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Swollen lymph nodes on lower back: Swollen lymph nodes – Symptoms and causes


Swollen lymph nodes for almost two years

I’ve never posted anything hear before but I’m desperate for some advice 

In October 2017 I noticed a lump on the side of my neck with no other symptoms. I had had night sweats on and off for years but never thought anything of it until they started to happen a few times a week. I went to the gp who told me to come back in two weeks if the lump hadn’t gone down. This happened for another four months until I finally said that I was either to be referred somewhere for an answer or I was going to make an official complaint.

I had an ENT appointment in September 2018 and by this point I had swollen lymph nodes in my armpit that were unbearably painful. The consultant sent me for an ultrasound biopsy and a CT scan to query lymphoma. The ultrasound didn’t show anything so a biopsy wasn’t performed and my CT did show enlarged lymph nodes but “not big enough to be worrying” 

I was already really frustrated because I wasn’t getting any answers and my health was getting worse and worse. For context I’m at university in Scotland away from home (Ireland), working part time and volunteering so I really didn’t need the stress. Not to mention how worried my parents were, and were not a rich family who could afford to fly back and forth all the time.

I had a haematology appointment in December where I was basically told that they didn’t know what was wrong with me and they were ready to discharge me. Not only were all my original symptoms getting worse (I now had painful lymph nodes under both arms and in my neck) but I also started to show new symptoms. I had constant kidney infections that couldn’t be treated, i was exhausted all the time, my appetite had gone, I was getting headaches everyday and I either had a fever or chills, no in between. I pretty much broke down and demanded to see another consultant which I did in January.

This consultant told me that my scan looked clear and pointed out things they would be looking for. He then booked me an appointment for April which was basically a “wait and see” kind of thing.

Fast forward over two months and my health has gone from bad to worse. On top of everything else, I become breathless quite easily and it feels like there is a lot of pressure on my chest. I know that this could be down to anxiety but I can’t help but relate it to everything else. 

Everytime I go to a GP I’m told I’m being overdramatic (I have bipolar disorder which doctors already judge right away). I’m really panicking to the point where I might have to quit my job and uni because my health is so bad and I’m in a constant state of panic.

No one in my family, close and extended, has had cancer so we don’t know how to deal with it. I do know that I feel like a complete hypochondriac all the time and I cry pretty much every day over it. Would there be a possible way to seek a second opinion without having to go private which I really couldnt afford? I’m running out of options and if it is cancer I at least want to be given the chance to fight it.

Thank you for reading, any other experiences or advice would be really appreciated so I don’t feel so alone in this 

Lymphoma Symptoms: What You Need to Know

Lymphoma is a cancer type that affects the lymph system, which is part of the immune system. There are different kinds of lymphoma, including Hodgkin’s and non-Hodgkin’s. Since the symptoms associated with lymphoma are not very different from other medical conditions, it may be difficult to diagnose. This is the reason why it is important to be aware of the first signs.

Patients commonly start by noticing a painless swelling in a lymph node, a problem known as lymphadenopathy. The swelling can appear in different parts of the body, the most common being in the neck and armpits, but also in the legs, ankles, or abdomen. In some cases the swelling is not noticeable, but other complaints from patients include a persistent cold or respiratory infection.

First Signs of Lymphoma

In addition to swelling, there are other signs that may indicate the presence of early-stage lymphoma. Usually patients do not experience pain, but they do feel other discomfort, including night sweats, chills or fevers, unexpected weight loss, loss of appetite, lack of energy or tiredness, itching or rash, coughing, difficulties in breathing, enlarged tonsils, or headaches. These symptoms may indicate other diseases, but seeking the opinion of a doctor can help either detect the disease early or exclude a diagnosis of lymphoma.

