Left Axillary Pain: Symptoms and When to Seek Medical Help - Pulmonology

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left axilla


Hello Dr.
Chou: Recently, I have been experiencing cramping in the muscles between my left armpit and abdominal cavity, and I feel a gradual decrease in strength.
During these episodes, I am unable to even take a shower.
What could this be a sign of? How should I seek medical evaluation?

hcc.tan, 50~59 year old female. Ask Date: 2011/09/13

Dr. Zhou Ziguang reply Pulmonology


Hello, based on the symptoms you described, they are more indicative of a neuromuscular issue; however, a chest X-ray should still be performed to rule out pleural diseases.
I recommend that you consult with a pulmonologist or a neurologist for further evaluation.
Thank you.
Sincerely, Dr.
Chou Tzu-Kuang, Director of the Pulmonary Function Department.

Reply Date: 2011/09/13

More Info


Left axillary pain, particularly when accompanied by muscle spasms and a decrease in strength, can be indicative of several underlying conditions. It is essential to understand the symptoms and when to seek medical help to ensure proper diagnosis and treatment.


Symptoms of Left Axillary Pain
1. Muscle Spasms: The sensation of muscle cramps or spasms in the left axillary region can be due to muscle strain, overuse, or even dehydration. These spasms can cause discomfort and may limit your range of motion.

2. Weakness: A gradual decrease in strength, especially if it affects daily activities like bathing, could suggest a neuromuscular issue or a problem with the muscles themselves. This could be due to nerve compression, injury, or even conditions like thoracic outlet syndrome.

3. Pain Characteristics: Understanding the nature of the pain is crucial. Is it sharp, dull, or throbbing? Does it radiate to other areas, such as the arm or chest? Pain that radiates could indicate a more serious condition, such as cardiac issues, especially if accompanied by other symptoms like shortness of breath or sweating.

4. Associated Symptoms: Pay attention to any additional symptoms such as numbness, tingling, or changes in skin color. These could provide further clues to the underlying cause.


Possible Causes
1. Musculoskeletal Issues: Strains or sprains in the muscles or ligaments around the shoulder and axillary region can lead to pain and spasms. Poor posture or repetitive movements can exacerbate these conditions.

2. Nerve Compression: Conditions like thoracic outlet syndrome, where nerves or blood vessels are compressed in the space between the collarbone and the first rib, can lead to pain and weakness in the arm and shoulder.

3. Cardiac Concerns: Although less common, left-sided chest pain can sometimes be related to heart issues. If the pain is severe, sudden, or accompanied by other symptoms like chest tightness, it is crucial to seek immediate medical attention.

4. Infections or Inflammatory Conditions: Infections in the area, such as abscesses or lymphadenopathy, can cause localized pain. Inflammatory conditions like costochondritis can also lead to discomfort in the chest and axillary region.


When to Seek Medical Help
- Persistent Symptoms: If the pain and weakness persist for more than a few days without improvement, it is advisable to seek medical evaluation.


- Severe Pain: If the pain is severe or debilitating, or if it worsens over time, you should consult a healthcare provider.

- Accompanying Symptoms: Seek immediate medical attention if you experience symptoms such as shortness of breath, chest pain, dizziness, or any neurological symptoms like weakness or numbness in the arm.


Recommended Actions
1. Consult a Healthcare Provider: Given the symptoms you've described, it would be prudent to see a physician, preferably one specializing in musculoskeletal or neurological disorders. They may perform a physical examination and recommend imaging studies, such as an X-ray or MRI, to assess the underlying structures.

2. Physical Therapy: If the issue is musculoskeletal, physical therapy may be beneficial in strengthening the muscles and improving flexibility.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort, but it is essential to use them as directed and consult with a healthcare provider if symptoms persist.

4. Lifestyle Modifications: Consider evaluating your daily activities and posture. Ergonomic adjustments and regular breaks during repetitive tasks can help prevent strain.

In conclusion, left axillary pain accompanied by muscle spasms and weakness warrants careful evaluation. Understanding the symptoms and knowing when to seek medical help can lead to timely diagnosis and effective treatment. Always prioritize your health and do not hesitate to consult a healthcare professional for any concerning symptoms.

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