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Published on: 3/5/2025

What Might Cause a Dull Ache under My Armpit Without a Lump?

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.

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Explanation

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.

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