
Shoulder pain can be a symptom of many conditions, including injury, overuse, arthritis, or a heart attack. In rare cases, it can also be a symptom of breast cancer, usually occurring when cancer has spread to other areas of the body, such as the bones or liver. Treatment for breast cancer, including surgery, radiation therapy, and chemotherapy, can also cause shoulder pain. On the other hand, breast pain can be caused by cyclical hormonal changes, contraceptive pills, or non-cancerous conditions like chest wall pain, which is pain originating from the chest muscles.
| Characteristics | Values |
|---|---|
| Can injury to shoulder muscle cause breast pain? | In rare cases, shoulder pain can be a symptom of breast cancer. |
| What causes shoulder pain? | Shoulder pain can occur as a result of many types of problems. It can originate in the joints, muscles, cartilage, tendons, or ligaments. |
| How is shoulder pain linked to breast cancer? | Shoulder pain can occur when breast cancer spreads, or metastasizes, to other areas of the body, such as the bones or liver. |
| What are the symptoms of breast cancer? | Breast cancer can cause a number of signs and symptoms, including changes to the breast, such as a lump, swelling, changes to the nipple, or a change in color. |
| What to do if you experience shoulder pain? | It is important to contact your healthcare provider if you experience shoulder pain, especially if it is accompanied by other symptoms. Your doctor can determine the cause of your shoulder pain and advise on suitable treatments. |
| How is shoulder pain treated? | Treatment for shoulder pain can include medication, heat and ice, physical therapy, massage, therapeutic exercise, manual physical therapy, and injections. |
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What You'll Learn

Shoulder pain as a symptom of breast cancer
Shoulder pain is not a common symptom of breast cancer. However, in rare cases, it can be linked to the disease. When this happens, it often indicates that breast cancer has spread, or metastasized, to other areas of the body, such as the bones or liver.
Shoulder pain can occur as a result of many different problems. It can originate in the joints, muscles, cartilage, tendons, or ligaments. It can also occur as referred pain from another part of the body. The shoulder has the greatest range of motion of any joint in the body, and shoulder pain can significantly impact an individual's quality of life, making it difficult to perform routine, work-related, and personal care tasks.
When breast cancer metastasizes to the bones, it can sometimes cause shoulder pain. This is because the cancer has spread to the bones in or near the shoulder. Additionally, breast cancer that has spread to the liver can also result in shoulder pain. This is due to the nerve networks around the liver, which originate from the same nerves that attach near the right shoulder blade.
Shoulder pain can also be a side effect of breast cancer treatment. Cancer therapies, including radiation therapy and surgery, can affect the scapula and other upper back and arm structures, causing pain and potential injury. Nerve damage from radiation therapy or surgery can lead to persistent pain and a reduced range of motion in the shoulder.
If you are experiencing shoulder pain, it is important to consult a healthcare professional as soon as possible. They can determine the underlying cause and provide appropriate treatment options, which may include medication, massage, therapeutic exercise, and manual physical therapy.
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Shoulder pain as a side effect of breast cancer treatment
Shoulder pain can be a symptom of breast cancer, although it is not a common one. It can occur when breast cancer spreads, or metastasizes, to other areas of the body, such as the bones or liver. This can cause skeletal pain, such as shoulder pain.
There are several ways in which breast cancer treatment can cause shoulder pain. Firstly, cancer therapies can affect the scapula and other upper back and arm structures, causing pain and potential injury. Nerve damage can also occur, leading to persistent pain in different areas. Secondly, radiation therapy can cause tissue changes in the chest/breast, armpit, neck, and back areas. These changes can include skin burning and a tightening of muscles and tissues underneath, which can restrict the shoulder joint's normal movement pattern and range, causing further irritation and inflammation of the rotator cuff tendons. Thirdly, postural changes following cancer treatment can lead to faulty biomechanics at the shoulder joint, resulting in tendonitis. Finally, breast cancer surgery can cause nerve pain in a condition called post-mastectomy pain syndrome, which affects the chest wall, arm, and armpit.
There are various treatments for shoulder pain resulting from breast cancer and its treatment. Manual therapy performed by a physiotherapist can help drain fluid that accumulates in the arm (lymphedema) and mobilise joints and tissues, reducing pain and increasing the range of motion. Massage, active therapeutic exercises, and medication can also help to relieve pain and increase flexibility.
