Unexplained Armpit Pain: Causes and When to Seek Medical Help - Neurology

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Occasionally experiencing a dull pain in the armpit?


Hello Doctor: I often experience unexplained pain in my left armpit.
I consulted a doctor, and upon examination, no lumps were found.
The doctor could not determine the cause, and later, a biopsy of the armpit showed no abnormalities.
Occasionally, I also feel pain in my right armpit, but it is not as frequent as on the left side.
I am unsure of the reason for this recurring pain.
Which specialty should I consult for further evaluation? Is there any way to alleviate the discomfort?

Andy, 40~49 year old female. Ask Date: 2022/02/10

Dr. Cai Zongzhang reply Neurology


Hello Andy: It is recommended to visit the neurology outpatient clinic for an examination.

Reply Date: 2022/02/10

More Info


Unexplained armpit pain can be a perplexing issue, especially when initial medical evaluations, such as physical examinations and imaging studies, do not reveal any obvious abnormalities. The left armpit pain you are experiencing, particularly if it is recurrent and persistent, warrants further investigation to identify potential underlying causes.

Possible Causes of Armpit Pain
1. Musculoskeletal Issues: One of the most common causes of armpit pain is related to musculoskeletal problems. This can include muscle strains, ligament sprains, or even referred pain from the shoulder or neck. If you have recently engaged in activities that involve lifting or repetitive arm movements, this could lead to muscle fatigue or strain.

2. Nerve Compression: Conditions such as thoracic outlet syndrome, where nerves or blood vessels are compressed as they pass from the neck to the arm, can lead to pain in the armpit area. This can also cause numbness or tingling in the arm.

3. Lymphatic Issues: The armpit contains lymph nodes that can become swollen or tender due to infections, inflammation, or other conditions. Although your biopsy did not reveal any abnormalities, it is still possible for lymphatic issues to cause discomfort.

4. Referred Pain: Sometimes, pain in the armpit can be referred from other areas of the body, such as the heart, lungs, or gastrointestinal tract. For example, heart-related issues can sometimes present as pain in the left arm or armpit.

5. Infections: While you mentioned that there were no signs of infection, it is still worth considering that certain infections, such as a localized skin infection or even systemic infections, can cause pain in the armpit.


When to Seek Medical Help
If your armpit pain persists or worsens, it is important to seek further medical evaluation. You should consider consulting with a specialist, such as an orthopedic doctor, neurologist, or even a pain management specialist, depending on the nature of your symptoms.

Recommended Steps for Improvement
1. Physical Therapy: Engaging in physical therapy can help strengthen the muscles around the shoulder and armpit area, improve flexibility, and alleviate pain. A physical therapist can provide tailored exercises and techniques to address your specific issues.

2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort. If the pain is severe or persistent, your doctor may prescribe stronger medications or recommend other pain management strategies.

3. Lifestyle Modifications: Pay attention to your posture and ergonomics, especially if you spend long hours sitting or working at a desk. Taking regular breaks to stretch and move can help reduce muscle tension.

4. Stress Management: Sometimes, stress can exacerbate pain symptoms. Techniques such as mindfulness, yoga, or meditation can be beneficial in managing stress and reducing pain perception.

5. Follow-Up: Keep a symptom diary to track when the pain occurs, its intensity, and any associated activities. This information can be valuable for your healthcare provider in determining the underlying cause and appropriate treatment.

In conclusion, while unexplained armpit pain can be frustrating, there are various potential causes and avenues for treatment. It is essential to continue seeking medical advice and consider a multidisciplinary approach to address your symptoms effectively. If you experience any new or concerning symptoms, such as significant swelling, changes in sensation, or systemic symptoms like fever, do not hesitate to seek immediate medical attention.

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