
Lipomas are benign fatty tumours that grow slowly under the skin and are usually harmless. They can be found anywhere on the body but are most common on the back, trunk, arms, shoulders and neck. While lipomas are typically painless, they can cause nerve pain if they grow and press on nearby nerves or contain many blood vessels. In rare cases, lipomas can cause muscle pain and weakness, as seen in a case study of an 87-year-old patient with an intermuscular shoulder lipoma who experienced severe pain and weakness due to nerve compression. Treatment options include excision or removal of the lipoma, which can provide relief from pain symptoms.
| Characteristics | Values |
|---|---|
| Cause of pain | Lipomas can cause pain by pressing on nearby nerves, especially if they contain many blood vessels. |
| Painful lipoma types | Angiolipomas, a rare type of painful lipoma, have blood vessels. Dercum's disease causes multiple painful lipomas. |
| Pain relief | Excision of lipomas may be a treatment for pain symptoms. |
| Lipoma characteristics | Lipomas are slow-growing fatty lumps that form just under the skin. They are typically small, soft, and painless. |
| Location | Lipomas can form anywhere on the body but are most common on the back, trunk, arms, shoulders, and neck. |
| Risk factors | Lipomas are most common in people aged 40-60 and tend to run in families. |
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What You'll Learn

Lipomas can cause nerve pain
Lipomas are fatty lumps that grow slowly just under the skin. They are typically harmless and are not cancerous. They are usually small, soft, and painless, and often require no treatment. However, lipomas can sometimes cause nerve pain and other symptoms.
The size of the lipoma can also contribute to nerve pain. Lipomas larger than 2 inches are sometimes called giant lipomas and are more likely to cause nerve compression and related symptoms. For instance, a study on a giant lipoma in the arm found that it displaced the biceps brachii muscle, stretched the coracobrachialis muscle, and compressed the brachial artery, resulting in potential vascular and neurological impacts.
While lipomas themselves rarely cause serious medical issues, it is important to distinguish them from other conditions, such as liposarcoma, a rare type of cancer that can grow rapidly and cause pain. Therefore, if a lipoma is causing pain, it is recommended to consult a healthcare professional for evaluation and appropriate treatment.
In summary, lipomas can cause nerve pain and related symptoms when they compress nearby nerves or through other mechanisms such as nerve entrapment and irritation. While lipomas are typically harmless, distinguishing them from other conditions and managing associated pain through treatment options, such as excision, are important considerations.
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Lipomas can be cancerous
Lipomas are non-cancerous fatty lumps that grow just under the skin. They are usually harmless and do not cause pain. However, they can occasionally cause nerve pain if they grow and press on nearby nerves or blood vessels. While lipomas themselves are not cancerous, they can sometimes be confused with liposarcomas, a rare form of cancer that also appears as a lump under the skin. Lipomas tend to be soft and movable, while liposarcomas are typically firm and immovable. Liposarcomas can grow rapidly and invade nerves or blood vessels, requiring immediate medical attention. Although it is rare, lipomas can become cancerous in some cases.
Lipomas are typically benign tumors that form due to an overgrowth of fat cells. They are commonly found on the neck, shoulders, back, abdomen, arms, and thighs. These lumps are usually painless and do not require treatment. However, in some cases, they can cause discomfort or affect an individual's self-esteem, leading to a decision to have them removed. The procedure for removal often involves local anesthesia, and the lipoma is sent to a laboratory for examination under a microscope.
Lipomas can be diagnosed through a physical examination by a healthcare provider. They feel soft and rubbery to the touch and can be easily moved around with finger pressure. While they are generally less than 2 inches in diameter, they can grow larger in size. Although lipomas are not considered a serious medical condition, it is important to consult a healthcare professional if you notice any lumps or swelling on your body. A proper evaluation can help rule out more serious conditions, such as liposarcoma.
While lipomas themselves are not cancerous, they can occasionally be mistaken for malignant tumors, particularly in the early stages of diagnosis. This confusion can arise because both lipomas and liposarcomas present as lumps under the skin. However, liposarcomas tend to be firmer and less movable than lipomas. To confirm whether a lump is a lipoma or liposarcoma, a biopsy may be performed, where a small piece of tissue is removed and examined under a microscope. Imaging tests such as ultrasounds, magnetic resonance imaging (MRI) scans, or computed tomography (CT) scans can also be utilized to differentiate between the two conditions.
Although it is rare, there have been cases where lipomas have become cancerous. This transformation is not fully understood, and more research is needed to determine the specific triggers and mechanisms involved. It is important to monitor lipomas and consult a healthcare professional if any changes are noticed, such as sudden pain, rapid growth, or a change in texture or mobility. While the majority of lipomas remain benign, early detection and proper diagnosis are crucial to ensuring timely and appropriate treatment.