If a patient experiences these symptoms, the physician will conduct a complete physical exam, looking for undetected swollen lymph nodes or fluid in the body. Patients are usually asked about pain, fatigue, or paralysis, which can happen as result of a swollen lymph node affecting the nerves of spinal cord. In addition, the physician will look for enlarged internal organs and a biopsy, blood tests, x-rays, and a bone marrow evaluation may also be requested.

Symptoms of Advanced Lymphoma

In more advanced cases the symptoms are generally more severe. Patients may start to experience pain in the swollen lymph nodes that were previously painless, particularly when drinking alcohol. When the lymphoma affects the abdominal, bowel, or stomach lymphatic tissue, patients may feel pressure, pain, or have diarrhea or indigestion due to accumulated fluid and swelling in the intestines. The pressure caused by swollen lymph nodes in a vein can cause the swelling of a member, or pain, numbness, or tingling in the case of a nerve.

Lower back pain is also associated with advanced lymphoma. Despite the fact the reasons are not fully understandable, it may also be related to the pressure caused by swollen nodes. In the severe cases, when there is a progression of the lymphoma and there are cancerous lymphocytes already spreading into other systems, the body may lack its capacity to combat the infections.

Note: Lymphoma News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

7 Signs That Your Back Pain Is More Serious Than You Think

Back ​injuries are all too common, and unfortunately we often overlook the warning signs.

According to a study by the ​National Institute of Neurologic Disorders and Stroke, ​roughly 80 percent of adults have experienced ​lower back ​pain at some point in their lives. This ultimately led to an injury.

In some ​rare​ cases, lower back pain can be linked to the following:

  • Cancer​: A tumor near the spine creates the back pain and grows steadily as the tumor shifts and grows.
  • Spinal Infection:​ Usually hard to detect, it is eventually discovered by a tender spot or deep constant pain. Seldomly, symptoms include fever and illness.
  • Abdominal Aneurysm: ​Often found in people that are diabetic, at risk of heart disease, and/or experience hypertension.
  • Cauda Equina Syndrome: V​ery distinct symptoms. They include fecal incontinence, numbness in the groin area, difficulty urinating, and weakness in the legs. It could be brought on by a ruptured disc, trauma, cancer, and/or infection.

Many of the most common cases of back pain can be traced to vascular causes, specifically in the lower back.

“Swollen veins in the pelvic region can cause lower back pain, pelvic pain, and nerve pain by compressing the nerves that run with the veins through the various narrow pathways in the pelvis. In this manner, venous congestion can masquerade as nerve compression like sciatica,” says Dr. Christopher Hollingsworth an endovascular surgeon at NYC Surgical Associates​.

Not sure if your back pain is serious or not? Below are seven signs that your back aches are more serious than you think.

Persistent Pain

You know that you have a problem when back pain persists even after resting and applying traditional treatments. These include a cold compress or anti-inflammatory drugs.

You should definitely see a medical doctor before the pain gets worse. In some cases a m​inor muscle strain and tear can happen from both a sudden injury or gradual overuse. ​ ​

“The most common cause of these aches would be bending and lifting too quickly or incorrectly. A new exercise or other unfamiliar movement can also create inflammation and minor tears in both muscle and connective tissue,” says Tina Martini, a fitness and wellness coach.

Martini goes on to say that the lumbar or lower back is the most susceptible to this type of pain. And keep in mind that back pain can vary for many people.

In some cases it may only last a few weeks, regardless of the treatment you use. In other cases the pain can become chronic and even debilitating.

Change in Bowel Movements

If your bowel and urination habits have changed, this is an indicator that there may be cause for concern. If you are feeling a sense of relief after each bowel movement or experiencing a loss of control in this area, you should see your doctor immediately.

How do the two connect? If the pain is somewhat dull and you are constipated then chances are that the two are correlated. There could be a backup of stool in the colon or rectum that can cause discomfort in your back.

If the pain becomes sharp in your back or stomach, you find blood in your stool, or are experiencing a fever you should see a doctor as soon as possible.

