Breast Pain: Symptoms, Causes and Treatment

Breast Pain Explained by Specialist: Causes, Symptoms & When to Seek Help

Are you feeling sudden breast pain and worried it could be serious, like breast cancer?
Before jumping to conclusions, it's important to understand that breast pain (mastalgia) is often caused by hormonal changes, infections, ill-fitting bras, or benign breast conditions. Most cases are non-cancerous, but persistent pain should never be ignored.

To help you better understand this common concern, we consulted Dr. Rasha Al-Qafas, Specialist in Breast and Interventional Radiology at Fakeeh University Hospital Dubai, for professional insights on causes, symptoms, diagnosis, and prevention of breast pain.

What Is Breast Pain (Mastalgia)?

Breast pain is discomfort or tenderness felt in one or both breasts, and sometimes in nearby areas like the underarms, chest, or shoulders. It may feel sharp, dull, burning, stabbing, or throbbing depending on the underlying cause.

“It’s a common condition that affects women at all life stages,” says Dr. Rasha El-Qafas. “Understanding the type of breast pain is the first step to finding the right solution.”

Types of Breast Pain

1. Cyclical Breast Pain

• Linked to menstrual cycle and hormone fluctuations
• Feels like heaviness or tenderness
• Often affects both breasts, especially before periods
• Common in women aged 20–45

2. Non-Cyclical Breast Pain

• Not related to menstrual cycles
• Localized in one area or one breast
• Often caused by cysts, trauma, or inflammation

3. Extramural Pain

• Not breast-related
• Originates from chest wall muscles, joints, or nerves
• May mimic breast pain

Common Causes of Breast Pain

According to Dr. Rasha El-Qafas, these are the most frequent causes:

• Hormonal Changes (menstruation, pregnancy, menopause)
• Fibrocystic Breast Condition (lumpy, tender breasts)
• Pregnancy & Breastfeeding (increased blood flow and milk congestion)
• Mastitis or Infection (commonly in breastfeeding mothers)
• Benign Tumors (e.g., fibroadenomas)
• Certain Medications (hormonal therapies, antidepressants)
• Improper Bra Fit
• Muscle Strain or Chest Wall Injury
• Rarely: Breast Cancer

“Most pain is not cancer-related, but persistent or one-sided pain with other symptoms should be checked,” she adds.

Breast Pain Symptoms by Age Group

• Puberty: Caused by hormonal changes and breast development
• Childbearing Age: Often cyclical; may be linked to cysts
• Pregnancy & Lactation: Engorgement and blocked ducts are common
• Post-Menopause: Breast pain is rare—requires medical evaluation

When Is Breast Pain a Warning Sign?

Seek medical evaluation if you notice:

Persistent pain for over 2 weeks
A hard lump that doesn’t disappear
Bloody nipple discharge
Changes in breast shape or skin texture
Redness, swelling, or warmth
Breast pain in men

Diagnosis: How Is Breast Pain Evaluated?

• Clinical Breast Exam
• Ultrasound Scan (especially for younger women)
• Mammogram (for women over 40)
• Breast MRI (for high-risk patients)
• Biopsy (if needed)

Treatment Options for Breast Pain

✔️ Lifestyle Changes

• Wear a supportive bra
• Reduce caffeine and salt
• Light exercise and stress management

✔️ Medications

• Pain relievers like ibuprofen or paracetamol
• Hormonal treatment (if advised by doctor)

✔️ Supportive Therapies

• Warm or cold compresses
• Physiotherapy (for musculoskeletal causes)

How to Prevent Breast Pain

Dr. Rasha El-Qafas recommends:

Monthly breast self-exams
Wearing the correct bra size
Staying hydrated and active
Keeping track of hormonal changes
Booking annual mammograms or ultrasounds
Avoiding excessive caffeine and processed foods

Final Advice

“Not all breast pain is dangerous—but don’t ignore it. Early diagnosis, lifestyle changes, and regular checkups can help manage the condition effectively. If your breast pain is persistent or unusual, visit a breast specialist to rule out any underlying concerns.”

Book a Breast Health Consultation at Fakeeh University Hospital Dubai

If you're experiencing breast discomfort, book a checkup with our experienced breast radiology specialists today.

📞 Call: +971 4 414 4444
🌐 Visit: www.fuh.care

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