[33F] With severe left breast pain and numbness

Patient Description

A 33-year-old female presents with progressively worsening intermittent severe pain in the left breast extending to the armpit over the past 3 to 4 days, rated as 8 out of 10. The patient reports associated numbness, tingling, and a burning sensation in the affected area, described as cold but hot. Pain and numbness are exacerbated by movements such as putting pressure on the left arm or raising it, which causes intense pain but alleviates numbness. The patient has observed an alternating lump, normal, and indent where the breast meets the chest, with the lump significantly larger since a breast MRI in 2022 that showed fibroids. Additional symptoms include arm weakness, changes in grip strength, pain around the side of the ribs, and intermittent chest tightness or pressure, sometimes feeling like something is caught in the lung. The patient experienced a recent cold with cough, wheezing, intermittent cold sweats, and chills for approximately two weeks. Medical history includes stage 4 high-grade cervical dysplasia with a full hysterectomy in 2020, and a latex allergy. Current medications are Metformin and Seroquel.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

  1. Musculoskeletal Issues: The pain extending from your left breast to your armpit, along with the relief you feel when adjusting your back, suggests a possible musculoskeletal issue. This could involve the muscles, ribs, or nerves in the area. Conditions like costochondritis (inflammation of the cartilage connecting a rib to the breastbone) or a pinched nerve could cause similar symptoms.

  2. Fibrocystic Breast Changes: Given your history of fibroids in the breast, it's possible that fibrocystic changes are contributing to the lump and pain. These changes can cause breast tissue to feel lumpy, tender, and sometimes painful, especially before your menstrual period.

  3. Nerve Involvement: The numbness, tingling, and burning sensations could indicate nerve involvement, possibly due to compression or irritation. This might be related to the musculoskeletal issues mentioned above or could be a separate issue.

  4. Infection or Inflammation: The recent cold, cough, and wheezing, along with intermittent cold sweats and chills, could suggest an underlying infection or inflammatory process. While these symptoms might be unrelated to the breast pain, they could indicate a respiratory infection or another systemic issue.

It's important to consult with a healthcare professional to determine the exact cause of your symptoms. They may recommend imaging tests, such as an updated MRI or ultrasound, to evaluate the changes in your breast tissue and rule out any serious conditions.

What you can do

Musculoskeletal Pain:

  • Consider gentle stretching exercises to relieve tension in the affected area.
  • Apply a warm compress to the area to help relax muscles and reduce pain.
  • Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate pain.

Breast Changes:

  • Keep track of any changes in the size or consistency of the lump using MDandMe to journal your symptoms and share this information with your healthcare provider.
  • Wear a supportive bra to minimize discomfort.

Nerve Symptoms:

  • Avoid activities that exacerbate the pain or numbness.
  • Gentle massage or physical therapy exercises may help improve symptoms.

General Health:

  • Stay hydrated and rest to support your recovery from the recent cold.
  • Monitor your symptoms and seek medical attention if they worsen or if you experience new symptoms.

What you should look out for

Seek medical attention if you experience any of the following:

  • Sudden increase in pain or swelling in the breast or armpit area.
  • New or worsening shortness of breath, chest pain, or pressure.
  • Persistent fever or chills that do not improve.
  • Significant changes in the lump or breast tissue.

Remember, while I can provide guidance, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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3 mo ago

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People Also Ask


What could cause severe pain in the breast and armpit area?

Severe pain in the breast and armpit area can be caused by musculoskeletal issues such as costochondritis or a pinched nerve, fibrocystic breast changes, or nerve involvement due to compression or irritation.


How can fibrocystic breast changes affect breast health?

Fibrocystic breast changes can cause the breast tissue to feel lumpy, tender, and sometimes painful. These changes are often related to hormonal fluctuations and can be more noticeable before a menstrual period.


What are the signs of nerve involvement in breast pain?

Signs of nerve involvement in breast pain include numbness, tingling, and burning sensations. These symptoms may indicate nerve compression or irritation, possibly related to musculoskeletal issues.


When should I seek medical attention for breast pain and related symptoms?

You should seek medical attention if you experience a sudden increase in pain or swelling, new or worsening shortness of breath, persistent fever or chills, or significant changes in the lump or breast tissue.


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