Armpit Pain After Coughing: Rehab or Heat Therapy? - Rehabilitation

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Axillary pain?


I have been experiencing a cough due to the flu for the past few days, and I have to cough forcefully to expel phlegm.
Now, every time I cough, I feel a sharp pain in the side of my chest under my armpit, and it also hurts when I press on that area.
Should I consider physical therapy or apply heat? Thank you.

Zeze, 30~39 year old female. Ask Date: 2024/01/22

Dr. Wang Zhaomin reply Rehabilitation


Side chest pain may be caused by a strain of the intercostal muscles or other muscles near the thoracic area due to persistent coughing.
Applying a warm compress can help alleviate symptoms.
If there is no improvement or if the condition worsens, please visit an orthopedic or rehabilitation specialist for an accurate diagnosis and appropriate treatment.

Reply Date: 2024/01/22

More Info


Experiencing armpit pain after persistent coughing, especially due to an illness like the flu, is not uncommon. The pain you are feeling in the armpit and side of the chest can be attributed to several factors, primarily muscle strain and irritation of the intercostal muscles, which are the muscles located between your ribs. When you cough forcefully, these muscles can become overworked, leading to soreness or pain.


Understanding the Pain
1. Muscle Strain: Coughing is a vigorous activity that engages multiple muscle groups, including those in the chest and around the armpit. If you have been coughing frequently and forcefully, it is likely that you have strained these muscles, resulting in pain when you press on the area or when you move in certain ways.

2. Nerve Irritation: The intercostal nerves, which run along the ribs, can also become irritated during intense coughing. This irritation can manifest as sharp or shooting pain in the chest or armpit area.

3. Inflammation: If you have been coughing due to an infection, there may be some inflammation in the surrounding tissues, which can contribute to discomfort.


Treatment Options
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1. Heat Therapy:
Applying heat to the affected area can be very beneficial. Heat therapy helps to relax and soothe sore muscles, improve blood circulation, and alleviate pain. You can use a warm compress, heating pad, or take a warm shower to help ease the discomfort.
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2. Rest:
Allowing your body to rest is crucial, especially if you are recovering from an illness. Avoid activities that may exacerbate the pain, such as heavy lifting or strenuous exercise.

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3. Gentle Stretching:
Once the acute pain subsides, gentle stretching of the chest and shoulder muscles can help improve flexibility and reduce tension. Be cautious and avoid any movements that cause sharp pain.

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4. Over-the-Counter Pain Relief:
Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or acetaminophen can help reduce pain and inflammation. However, consult with a healthcare provider before taking any medication, especially if you have underlying health conditions or are taking other medications.

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5. Physical Therapy:
If the pain persists or worsens, consider consulting a physical therapist. They can provide targeted exercises and modalities to help strengthen the muscles around the chest and improve your overall recovery.


When to Seek Medical Attention
If the pain is severe, persistent, or accompanied by other concerning symptoms such as difficulty breathing, chest tightness, or fever, it is essential to seek medical attention. These could be signs of a more serious condition that requires further evaluation.


Conclusion
In summary, the pain you are experiencing in your armpit and side of the chest after coughing is likely due to muscle strain and irritation from the forceful coughing associated with your flu symptoms. Utilizing heat therapy, resting, and possibly engaging in gentle stretching can help alleviate your discomfort. If symptoms persist or worsen, do not hesitate to consult a healthcare professional for further evaluation and treatment. Remember, taking care of your body during recovery is vital for a swift return to health.

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