Mild Pain Under the Right Armpit: Causes and Concerns - Pulmonology

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Mild pain in the right axilla?


Doctor, I’m sorry to bother you.
I started feeling a slight pain in my right armpit a few days ago, but the pain is very mild and only lasts for a few seconds.
I don’t have any symptoms like coughing, coughing up blood, or joint pain.
Could this be a sign of lung cancer, or is it just intercostal neuralgia?

Liang Xiansheng, 20~29 year old female. Ask Date: 2021/07/28

Dr. Jian Shuntian reply Pulmonology


Hello: The likelihood of lung cancer is low; please visit the pulmonary medicine clinic for an examination.

Reply Date: 2021/07/28

More Info


Understanding mild pain under the right armpit can be concerning, especially when one is trying to rule out serious conditions like lung cancer. However, based on your description of the pain being mild, fleeting, and not accompanied by other significant symptoms such as coughing, hemoptysis (coughing up blood), or joint pain, it is less likely that this is a sign of a serious condition like lung cancer.

There are several potential causes for mild pain in the armpit area, and they can range from benign to more serious. Here are some common causes:
1. Muscle Strain: One of the most common reasons for pain in the armpit area is muscle strain. This can occur from activities that involve lifting, reaching, or repetitive motions. If you've engaged in physical activities or sports recently, this could be a likely cause.

2. Nerve Irritation: The intercostal nerves, which run between the ribs, can become irritated or compressed, leading to pain that may be felt in the armpit area. This is often referred to as intercostal neuralgia and can be triggered by movements or postural issues.

3. Lymph Node Swelling: The armpit contains lymph nodes that can become swollen due to infections or other benign conditions. If the swelling is mild and not accompanied by other symptoms, it may resolve on its own.

4. Skin Conditions: Sometimes, skin irritations or infections, such as folliculitis or a rash, can cause localized pain in the armpit area.

5. Referred Pain: Pain in the armpit can sometimes be referred from other areas, such as the chest or shoulder. Conditions affecting the shoulder joint or muscles can lead to sensations of pain in the armpit.

6. Anxiety and Stress: Psychological factors can also contribute to physical sensations of pain. Anxiety can lead to muscle tension and discomfort in various areas, including the armpit.

While your symptoms do not strongly suggest lung cancer, it is essential to remain vigilant. Lung cancer typically presents with more pronounced symptoms, including persistent cough, unexplained weight loss, fatigue, and chest pain. If you experience any of these symptoms or if the pain persists or worsens, it would be prudent to consult a healthcare professional for a thorough evaluation.

In the meantime, consider the following self-care measures to alleviate discomfort:
- Rest: Avoid activities that may exacerbate the pain.

- Heat Therapy: Applying a warm compress to the area can help relax tense muscles and alleviate discomfort.

- Gentle Stretching: Engaging in gentle stretching exercises for the shoulders and upper back may relieve tension.

- Over-the-Counter Pain Relief: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation if needed.

If the pain persists or if you develop new symptoms, it is advisable to seek medical attention. A healthcare provider can perform a physical examination and may recommend imaging studies or other tests to rule out any underlying conditions. Remember, early intervention is key to addressing any health concerns effectively.

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