“If you have a ​herniated and bulging disk it can sometimes produce no symptoms at all. However, urinary tract infections, kidney infections, neurogenic bladder, and irritable bowel syndrome (disruption in nerve signals) are considerations [that] can sometimes be linked to back pain,” says Martini.

Challenging Everyday Activities

Trouble with activities of daily living like bending over to put on socks, going to the bathroom, or walking up-stairs is a sign of back pain that needs more medical attention.

This can be simultaneously discouraging and frustrating. It can also affect mental health and cause issues, such as depression, that can impede on everyday life.

According to a case study by the ​National Center for Biotechnology Information​, “Back pain has also emerged as the strongest predictor of major depression. Assessing and treating patients in a manner that integrates psychosocial and biological aspects of care is the essence of excellent family medicine. This case illustrates the importance for primary care physicians of screening for depression and other psychosocial factors in assessing patients with persistent back pain.”

This is just another reason why you should take your pain seriously, rather than put it off.

Change in Balance

If you are finding it difficult to maintain your balance, experiencing dizziness, and/or suffer from loss of spatial relations that include the following, there is an additional cause for concern. This is especially true if these symptoms are accompanied by pelvic, hip, or low back pain:

  • Running into door frames
  • Bumping your head frequently
  • Falling forward or backward for no reason

Difficulty Standing

If you have trouble standing for long periods of time, this could indicate a problem. If the disks and the facet joints of the vertebra become inflamed this can cause possible pain in the lower back while standing.

Martini says, “​It is important to understand that most back pain (problems) do not stem from the spine itself. Common back pain is generally due to muscle, ligament, tendon, and other soft tissue strains.”

In addition, the pain you may be feeling could be linked to degenerative disc disease, as well as spinal stenosis. In both cases, this could affect standing dramatically.

Degenerative disc disease is when discs between the vertebrae break down decreasing the space between them. This ultimately irritates the surrounding nerves.

In the case of spinal stenosis, it’s the pressure of nerves caused by the narrowing of spacing in the spine. You shouldn’t ignore any onset of pain, especially if you have a profession that requires you to stand for an extended amount of time.

Loss of Motor Function

Loss of control over motor function of one or both legs is referred to as drop leg syndrome. This correlates to damage of the sciatic nerve or paralysis of muscles in the anterior portion of the lower leg.

A prime example of this could be ​peripheral neuropathy, that feeling when your foot “goes to sleep.”

This often goes away once we change positions, allowing blood and nerve flow to be restored. Sciatica is a common nerve inflammation that can affect one or both legs. It can show up as pain with numbness, burning, and weakness.


Fever, back pain, and night sweats and chills could be signs of a serious systemic disease. If these symptoms are accompanied with swollen lymph nodes, high blood pressure, and neurological abnormalities then you should contact your doctor immediately.

“Injuries to the blood vessels and nerves in the cervical spine can bring on the same symptoms as the flu. This is known as thoracic outlet syndrome (TOS). Overuse, sleeping without proper neck support, craning the head forward as we do when looking at our phones, and whiplash can cause TOS. Our neck has to support our heavy heads. Any misalignment will have an effect on both bone and soft tissue. Our c-spine is very fragile and delicate. Cold weather can irritate the neck and shoulder and this could show up at night, in the form of sharp pain, perspiring, and flu-like symptoms. It’s simply the body resetting itself,” says Martini

Everyday habits may increase your pain.

From sleep to exercise, there are several lifestyle tweaks that can help prevent further injury or deter the pain from escalating. ​

Terry Cralle, RN, clinical sleep educator and sleep consultant for Saatva​ says, “ ​Poor sleep can contribute to the development of chronic pain and impair your body’s ability to curb it in general. More than half of Americans experience discomfort in any given week. Half of those with pain say it interferes with their sleep.”

Cralle suggests using pillows strategically. Also, find the best mattress that can offer adequate lumbar support.