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Scapulothoracic bursitis as a cause of breast pain
Scapulothoracic bursitis is a significant but often overlooked cause of breast and chest pain. It is a condition that can be treated with a local injection at the site of maximum tenderness in the medial scapular border. This injection contains a mixture of local anesthetic and corticosteroid.
A retrospective review from July 2005 to September 2009 identified 461 patients presenting with breast/chest pain. Of these, 103 patients were diagnosed with shoulder bursitis as the cause of their breast pain and received the bursitis injection. The average age of the study group was 53.4 ± 12.7 years, and the average BMI was 30.4 ± 7.4.
The results of the treatment showed that 83.5% (86/103) of patients experienced complete relief from pain, 12.6% (13/103) had improvement with some residual pain, and 3.9% (4/103) did not respond to the treatment. The most common factor associated with the diagnosis of bursitis was a history of mastectomy, present in 27.2% (28/103) of cases.
Scapulothoracic bursitis can cause referred pain in the breast and chest wall, which is often not recognized as a symptom of this condition. It is important to consider scapulothoracic bursitis as a potential cause of breast pain, especially in patients with a history of mastectomy, to ensure prompt diagnosis and effective treatment.
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Shoulder pain caused by liver cancer
Shoulder pain can be a symptom of breast cancer, although this is rare. It can occur when breast cancer spreads, or metastasizes, to other areas of the body, such as the bones or liver.
Liver cancer can cause pain in the right shoulder blade or back. This is known as referred pain, which occurs when pressure is put on a nerve in one part of the body, causing pain in another part. The pain from liver cancer can be pulsating, sharp, or dull and constant. It does not usually come and go and can vary based on the size and location of the tumors and how they affect the surrounding tissue.
Hepatocellular carcinoma (HCC) is a type of liver cancer that can present as right shoulder pain. It is the fourth leading cause of cancer-related deaths worldwide. HCC patients typically have risk factors for chronic liver disease, including hepatitis B or C virus infection, heavy alcohol consumption, and nonalcoholic fatty liver disease.
If you are experiencing shoulder pain, it is important to talk to a doctor or healthcare professional as soon as possible.
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Chest wall pain as a cause of breast pain
Breast pain is a common occurrence in people of all ages. While breast pain typically has treatable causes, it can sometimes indicate something more serious.
Chest wall pain, also known as extra-mammary pain, is one such cause of breast pain. The chest wall is the area of muscle, tissue, and bone that surrounds and protects the heart and lungs. Chest wall pain can be felt on one side, in a specific area, or around a wide area of the breast. It may be burning or sharp, may spread down the arm, and can be worse when moving.
Common causes of chest wall pain include:
- Costochondritis: inflammation of parts of the ribs (costal cartilages). Pain is often worst where the rib cartilage attaches to the breastbone (sternum) but can also occur where the cartilage attaches to the rib. It may be accompanied by swelling (Tietze syndrome).
- Tietze syndrome: inflammation and swelling of the costal cartilages.
- Pulled muscle in the chest: this will likely improve over time and can be treated with pain relief.
- Scapulothoracic bursitis: inflammation of the shoulder bursa.
- Angina: tightness across the chest.
- Gallstones.
Chest wall pain can also be caused by referred pain from another part of the body. For example, shoulder pain can be referred from the joints, muscles, cartilage, tendons, or ligaments. In rare cases, shoulder pain can be a symptom of breast cancer, indicating that the cancer has spread to other areas of the body, such as the bones or liver.
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Frequently asked questions
Yes, injury to shoulder muscles can cause breast pain. This is known as chest wall pain or referred pain. It can be caused by a pulled muscle in the chest or shoulder bursitis.
Shoulder bursitis is inflammation of the shoulder bursa, which can cause pain in the breast and chest wall. It is often treated with a local injection at the site of maximum tenderness.
Yes, in rare cases, shoulder pain can be a symptom of breast cancer, especially when it has spread to other areas of the body, such as the bones or liver. It can also be a side effect of breast cancer treatment, such as surgery, radiation therapy, or chemotherapy.
There are several ways to relieve breast pain, including:
- Non-steroidal anti-inflammatory pain relief, such as ibuprofen
- Relaxation therapy, such as relaxation CDs, apps, acupuncture, or aromatherapy
- Changing contraceptive pills or switching to a non-hormone method of contraception











































