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Why did my lung cancer cause shoulder and arm pain at 35?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 35-year-old female, weighing about 132 pounds. I was diagnosed with lung cancer recently. For the last few months, I had unusual shoulder pain and pain radiating to my arm, which I thought was a muscle problem, but later scans showed a tumor. Why did my lung cancer cause shoulder and arm pain at age 35? Is this because of nerve involvement or something else?

Please guide.

Answered by Dr. Prakashkumar P Bhatt

Education:

MBBS

Professional Bio:

Dr. Prakashkumar P. Bhatt is a dedicated Neurologist committed to providing comprehensive care for patients with neurological conditions. He is skilled in diagnosing and managing a wide range of disorders, combining clinical expertise with a compassionate approach to treatment. Known for his clear communication and patient-centered care, Dr. Bhatt focuses on creating personalized treatment plans that support better health outcomes and improved quality of life.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I am deeply concerned about your worries.

In some instances of lung cancer, particularly when the tumor is situated in the upper part of the lung (known as the apex), it can press on nearby nerves. This type of tumor is often referred to as a Pancoast tumor.

The upper lung area is in proximity to a group of important nerves called the brachial plexus, which supply sensation and movement to the shoulder and arm. When a tumor irritates or compresses these nerves, it can lead to shoulder pain that radiates down the arm, sometimes accompanied by numbness or weakness.

As a result, the pain may initially feel like a muscle or nerve issue, causing many patients to believe it is simply an orthopedic problem.

Therefore, your pain is likely due to nerve involvement from the tumor’s location, rather than just muscle strain. The good news is that once treatment begins, this type of pain often improves as the tumor shrinks.

I hope I have addressed all of your queries and concerns. Please feel free to follow up if you have any further questions.

Thank you.

Medically reviewed by iCliniq medical review team
Published At April 5, 2026
Reviewed At April 5, 2026

Education:

MBBS

Professional Bio:

Dr. Prakashkumar P. Bhatt is a dedicated Neurologist committed to providing comprehensive care for patients with neurological conditions. He is skilled in diagnosing and managing a wide range of disorders, combining clinical expertise with a compassionate approach to treatment. Known for his clear communication and patient-centered care, Dr. Bhatt focuses on creating personalized treatment plans that support better health outcomes and improved quality of life.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Prakashkumar P. Bhatt is a dedicated Neurologist committed to providing comprehensive care for patients with neurological conditions. He is skilled in diagnosing and managing a wide range of disorders, combining clinical expertise with a compassionate approach to treatment. Known for his clear communication and patient-centered care, Dr. Bhatt focuses on creating personalized treatment plans that support better health outcomes and improved quality of life.

This doctor is not available for online consultations on the platform anymore.

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