armpit pain
Introduction
Introduction Under normal circumstances, the pain under the armpit is mostly caused by mental stress, long-term posture, local inflammation, breast hyperplasia, ischemic heart disease, etc. It is recommended to go to the regular hospital for physical examination, blood test, etc. Determine the cause, targeted disposal, so as not to delay.
Cause
Cause
The cause of axillary pain:
The pain under the armpit is mostly caused by mental stress, incorrect long-term posture, local inflammation, breast hyperplasia, and ischemic heart disease.
Examine
an examination
Related inspection
General photo inspection
Examination and diagnosis of axillary pain:
Can be seen in breast hyperplasia, often pain or tingling, can involve one or both sides of the breast, more common on one side, severe pain can not touch, and even affect daily life and work. Pain is mainly caused by breast lumps, and can also be radiated to the affected side of the armpit, chest or shoulder and back; some are characterized by pain or itching of the nipple. Breast pain often occurs or worsens a few days before menstruation, and pain is significantly reduced or disappeared after menstruation; pain can also fluctuate with mood changes. This pain associated with menstrual cycles and mood changes is a major feature of the clinical manifestations of mammary gland hyperplasia.
It can also be seen in brachial plexus neuritis, which may have a history of immunization or a history of cold. Most of the patients were adults with acute or subacute onset. The initial pain was located on one side of the neck, the supraclavicular fossa or the shoulder. For example, the burning and acupuncture, the pain was intermittent, and soon it became continuous. Paroxysmal intensification. The range of pain extends to the ipsilateral upper arm, forearm, and hand, but to the ulnar side. When the brachial plexus is pulled, the abduction or lifting of the upper extremities often exacerbates the pain. There is obvious tenderness on the brachial plexus (upper, lower, or axillary fossa), which may have a loss of sensation or allergies. Muscle weakness is most severe with the scapula and the proximal muscles of the upper arm.
Diagnosis
Differential diagnosis
Differential diagnosis of symptoms that are easily confused with axillary pain:
(1) brachialplexus neuritis: the cause is unknown. There may be a history of immunization or a history of cold before the illness. Most of the patients were adults with acute or subacute onset. The initial pain was located on one side of the neck, the supraclavicular fossa or the shoulder. For example, the burning and acupuncture, the pain was intermittent, and soon it became continuous. Paroxysmal intensification. The range of pain extends to the ipsilateral upper arm, forearm, and hand, but to the ulnar side. When the brachial plexus is pulled, the abduction or lifting of the upper extremities often exacerbates the pain. There is obvious tenderness on the brachial plexus (upper, lower, or axillary fossa), which may have a loss of sensation or allergies. Muscle weakness is most severe with the scapula and the proximal muscles of the upper arm. At the beginning of the disease, the sputum reflex was more active, but soon it subsided or disappeared. After a few weeks, the muscles have a degree of atrophy. Some patients have autonomic dysfunction at the distal extremity, such as thin skin, swelling, and abnormal sweating. Usually the pain can be alleviated or disappeared within a few days, and some will last for a few weeks. The limbs began to improve in a few weeks or months, but in the end they all improved significantly. Cerebrospinal fluid examination is normal. After the individual patient improved on one side, the other side became ill.
(2) Pain syndrome in the neck and chest exit area (painsyndrome of thecervicalthaxicoutlet): pain syndrome in the neck and chest exit area, clavicle, rib syndrome and pectoralis minor muscle syndrome are all caused by nerves and blood vessels in the back of the neck and chest. . The cervical and thoracic dorsal exit zone is composed of a first rib, an upper sternum in the front, and a first thoracic vertebra in the rear. The brachial plexus passes between the anterior and middle scalene muscles and enters the narrow region between the first rib and the clavicle. The subclavian artery and the brachial plexus are in the same direction, and the neck and the dorsal side of the neck are connected to the neck and enter the upper limb through the armpit. If the above-mentioned pathway undergoes anatomical variation and stenosis, the brachial plexus and blood vessels can be subjected to compression to produce symptoms. Common causes are neck ribs, the seventh cervical vertebrae are too long, the anterior scale muscle hypertrophy or fibroplasia or muscle spasm, contracture, axillary entrance variation, scapular band drop and so on. The onset is mostly 40 to 50 years old, more women than men, and the right side is more than the left side. There are often no obvious incentives and symptoms gradually occur. Initially it was pain and numbness in the upper extremities, radiating from the shoulder area to the inside of the arm and the ulnar side of the palm. Stinging, painful, burning, accompanied by numbness. These symptoms often occur in the early hours of the morning, causing the patient to wake up; or appear after sedentary, long sewing, and other work. Extending the upper limbs, lifting objects, extracts, etc. can aggravate the pain, the arms are adducted, the elbows are flexed, and the symptoms can be alleviated. Physical examination can be found in the hand, forearm ulnar sensation and hyperesthesia. There may be a weakening of the hand muscles and a slight atrophy of the muscles. When the subclavian artery is compressed, the skin of the hand may be chilly, pale skin, bruising, and the like. The following trials can be used to distinguish between anterior scalene syndrome, clavicle, rib syndrome, and pectoralis minor muscle syndrome:
1. Anterior scalene test: the head turns to the opposite side of the lesion, and it is stretched backwards. The sick side arm is abducted and deeply inhaled. If the above symptoms occur and the iliac artery pulsation disappears, the anterior scalene syndrome is indicated.
2. When the diseased side scapula belt is active or passive downward, the above symptoms and the flank artery pulsation disappear, indicating clavicle and rib syndrome.
3. Both arms are lifted, abducted and slightly to the posterior side. The above symptoms and the sacral artery pulsation disappeared, suggesting a small chest muscle syndrome.
Can be seen in breast hyperplasia, often pain or tingling, can involve one or both sides of the breast, more common on one side, severe pain can not touch, and even affect daily life and work. Pain is mainly caused by breast lumps, and can also be radiated to the affected side of the armpit, chest or shoulder and back; some are characterized by pain or itching of the nipple. Breast pain often occurs or worsens a few days before menstruation, and pain is significantly reduced or disappeared after menstruation; pain can also fluctuate with mood changes. This pain associated with menstrual cycles and mood changes is a major feature of the clinical manifestations of mammary gland hyperplasia.
It can also be seen in brachial plexus neuritis, which may have a history of immunization or a history of cold. Most of the patients were adults with acute or subacute onset. The initial pain was located on one side of the neck, the supraclavicular fossa or the shoulder. For example, the burning and acupuncture, the pain was intermittent, and soon it became continuous. Paroxysmal intensification. The range of pain extends to the ipsilateral upper arm, forearm, and hand, but to the ulnar side. When the brachial plexus is pulled, the abduction or lifting of the upper extremities often exacerbates the pain. There is obvious tenderness on the brachial plexus (upper, lower, or axillary fossa), which may have a loss of sensation or allergies. Muscle weakness is most severe with the scapula and the proximal muscles of the upper arm.
