a Painful Lump Near the Shoulder: Possible Causes and Concerns - Oncology

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There is a hard lump near the right back of the neck close to the shoulder?


Recently, I've been experiencing mild pain and tingling sensations inside my head for about a week.
Today, I discovered a hard lump on the back right side of my neck, approximately the size of my thumb, which is painful when pressed.
I'm unsure what this could be.
Could you please help me, doctor? Thank you.

Dan Bing, 20~29 year old female. Ask Date: 2012/08/13

Dr. Lai Yicheng reply Oncology


Hello, sir: There are several types of tumors, and masses can be classified as benign or malignant.
It is recommended that if you discover a lump, you should visit a hospital for an evaluation by a physician.
You can start by seeing a general surgeon for assessment, and then arrange for subsequent treatment.
~Changhua Hospital cares about you~

Reply Date: 2012/08/13

More Info


When experiencing a painful lump near the shoulder, especially accompanied by internal head pain and tingling sensations, it is essential to approach the situation with caution and seek medical advice. The symptoms you describe could be indicative of several potential issues, and understanding these can help guide you toward appropriate care.

Firstly, the lump you have discovered in the right posterior neck area could be a swollen lymph node, which often occurs in response to infection or inflammation. Lymph nodes can become enlarged due to various reasons, including viral infections (like the common cold), bacterial infections, or even localized skin infections. If the lump is tender to the touch and you have been experiencing other symptoms such as headaches or tingling, it may suggest that your body is responding to an infection.

Another possibility is that the lump could be a cyst or a lipoma (a benign fatty tumor). These are generally harmless and may not require treatment unless they become painful or bothersome. However, the presence of pain and the recent onset of head discomfort should not be overlooked.

Additionally, the combination of symptoms you are experiencing could also be related to muscle tension or strain, especially if you have been under stress or have engaged in activities that strain your neck and shoulder muscles. Muscle knots or trigger points can sometimes present as lumps and can cause referred pain, which might explain the discomfort in your head.

Given that you have been experiencing these symptoms for a week, it is advisable to consult a healthcare professional for a thorough evaluation. They may perform a physical examination and possibly recommend imaging studies, such as an ultrasound or MRI, to better understand the nature of the lump and any underlying issues.

In the meantime, there are several self-care strategies you can employ to help alleviate discomfort:
1. Warm Compresses: Applying a warm compress to the area can help relax tense muscles and reduce pain.

2. Gentle Stretching: Engaging in gentle neck and shoulder stretches can help relieve muscle tension. Be cautious and avoid any movements that exacerbate the pain.

3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation if you are comfortable taking them.

4. Stress Management: Since stress can contribute to muscle tension, consider incorporating relaxation techniques such as deep breathing exercises, meditation, or yoga into your routine.

5. Posture Awareness: Pay attention to your posture, especially if you spend long hours at a desk or using electronic devices. Ergonomic adjustments can help prevent further strain on your neck and shoulders.

6. Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can support overall health and recovery.

In conclusion, while the lump and associated symptoms may not necessarily indicate a serious condition, it is crucial to have a healthcare professional assess your situation to rule out any significant issues. Early intervention can lead to better outcomes and help alleviate your discomfort. Please prioritize scheduling an appointment with your doctor to discuss your symptoms in detail.

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