Underarm Discomfort: When to Seek Medical Advice - Breast and Thyroid

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There is a sensation of tightness or discomfort in the armpit?


Hello Dr.
Wu: Recently, I've been feeling a tightness in my right armpit.
My job requires me to raise my right arm frequently, and I'm not sure if it's due to overuse or some other reason.
I feel something is off but I'm unsure which specialist to see.
Could you please advise me on which department I should consult? Thank you.

Ms. Hsu, 30~39 year old female. Ask Date: 2010/07/21

Dr. Wu Jingtang reply Breast and Thyroid


Dear Ms.
Hsu,
Hello, the sensation of "tightness under the right armpit" can have many causes, including excessive workload, axillary accessory breast tissue, or subcutaneous tumors such as lipomas, among others.
You may consider consulting a general surgeon or a breast surgeon.
Wishing you safety and health.
Sincerely,
Dr.
Wu Ching-Tang
Attending Surgeon, Department of Surgery
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2010/07/21

More Info


Hello, thank you for reaching out with your concerns about the discomfort you're experiencing in your right underarm. It's understandable to feel uncertain about the cause of your symptoms, especially when they may be related to your work activities.
Based on your description, the discomfort in your right underarm could be attributed to several factors, including muscle strain, nerve compression, or even issues related to the shoulder or upper back. Given that your job requires you to frequently raise your right arm, it's possible that you may be experiencing a repetitive strain injury. This type of injury occurs when the same motion is repeated over time, leading to inflammation and discomfort in the muscles, tendons, or nerves in that area.

Here are some potential causes of your underarm discomfort:
1. Muscle Strain: Overuse of the muscles in your shoulder and upper arm can lead to strain, resulting in discomfort that may radiate to the underarm area.

2. Nerve Compression: Conditions such as thoracic outlet syndrome can occur when nerves or blood vessels are compressed in the space between your collarbone and your first rib. This can cause pain, tingling, or discomfort in the shoulder, arm, and underarm.

3. Shoulder Issues: Problems with the shoulder joint, such as rotator cuff injuries or tendinitis, can also lead to referred pain in the underarm area.

4. Lymphatic Issues: Although less common, swelling or discomfort in the underarm can sometimes be related to lymph nodes, especially if there is an infection or other underlying condition.

Given these possibilities, it would be advisable to seek medical attention. The first step would be to consult with a primary care physician or a general practitioner. They can perform a thorough examination, take a detailed history of your symptoms, and possibly recommend imaging studies, such as an X-ray or MRI, if necessary.

If your primary care physician suspects a specific condition, they may refer you to a specialist. Here are a few specialties that may be relevant based on your symptoms:
- Orthopedic Surgeon: If there is a concern about musculoskeletal issues, such as a shoulder injury or repetitive strain.

- Neurologist: If nerve compression or neurological issues are suspected.

- Physical Medicine and Rehabilitation Specialist: They can help with rehabilitation and pain management strategies.

In the meantime, consider some self-care measures to alleviate your discomfort. Resting the affected arm, applying ice to reduce inflammation, and avoiding activities that exacerbate the pain can be beneficial. Gentle stretching and strengthening exercises may also help, but it's important to consult with a healthcare professional before starting any exercise regimen.

In conclusion, while it can be challenging to pinpoint the exact cause of your underarm discomfort, seeking medical advice is the best course of action. A thorough evaluation will help determine the underlying issue and guide you toward appropriate treatment. Remember, early intervention can often lead to better outcomes, so don’t hesitate to reach out to a healthcare provider. Wishing you a speedy recovery!

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