Cyclical pain in the breast In many cases, breast pain varies with the menstrual cycle and has a distinct cyclical nature, which is typical of mastopexy. It is most common in women aged 30-40 years who are sexually active during their reproductive years, especially in those who are unmarried, married without children or have had children without breastfeeding, and less common before puberty or after menopause. The pain may be vague, dull or swollen, or even pins and needles or knife-like pain, sometimes accompanied by rubbing of clothes or shaking pain when walking. The pain mostly occurs in the upper outer quadrant, either unilaterally or bilaterally, and its degree can vary. The pain is often felt throughout the chest and radiates to the back of the ipsilateral shoulder, the axilla and the inner part of the upper arm. The pain is obvious before menstruation and relieves or disappears after menstruation. It may worsen with emotional changes and exertion. Although this type of pain is associated with cyclic endocrine changes, it is mostly physiological. Non-cyclical pain in the breast Breast pain does not vary with menstrual changes. This pain is also caused by mastopexy in most cases, and its manifestations are as seen with cyclical pain, which is sometimes mild and sometimes severe, but can be significantly influenced by emotional changes. Another is the pain caused by various inflammatory conditions, including acute mastitis, plasmacytoid mastitis, traumatic inflammation, breast tuberculosis, and intracapsular hemorrhage. Then there is breast cancer. Generally speaking, pain is not a common symptom of breast cancer, but a few patients, especially postmenopausal breast cancer patients, sometimes unexplained pain is an early symptom of breast cancer. However, in a few patients, especially postmenopausal patients, unexplained pain can be an early symptom of breast cancer. Advanced breast cancer invading nerves or ulceration secondary to infection can also cause significant pain. Is the degree of breast pain consistent with the degree of breast lesion? The answer is negative. In particular, if the pain is caused by hyperplasia, it does not mean that the more severe the pain is, the more severe the hyperplasia is. The breast pain type has no obvious lump in the breast and the pathological changes are mild, but there can be significant pain. In contrast, once an obvious nodule is formed, the pathological changes are more pronounced, but not necessarily accompanied by significant pain. In addition, most benign breast tumors or breast cancers are painless or only slightly painful. Therefore, there is no need to be too anxious when breast pain occurs, but if the pain is severe, you should go to the hospital promptly. The relationship between breast pain and mental factors Breast pain is closely related to mental condition. It is especially obvious in patients with hyperplastic diseases. Patients obviously feel breast pain or increased pain when they are angry, worried, anxious, fearful, sad, or sad and angry, while the pain is relieved or disappears when they are calm, happy and other soothing. Their physical signs may also change accordingly. This may be related to endocrine changes due to changes in mental status. Therefore, our female friends should cultivate an optimistic and cheerful personality, be calm when things go wrong, even in a complex social environment, they should try to put down their burdens and laugh at life, which will be beneficial to your physical and mental health. Cervical spondylosis can also cause breast pain Cervical spondylosis can also cause intractable breast pain, which is caused by the degeneration of the cervical spine and the involvement of the cervical nerve roots. This pain is mostly chronic and unilateral. The degree of pain is often related to the position of the neck and is proportional to the involvement of other cervical nerve roots. In addition to breast pain, there are also general symptoms and signs of cervical spondylosis, such as pain and discomfort in the neck, occiput, shoulder and arm, and changes in muscle strength and sensation in the area innervated by the involved nerve roots, etc. There are often signs of degenerative lesions on X-ray, such as bone spurs and spinal space narrowing, with the sixth and seventh cervical vertebrae being the most commonly involved. There are no abnormal findings in the breast itself.