Link Between Persistent Neck Lymph Node Swelling and Shoulder Pain?

After three weeks of lymphadenopathy in the neck, a painful lump has appeared on the shoulder. Is there a connection?

Hello, doctor.
I am currently taking antibiotics because I have had lymphadenopathy in the left occipital region for three weeks without resolution.
After a CT scan, it was suggested that it might be Kikuchi disease, and I will have to wait until next week for an ultrasound to confirm the details.
However, this week I suddenly noticed a painful point on the left shoulder, specifically behind the protrusion of the shoulder bone, and it is the only point that is slightly raised.
I would like to know if this could be related to my lymphadenopathy, or if I should see a specialist in a particular field.
Thank you.

Wang, 30~39 year old female. Ask Date: 2018/11/18

Dr. Ji Zhaoyun reply Otolaryngology

Hello, based on your description, it is most likely that the enlargement of the cervical lymph nodes will be treated with some medications, and antibiotics may be used if necessary.
However, if the swelling in the neck continues to progress and leads to a deep neck infection, it is essential to take antibiotics and other medications.
As for Kikuchi disease, a biopsy is required for diagnosis through pathology reports.
If the condition is still progressing, it is advisable to consult an otolaryngologist and take medications as needed.
Wishing you peace and good health.
Sincerely, Chi Chao-Yun, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2018/11/18

More Info

Persistent neck lymph node swelling, especially when associated with pain in the shoulder area, can indeed raise concerns about underlying conditions. In your case, the left posterior cervical lymph node swelling that has persisted for three weeks, along with the recent development of localized shoulder pain, warrants a thorough evaluation.

Firstly, it is important to understand the potential connections between lymph node swelling and shoulder pain. Lymph nodes are part of the immune system and can become enlarged due to infections, inflammation, or malignancies. In your case, the mention of "菊地式症" (likely referring to Kikuchi disease, a rare condition characterized by lymphadenopathy and fever) suggests that there may be an underlying inflammatory process affecting your lymphatic system. This condition can lead to localized pain and discomfort, which might explain the pain you are experiencing in your shoulder.

The shoulder pain you described, particularly the tender and slightly raised area behind the shoulder blade, could be related to referred pain from the cervical spine or the lymphatic system. The cervical spine can often be a source of referred pain to the shoulder due to nerve root irritation or compression, especially if there are underlying issues such as cervical spondylosis or disc herniation, as indicated in previous MRI reports. Additionally, the proximity of the lymph nodes to the shoulder area means that inflammation or irritation in the lymphatic system could potentially lead to localized pain in the shoulder.

Given that you are currently on antibiotics, it is crucial to monitor your symptoms closely. If the shoulder pain persists or worsens, or if you develop additional symptoms such as fever, night sweats, or significant weight loss, it would be prudent to seek further medical evaluation.
In terms of which specialty to consult, you may want to consider seeing an Ear, Nose, and Throat (ENT) specialist or a hematologist, as they are well-equipped to evaluate lymphatic issues. An ENT specialist can assess the lymph nodes and any potential connection to the cervical spine or shoulder pain. If Kikuchi disease is confirmed, follow-up with a hematologist may also be beneficial, as they can provide insights into management and any necessary further investigations.

In the meantime, it may be helpful to engage in gentle range-of-motion exercises for your neck and shoulder, as long as they do not exacerbate your pain. Applying warm compresses to the affected area may also provide some relief. However, avoid any strenuous activities that could aggravate your symptoms until you have a clearer understanding of your condition.

In summary, while there may be a connection between your persistent lymph node swelling and shoulder pain, a thorough evaluation by a medical professional is essential to determine the underlying cause and appropriate management. Keep track of your symptoms and do not hesitate to seek further medical advice if necessary.

Similar Q&A

Understanding Left Shoulder and Neck Pain: Causes and Solutions

Hello doctor, I would like to ask for your advice. My left shoulder has been slightly swollen for a week now. At first, I thought it would get better in a few days, but applying medicated patches and ointments hasn't helped, and it has also caused skin allergies. Additionall...

Dr. Li Yongheng reply Orthopedics
Based on your symptoms, there is a higher likelihood of left shoulder tendonitis. However, if there is a lump in your neck, it is still recommended that you visit an orthopedic clinic to rule out lymphadenopathy. Wishing you a speedy recovery.

Understanding Lymph Node Swelling, Back Pain, and Night Sweats

Hello, Doctor. Since the passing of a family member in October, my previously hectic and stressful life has slowed down, and my body has started to react to the sadness with various symptoms. Over the past two months, I have been visiting the hospital almost every week, undergoin...

Dr. Zheng Jueyi reply Otolaryngology
Hello, currently the cause cannot be determined. If most tests show no abnormalities, chronic fatigue, autonomic nervous system disorders, or health anxiety may be suspected. It is recommended to seek evaluation and assessment from a psychosomatic medicine specialist.

Understanding Neck Lymphadenitis: Causes, Diagnosis, and Treatment Options

Lymphadenitis of the sternocleidomastoid muscle has been evaluated through neck and chest X-rays, blood tests, and imaging studies, all of which returned normal results. Two neck ultrasounds were performed; one doctor suggested muscle inflammation while another indicated lymphati...

Dr. Zheng Jueyi reply Otolaryngology
Hello, if multiple examinations have shown no abnormalities, it is mostly a benign condition, and observation is recommended. If the lymph nodes continue to enlarge or become painful, further medical evaluation is advised. A lymph node biopsy can provide useful information, but i...

Understanding Left Shoulder Pain and Its Connection to Lymph Node Inflammation

I have been experiencing soreness in my left shoulder and arm recently, and when I touch the area near my armpit, I feel significant pain. Additionally, the gums on the left side of my mouth are inflamed and swollen. I wonder if this is related to lymphadenitis...?

Dr. Yang Hongzhi reply Internal Medicine
Significant pain in the axilla is more likely caused by lymphadenopathy, often accompanied by palpable enlarged lymph nodes. If there is lymphadenopathy and pain in the axilla, it is commonly due to infections in the upper arm or chest, while oral infections are less likely to ca...