Please consult regarding the issue with the left armpit?
Recently, I have been experiencing intermittent chest tightness, and lately, I've noticed some pain in a specific area.
The pain is located near the front of my left chest, close to my left armpit.
When I pinch it with the web of my right hand, I can feel a thick structure that I’m unsure if it’s a blood vessel or a tendon.
It is slightly painful.
What could this issue be, and what should I do? Thank you for your guidance, doctor.
Ben, 40~49 year old female. Ask Date: 2022/03/10
Dr. Li Yanheng reply Rehabilitation
It could be the tendon of the pectoralis major or latissimus dorsi muscles, but it is common to experience soreness when pinching a tendon.
It is recommended to visit a rehabilitation clinic for an examination.
Reply Date: 2022/03/10
More Info
Left armpit pain can be concerning, especially when accompanied by symptoms like chest tightness. The area you are describing, located under the left armpit and near the left chest, may involve several anatomical structures, including muscles, nerves, blood vessels, and lymph nodes. Understanding the potential causes of your pain is crucial for determining the appropriate rehabilitation strategies.
Possible Causes of Left Armpit Pain
1. Muscle Strain: Overuse or strain of the muscles in the chest or shoulder area can lead to localized pain. Activities such as lifting heavy objects or repetitive arm movements can cause muscle fatigue and soreness.
2. Nerve Compression: The brachial plexus, a network of nerves that innervates the arm, runs near the armpit. Compression or irritation of these nerves can lead to pain, tingling, or weakness in the arm.
3. Lymphadenopathy: Swollen lymph nodes in the armpit can cause discomfort and may indicate an underlying infection or other medical conditions.
4. Cardiac Issues: Although less common, pain in the left side of the chest and armpit can sometimes be related to heart conditions. If you experience chest tightness or pain that radiates to the arm, neck, or jaw, it is essential to seek immediate medical attention.
5. Referred Pain: Pain in the left armpit may also be referred from other areas, such as the neck or upper back, due to muscle tension or spinal issues.
Rehabilitation Tips
1. Rest and Activity Modification: Avoid activities that exacerbate the pain, such as heavy lifting or repetitive arm movements. Allowing the affected area to rest can help reduce inflammation and promote healing.
2. Heat Therapy: Applying heat to the affected area can help relax tense muscles and improve blood circulation. Use a warm compress or heating pad for 15-20 minutes several times a day.
3. Gentle Stretching: Once the acute pain subsides, gentle stretching exercises can help improve flexibility and reduce muscle tightness. Focus on stretches that target the chest, shoulders, and upper back.
4. Strengthening Exercises: After addressing any acute pain, gradually incorporate strengthening exercises for the shoulder and upper back. This can help improve stability and prevent future injuries. Consult a physical therapist for a tailored exercise program.
5. Posture Correction: Poor posture can contribute to muscle strain and discomfort. Pay attention to your posture, especially when sitting or working at a desk. Ergonomic adjustments can help alleviate strain on the upper body.
6. Consult a Healthcare Professional: If the pain persists or worsens, it is essential to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies, such as an MRI or ultrasound, to assess the underlying structures and determine the appropriate treatment plan.
When to Seek Immediate Medical Attention
If you experience any of the following symptoms, seek immediate medical attention:
- Severe chest pain or pressure
- Pain that radiates to the arm, neck, or jaw
- Shortness of breath or difficulty breathing
- Dizziness or fainting
- Swelling in the arm or leg
In conclusion, left armpit pain can arise from various causes, and understanding these can guide effective rehabilitation strategies. It is crucial to listen to your body, modify activities as needed, and seek professional guidance if symptoms persist. Your health and well-being are paramount, so do not hesitate to reach out for help when needed.
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