Swelling Near the Clavicle: Causes and When to Seek Help - Orthopedics

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Swelling of the clavicle?


Hello, I recently noticed a swelling near my right clavicle close to my right shoulder.
It feels hard and seems like it could be a muscle or bone swelling.
However, I haven't experienced any injury or significant discomfort, although I do often use the computer and have poor posture, which makes my right arm feel more fatigued.
I'm concerned that it might be related to lymphatic issues.
Could you please advise me on how to address this and which specialist I should see? Thank you.

Niming, 20~29 year old female. Ask Date: 2015/11/06

Dr. Shi Guozheng reply Orthopedics


The joint in this area may be the acromioclavicular joint, which could become inflamed or swollen due to improper use.
It is advisable to see an orthopedic physician.

Reply Date: 2015/11/06

More Info


Swelling near the clavicle can be concerning, and it’s important to understand the potential causes and when to seek medical attention. The clavicle, or collarbone, is located at the top of the chest and connects the arm to the body. Swelling in this area can arise from various factors, including muscle strain, lymphatic issues, or even more serious conditions.


Possible Causes of Swelling Near the Clavicle
1. Muscle Strain or Overuse: Given that you mentioned frequent computer use and poor posture, it’s possible that the swelling is related to muscle strain. Repetitive movements or prolonged poor posture can lead to muscle tension and inflammation, which may manifest as swelling.

2. Lymphadenopathy: The area near the clavicle contains lymph nodes that can become swollen due to infections, inflammation, or other medical conditions. If the swelling is firm and not painful, it could be a lymph node reacting to an infection elsewhere in the body.

3. Cysts or Lipomas: Sometimes, benign growths such as cysts or lipomas (fatty tumors) can develop in this area. These are usually painless and can feel firm to the touch.

4. Injury or Trauma: Even if you don’t recall a specific injury, minor trauma can sometimes lead to swelling. This could be from a fall, bump, or even repetitive strain.

5. Infections: Infections in the skin or underlying tissues can cause localized swelling. If there are accompanying symptoms like redness, warmth, or fever, this could indicate an infection.

6. More Serious Conditions: In rare cases, swelling could be related to more serious conditions such as tumors or other malignancies. This is particularly concerning if the swelling persists or is accompanied by other symptoms like unexplained weight loss, night sweats, or persistent pain.


When to Seek Medical Help
You should consider seeking medical attention if:
- The swelling persists for more than a few days without improvement.

- You experience pain, redness, or warmth in the area.

- There are systemic symptoms such as fever, night sweats, or unexplained weight loss.

- You notice any changes in the size or shape of the swelling.

- You have difficulty moving your shoulder or arm.


Which Specialist to Consult
For swelling near the clavicle, you may want to start by consulting a primary care physician. They can perform a physical examination and may refer you to a specialist if necessary. Depending on the findings, you might be referred to:
- Orthopedic Specialist: If the swelling is suspected to be related to musculoskeletal issues.

- Rheumatologist: If there’s a concern about inflammatory or autoimmune conditions.

- Oncologist: If there’s a suspicion of malignancy based on further testing.

- Infectious Disease Specialist: If an infection is suspected.


Conclusion
In summary, while the swelling near your clavicle could be related to muscle strain or benign conditions, it’s essential to monitor the situation closely. If the swelling persists or worsens, or if you develop additional symptoms, don’t hesitate to seek medical advice. Early evaluation can help determine the cause and appropriate treatment, ensuring that any serious conditions are ruled out. Remember to maintain good posture and take regular breaks while using the computer to minimize strain on your muscles.

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