Pain Around the Armpit: Causes and Concerns - Surgery

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Pain around the armpit area?


My boyfriend, who is the same age as me, has been experiencing pain around his left armpit for the past two weeks without any pressure or touch.
He usually has a habit of exercising, and he says the pain doesn't feel like a typical sports injury.
I'm not sure if it has anything to do with him being left-handed, but he does have more tissue around his left armpit, making it difficult to feel for any lumps inside.

Wen, 20~29 year old female. Ask Date: 2021/01/23

Dr. Xu Kaixi reply Surgery


Based on your description and information, it is difficult to determine the possible causes.
There are many possibilities ranging from localized folliculitis to lymphadenitis, among others.
It is recommended to visit a hospital's surgical outpatient department for examination and confirmation.

Reply Date: 2021/01/23

More Info


Understanding pain around the armpit can be quite complex, as it can stem from various causes, ranging from muscular issues to more serious underlying conditions. Given your boyfriend's symptoms of pain around the left armpit without any direct trauma or injury, it's essential to consider several potential factors.

Firstly, muscular strain or overuse is a common cause of pain in the armpit area, especially in individuals who engage in physical activities. Even if he feels that the pain does not resemble typical muscle strain, it could still be a result of micro-tears in the muscles or tendons surrounding the shoulder and upper arm. Since he is active, it’s possible that repetitive motions or certain exercises could lead to discomfort in that area.
Another consideration is the possibility of nerve-related issues. The brachial plexus, a network of nerves that sends signals from the spine to the shoulder, arm, and hand, runs close to the armpit. Compression or irritation of these nerves can lead to pain that may not necessarily be linked to a specific injury. Conditions such as thoracic outlet syndrome, where nerves or blood vessels are compressed as they pass from the neck to the arm, could also manifest as pain in the armpit.

Additionally, since you mentioned that he is left-handed, it’s worth noting that left-handed individuals may use their left arm differently, potentially leading to imbalances or overuse injuries. If he predominantly uses his left arm for activities, this could contribute to localized pain.

In some cases, pain in the armpit can be referred pain from other areas, such as the heart or lungs. While this is less common, it’s crucial to rule out any serious conditions, especially if the pain is persistent or accompanied by other symptoms like shortness of breath, chest pain, or unusual sweating.

Given that he has not noticed any lumps or swelling, it may be less likely that there is a significant mass or tumor causing the pain. However, if the pain persists, it would be wise for him to consult a healthcare professional for a thorough evaluation. A doctor may perform a physical examination, and if necessary, imaging studies such as an ultrasound or MRI to assess the soft tissues around the armpit and shoulder.

In the meantime, he might find relief through conservative measures. Resting the affected arm, applying ice to reduce inflammation, and over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort. Gentle stretching and strengthening exercises, once the acute pain subsides, may also be beneficial in restoring function and preventing future issues.

In conclusion, while there are several potential causes for pain around the armpit, understanding the specific nature of the pain and any accompanying symptoms is crucial for determining the appropriate course of action. If the pain continues or worsens, seeking medical advice is essential to ensure that any underlying issues are addressed promptly.

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