Intermittent Pain Under the Armpit: When to See a Rehab Specialist - Rehabilitation

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Intermittent pain under the armpit, especially if it radiates to the rib area, can be concerning and may indicate a variety of underlying issues. Given your description of the pain lasting for about ten minutes and then feeling numb or tingling, it’s essential to consider several potential causes.

First, the pain could be musculoskeletal in nature. Conditions such as muscle strain, rib dysfunction, or even issues related to the shoulder joint can lead to pain in the armpit area. The muscles around the shoulder and upper back can sometimes refer pain to the armpit, especially if there is tension or injury. If you have recently engaged in activities that require lifting or repetitive arm movements, this could contribute to muscle strain.

Another possibility is nerve-related issues. The brachial plexus, a network of nerves that originates from the spinal cord in the neck and travels down the arm, can be affected by compression or irritation. This could lead to symptoms such as pain, tingling, or numbness in the armpit and down the arm. Conditions such as thoracic outlet syndrome, where nerves or blood vessels are compressed in the space between the collarbone and the first rib, could also be a factor.

Additionally, it’s important to consider the possibility of referred pain from internal organs. While less common, conditions affecting the heart, lungs, or gastrointestinal tract can sometimes present as pain in the shoulder or armpit area. For example, angina or heart-related issues can sometimes manifest as pain in the left shoulder or arm, while conditions like gallbladder disease can cause referred pain to the right shoulder.

Given that your symptoms have recurred and seem to be changing in frequency and intensity, it would be wise to consult a healthcare professional, particularly a rehabilitation specialist or a physician who can conduct a thorough evaluation. They may recommend imaging studies, such as X-rays or MRI, to assess for any structural issues, as well as physical examinations to evaluate muscle strength, range of motion, and nerve function.

In the meantime, you might consider some self-care measures. Applying heat or ice to the affected area can help alleviate pain. Gentle stretching and strengthening exercises for the shoulder and upper back may also be beneficial, but it’s crucial to avoid any movements that exacerbate your pain. Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage discomfort.

In summary, while intermittent pain under the armpit can stem from various causes, including musculoskeletal issues, nerve compression, or referred pain from internal organs, it’s essential to seek professional evaluation, especially since your symptoms have recurred. A rehabilitation specialist can provide a tailored treatment plan that may include physical therapy, exercises, and other modalities to address your specific needs. Don’t hesitate to reach out for medical advice, as early intervention can often lead to better outcomes.