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What Causes Swollen Lymph Nodes And Pain In Shoulder?

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Posted on Fri, 19 Sep 2014
Question: You may want to refer to my recent questions. I just finished a round of antibiotic called keflex starting with a shot and then pills. This was to help clear up swollen lymph glands under my left arm which are sore and tender. It did not help. I continue to run a low grade fever. I had an mri last thurs which my doctor just called today and told me that it showed enlarged lymph glands. He put me on another antibiotic today called cipro. He told me if there is no improvement by thursday to come up to hospital and have a c scan done. I have this moderate to severe pain inside of my left shoulder blade. It feels better immediately after taking ibuprofen or aspirin, but pain or discomfort is back in about 3-4 hours. I am kind of worried. There has really been no cancer in my family and I dont know much about lymph gland cancer, but is this how it starts? I am swollen under left arm pit radiating around to left side of chest or breast area and it goes down my side a ways. I can't really sleep lying down as it is tender and uncomfortable. I have been sleepin lying back in an easy chair for a week or so. I pray this goes away, but kinda have a bad feeling. I would like to know your thoughts about lymph gland cancer and if this is how it starts. thanks.
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Answered by Dr. T Chandrakant (38 minutes later)
Brief Answer:
looks to be infective, not cancerous

Detailed Answer:
Hi.
Undergone through the threads of your previous questions.

It is good that you have a definite diagnosis that these are lymph nodes under left arm by virtue of MRI and you are under treatment albeit not relieved with Keflex.

The sure-shot way to get a definitive diagnosis is by performing an examination called FNAC- fine needle aspiration cytology. Please insist on this to get it done so as to get a clearer diagnosis and alleviate the fear of cancer.

Cancers of any sort do not cause pain, unless in late stage. You have such a discomfort and referred pains that indicat an infective origin. FNAC will confirm. You should continue with Cipro and should continue Ibuprofen in 8 hourly dosage.

Do not take Aspirin.

Shoulder blade pain was settled with steroid as seen in a thread of question, could be due to muscle spasms. and now you have added-on pain in the lymph glands and all the muscles around this area go into protective muscle spams.

The cancerous lymph nodes are always painless to start with , they are hard or shorty from the beginning, Usual location is neck.

FNAC and biopsy is the only way to get a proper diagnosis.
As seen in your case , looks to be infective, so just relax take medicines properly. You may put the left arm in a sling to reduce the pain and relax the muscles
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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What Causes Swollen Lymph Nodes And Pain In Shoulder?

Brief Answer: looks to be infective, not cancerous Detailed Answer: Hi. Undergone through the threads of your previous questions. It is good that you have a definite diagnosis that these are lymph nodes under left arm by virtue of MRI and you are under treatment albeit not relieved with Keflex. The sure-shot way to get a definitive diagnosis is by performing an examination called FNAC- fine needle aspiration cytology. Please insist on this to get it done so as to get a clearer diagnosis and alleviate the fear of cancer. Cancers of any sort do not cause pain, unless in late stage. You have such a discomfort and referred pains that indicat an infective origin. FNAC will confirm. You should continue with Cipro and should continue Ibuprofen in 8 hourly dosage. Do not take Aspirin. Shoulder blade pain was settled with steroid as seen in a thread of question, could be due to muscle spasms. and now you have added-on pain in the lymph glands and all the muscles around this area go into protective muscle spams. The cancerous lymph nodes are always painless to start with , they are hard or shorty from the beginning, Usual location is neck. FNAC and biopsy is the only way to get a proper diagnosis. As seen in your case , looks to be infective, so just relax take medicines properly. You may put the left arm in a sling to reduce the pain and relax the muscles