage nerve-related issues.

- General Surgeon: If the lump appears to be a cyst or another type of growth that may require surgical intervention, a general surgeon can provide options.

In conclusion, while hormonal changes related to your menstrual cycle may contribute to your symptoms, the presence of a painful lump warrants further investigation. It is crucial to seek medical advice to rule out any serious conditions and to receive appropriate treatment. Early intervention can lead to better outcomes, especially if the symptoms persist or worsen.

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