[45F] Experiencing intermittent armpit pain and tenderness

Patient Description

A 45-year-old female presents with a 3-week history of intermittent pain and tenderness in the right armpit. The tenderness is described as soreness that is exacerbated by certain movements and is spread out over the entire armpit. The pain occasionally manifests as a burning or shooting sensation, rated as a 3 out of 10 in severity. Relief is obtained by avoiding movement and applying ice. There are no associated skin changes, lumps, or swelling in the affected area. The patient denies any recent injuries, fever, unintentional weight loss, numbness, or tingling. The patient's medical history is unremarkable with no known chronic illnesses or allergies to medications. Current medications include Diazepam and Allegra. No other symptoms or medications have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possible explanations for your symptoms:

  • Muscle Strain or Overuse: This can occur if you've been doing a lot of heavy lifting or repetitive arm movements. Even if you don't recall a specific incident, it's possible to strain a muscle without realizing it.

    • Treatment typically involves rest, ice, and over-the-counter pain relievers. Physical therapy may be recommended for more severe strains.
  • Axillary Web Syndrome (AWS): Also known as cording, can sometimes occur after a surgery or physical trauma. It can cause pain and limited movement in the affected arm.

    • Treatment usually involves physical therapy to help break up the cords.
  • Lymphadenitis: This is an infection of the lymph nodes, which can cause pain and tenderness in the armpit. Other symptoms can include redness and warmth over the affected area, and sometimes fever.

    • Treatment usually involves antibiotics to clear the infection.
  • Breast Conditions: Certain conditions such as mastitis or breast cysts can sometimes cause pain that feels like it's in the armpit.

    • Treatment depends on the specific condition and may involve antibiotics or other medications.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

While waiting to see a healthcare provider, here are some things you can do to help manage your symptoms:

  1. Continue using ice packs on the affected area for 15 minutes at a time, several times a day.
  2. Over-the-counter pain relievers such as ibuprofen can help manage pain and reduce inflammation.
  3. Avoid lifting heavy objects or doing repetitive arm movements until your symptoms improve.
  4. If your pain worsens or you develop new symptoms, seek medical attention immediately.

What you should look out for

You should seek immediate medical attention if:

  • Your pain becomes severe or unbearable.
  • You develop a fever, chills, or other signs of infection.
  • You notice a lump or swelling in your armpit or breast.
  • You experience sudden arm weakness or numbness.

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What could cause intermittent pain and tenderness in the armpit without any visible lumps or swelling?

Intermittent pain and tenderness in the armpit without visible lumps or swelling could be due to muscle strain, overuse, or conditions like Axillary Web Syndrome. It is important to consider recent activities or movements that might have contributed to the pain.


How can muscle strain or overuse lead to armpit pain, and what are the treatment options?

Muscle strain or overuse can occur from heavy lifting or repetitive arm movements, even if not immediately noticeable. Treatment typically involves rest, ice application, and over-the-counter pain relievers. Physical therapy may be recommended for more severe cases.


What is Axillary Web Syndrome and how is it treated?

Axillary Web Syndrome, also known as cording, can occur after surgery or trauma and causes pain and limited movement in the arm. Treatment usually involves physical therapy to help break up the cords and improve mobility.


When should I seek medical attention for armpit pain?

You should seek medical attention if the pain becomes severe, you develop a fever or signs of infection, notice a lump or swelling, or experience sudden arm weakness or numbness.


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