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Pain due to palpatation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   i have pain on palpation down my left lateral line starting 4-5 inches under my arm, it hurts on palpation , if i lay on it wrong, almost fells like a bruise. I do have many lipomas all over my body that if irritated can become sore. this is in a few spots in my left lateral muscle area. are there lymphnodes there that couldbe causing this pain? no other lymphnode sweeling or pain noted.
Doctor :   Hi
User :   hi
Doctor :   let me read your query
Doctor :   do they appear to be nodular ?
Doctor :   and does the pain appear only in specific small sites in the area mentioned ?
User :   not really, sore spots but i cant pinpoint a lump
Doctor :   ok
Doctor :   if you can feel the area with 2 fingertips , and then feel no pain , then they are not lymph nodes
Doctor :   lymph nodes that are inflammed , will be nodular, enlarged, can be felt distinctly and pain on palpation
Doctor :   In your case, this pain could be due to soft tissue inflammation , and can include musculoskeletal tissues too
User :   i see, this is on my left flank that big muscle on each side
Doctor :   does it hurt when you move around your arms ?
User :   kinda
Doctor :   in that case, your pain is due to muscle strain
Doctor :   and can be treated with advil or motrin ,
User :   i had a skin biopsy done on the oppiset side by my shoulder blade a week ago
Doctor :   adequate bed rest, and reducing movements of the arms for a few days
User :   the removed about1/4' by 1'2 about 1/8'' deep
Doctor :   in that case, these could be inflammed skin nodes too
User :   1/4'' by 1/2'' 1'8'' deep
Doctor :   what were the results of the skin biopsy
User :   still waiting
Doctor :   and why was the biopsy done in the first place?
User :   rule out melonma
Doctor :   ok
Doctor :   did you have any pigmented lesions or nevi ?
User :   nodes under both arms are seem fine
Doctor :   ok
User :   pegm
User :   pigm
User :   can i send you a pic
Doctor :   sure,
User :   how do i do that
Doctor :   you can send it
User :   k hold on
User :   sent
Doctor :   it may take a few minutes for me to recieve it due to the large amount of emails that we recieve, hence it may take some time.
User :   okay how am i on time
Doctor :   once i review it , then i will give my impression via email, if the time runs out
Doctor :   you have about 10-15 minutes
User :   are there many lymph noids on your back?
Doctor :   but for now, i can assure you from the history provided, your symptoms can be relieved by ibuprofen
Doctor :   you mean my back ?
Doctor :   Are you there ?
User :   yes
Doctor :   i dont feel any lymph nodes on my back , regularly
User :   this spot on my back is almost right in the middle of my back between my shoulder blades
Doctor :   but in case of any infection or flu, enlarged lymph nodes can be seen in any area of the body
Doctor :   may i know your age ?
User :   49
User :   my mind is playing on me
Doctor :   you mean to say you are anxious ?
User :   i keep thinking the melanoma is spread into my lymph noids
User :   yes
User :   im not sure if i even have it yet
Doctor :   Usually at this age, it is common to have skin pigmentation which can be freckles etc
Doctor :   this can be mistaken to be a melanoma
Doctor :   please rest until, the results have come up
User :   thank you ill try
Doctor :   please confirm your email id and your phone no,
Doctor :   so that i can send my reply, as i have not yet recieved your mail
Doctor :   ok, thanks
User :   pathologist ask for a deeper cube???
Doctor :   the picture sent seems to be a mole or a freckle
Doctor :   and the picture is not clear enough
Doctor :   but you need not worry, as the lesion is very small
User :   i sent a better pic ,closer
Doctor :   did you send it now ?
User :   yes
Doctor :   ok
Doctor :   give me a few more minutes
Doctor :   as i said, i will send a reply by mail, if the time runs out
User :   its a little smaller than my little finger nail
User :   thank you
Doctor :   you are most welcome
Doctor :   just recived a mail
Doctor :   let me check
User :   cant sleep at night
Doctor :   not it was not yours
Doctor :   you need to relax
Doctor :   not need to worry
Doctor :   every thing will be fine
User :   thank you
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