Published on: 3/5/2025
A dull ache under your armpit without a lump can be caused by a few different issues, such as nerve irritation (sometimes from problems in the upper chest), muscle strain, or rare conditions like axillary web syndrome. Very rarely, internal problems like certain cancers might first cause pain without a visible lump.
There are several things that might cause this kind of discomfort. One possibility is nerve irritation or compression. For example, some studies have shown that pain in the armpit can be an early sign of issues with the nerves in the upper back and chest. This means that the pain might come from a problem near the nerve roots rather than from a lump in the armpit. Another possibility is axillary web syndrome, which happens when tighter bands of tissue form under the skin after certain injuries or sometimes even exercise. This can cause a discomfort that feels like a pulling or aching under the armpit, even if you cannot see any lump. On rare occasions, sometimes cancers can initially show up as pain before a lump is felt. However, in most cases, a dull ache like this is more likely related to muscle or nerve issues. If the pain continues or gets worse, it is important to talk to a healthcare provider to find the exact cause.
(References)
Rubin DI, Shuster EA. Axillary pain as a heralding sign of neoplasm involving the upper thoracic root. Neurology. 2006 Jun 13;66(11):1760-2. doi: 10.1212/01.wnl.0000218165.93659.6c. PMID: 16769959.
Welsh P, Gryfe D. Atypical presentation of axillary web syndrome (AWS) in a male squash player: a case report. J Can Chiropr Assoc. 2016 Dec;60(4):294-298. PMID: 28065989; PMCID: PMC5178020.
He FJ, Zhang P, Wang MJ, Chen Y, Zhuang W. Left armpit subcutaneous metastasis of gastric cancer: A case report. World J Clin Cases. 2019 Dec 6;7(23):4137-4143. doi: 10.12998/wjcc.v7.i23.4137. PMID: 31832419; PMCID: PMC6906569.
We would love to help them too.
For First Time Users
We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.
Purpose and positioning of servicesUbie Doctor’s Note is a service for informational purposes, and the provision of information by physicians, medical professionals, etc. is not a medical practice. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.