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Lipomas can grow inside muscles
Lipomas are lumps of fatty tissue that usually grow just under the skin. They are slow-growing, benign soft-tissue tumours that are typically harmless and noncancerous. While most lipomas develop just under the skin, they can, in rare cases, grow inside muscles or internal organs.
Intramuscular lipomas are a rare form of lipoma that forms deeper inside a muscle but are still made of fatty tissue. They are slow-growing tumours that may be smaller than half an inch (1 centimetre) or as large as 10 inches (25 centimetres). Smaller intramuscular lipomas may not cause any noticeable symptoms. However, larger lipomas can cause muscle pain and discomfort.
Intramuscular lipomas can be diagnosed through imaging scans such as ultrasound, positron emission tomography (PET) scans, and magnetic resonance imaging (MRI) scans. A needle biopsy may also be performed to confirm that the tumour is not cancerous.
If an intramuscular lipoma is causing pain or affecting muscle function, surgical removal may be recommended. However, it is important to note that infiltrating intramuscular lipomas, which invade nearby tissues, tendons, and muscles, have a 50% to 80% recurrence rate after surgical removal.
While lipomas are typically benign and harmless, it is always advisable to consult a healthcare professional when noticing any unusual lumps, swelling, or pain in the body.
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Lipomas can be painless
Lipomas are typically harmless fatty tumours that grow slowly just beneath the skin. They are usually less than 1 to 2 inches (3 to 5 centimetres) in diameter, but they can grow larger. Lipomas are often painless and do not cause health problems, so they rarely need treatment. However, in some cases, they can cause pain or discomfort.
Lipomas are most commonly found on the back, trunk (torso), arms, shoulders, and neck, but they can appear anywhere on the body. They are usually small and soft, and they move easily when touched. While lipomas themselves are not cancerous, it is important to get any lumps checked by a healthcare professional to rule out more serious conditions, such as liposarcoma, a rare type of cancer that can start in fat cells.
Lipomas can sometimes become painful if they grow large enough to press on nearby nerves or if they contain many blood vessels. This can lead to nerve pain, muscle weakness, and changes in sensation or function in the affected area. In some cases, lipomas can also cause aesthetic concerns or irritation due to their size or location. However, these cases are rare, and most lipomas do not cause any pain or other symptoms.
While the exact mechanism of pain associated with lipomas is not fully understood, it is believed to be related to pressure on surrounding soft tissues or stretching of nearby nerve fibres. In some cases, lipomas may also cause pain by compressing blood vessels or other structures. Removing the lipoma through a simple excision procedure can often relieve the associated pain and improve symptoms. Therefore, it is important to see a healthcare professional if you notice any new lumps or changes in existing lumps, especially if they are causing pain or other symptoms.
In summary, lipomas are typically harmless and painless fatty tumours that rarely cause health concerns. However, in some cases, they can cause pain by pressing on nearby nerves, blood vessels, or other structures. Therefore, it is important to monitor any lipomas and seek medical advice if they change in size, shape, or become painful.
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Lipomas can cause muscle weakness
Lipomas are non-cancerous fatty lumps that grow slowly, usually just beneath the skin. They are typically harmless and do not cause health problems, so they rarely need treatment. However, in some cases, lipomas can cause muscle pain and weakness.
Intramuscular lipomas are a type of lipoma that forms within muscles. They are rare, and their causes are not yet fully understood. Up to 15% of people have intramuscular lipomas in more than one muscle, but most people have one tumor in one muscle. These lipomas can cause muscle pain and cramps, and they may also lead to swelling or a noticeable lump underneath the skin. In some cases, the tumor may expand into nearby tendons or fascia, causing further discomfort and affecting muscle function.
The presence of an intramuscular lipoma can be confirmed through imaging scans such as ultrasounds and positron emission tomography (PET) scans. A needle biopsy may also be performed to definitively rule out cancer. Treatment for intramuscular lipomas typically involves surgical removal, especially if the tumor is causing pain, affecting muscle function, or impacting a person's appearance.
While lipomas themselves are not a sign of a more serious condition, it is important to get any lumps evaluated by a healthcare professional to rule out other potential causes, such as liposarcoma, a rare type of cancer that can exhibit similar symptoms.
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Frequently asked questions
Yes, lipomas can cause muscle pain if they grow and press on nearby nerves or blood vessels.
A lipoma is a slow-growing, fatty lump that grows just under the skin. It is typically harmless and small, ranging from 1 to 2 inches in diameter.
Treatment for muscle pain caused by lipomas may include excision or removal of the lipoma. Medication may also be prescribed to help manage pain.











