If exercise possibly caused your pain, ​chiropractic physician Dr. Rob Bousquet says, “Putting ice on the injured area right away will be the first step (ice for 20 minutes, [then] 60 minutes off, and continue as many cycles as possible [on] the day of the injury).

Dr. Bosquet adds that the following day you should follow up with stretching, foam rolling, and massaging to help with recovery. If the pain has not subsided after one to two weeks, he recommends that you seek medical attention right away.

It’s important to pay attention to activities that may have contributed to specific back pain. In many cases back pain can occur from a slight strain by lifting something too heavy or sitting for long periods of time.

By simply tweaking bad habits you can correct common back pain. However, for circumstances more serious your should seek medical attention.

Metastatic non-Hodgkin lymphoma presenting as low back pain and radiculopathy: a case report

J Chiropr Med. 2012 Sep; 11(3): 202–206.

Inger K. Roug

aChiropractic Radiologist, Private Practice, Woodstock, GA

Larry B. McCartney

bChiropractic Physician, Private Practice, Acworth, GA

aChiropractic Radiologist, Private Practice, Woodstock, GA

bChiropractic Physician, Private Practice, Acworth, GA

Corresponding author. Roug Radiology, PC, 2122 Yorkshire Court, Woodstock, GA 30189. Tel.: + 1 770 592 1484; fax: + 1 770 592 1484. [email protected]

Received 2011 Dec 13; Revised 2012 Mar 23; Accepted 2012 May 30.

This article has been cited by other articles in PMC.



The purpose of this case report is to describe a case of metastatic non-Hodgkin lymphoma in the lumbar spine presenting as lumbar radiculopathy.

Clinical Features

A 46-year-old man sought care from his doctor of chiropractic for low back pain and right leg radiculopathy. The patient was referred for a magnetic resonance imaging (MRI) scan to evaluate for a suspected disk herniation. The MRI scan revealed 2 lumbar pathologic compression fractures with cauda equina compression, and MRI short tau inversion recovery (STIR) sagittal image of the lumbar spine showed high signal in T12 and S2.

Intervention and Outcome

The patient was referred for an immediate consultation with his medical physician with the preliminary diagnosis of metastatic bone lesions or primary bone lesions of unknown etiology. The patient underwent bone biopsy, computed tomography, and positron emission tomography scanning and was diagnosed with small cell non-Hodgkin lymphoma with osseous metastasis. The patient underwent chemo- and radiation therapy, and the lymphoma is now in remission 18 months later.


This case describes the presentation of metastatic non-Hodgkin lymphoma as a possible contributing cause in a patient presenting with lumbar radiculopathy, a common musculoskeletal condition. As well, this case highlights the importance of STIR sequences as part of a routine lumbar spine MRI examination. Without the STIR sequences, the additional deposits in T12 and S1 would not have been readily appreciated. Although metastatic non-Hodgkin lymphoma of the spine is rare, it should be remembered in the differential diagnoses.

Key indexing terms: Non-Hodgkin lymphoma, Spine, Radiculopathy, Magnetic resonance imaging, Metastasis, Chiropractic


Low back pain (LBP) with concurrent radiculopathy in an otherwise healthy mid-40-year-old patient is usually associated with lumbar disk herniation. Radiculopathy and back pain as first signs of non-Hodgkin lymphoma (NHL) spinal metastasis is rare, occurring in less than 5% of patients.1,2 Although NHL metastasis to the spine is rare as an initial manifestation of malignancy, it should be considered in cases of spinal cord compression thought to be due to malignant disease. The purpose of this case report is to describe the presentation and diagnostic imaging of a patient with symptoms of LBP and lumbar radiculopathy and metastatic NHL.

Case report

A 46-year-old man was seeking chiropractic care for LBP on the right side, which radiated down to the midthigh and sometimes into the lower leg. No numbness, tingling, cramping, or burning sensations were reported. The pain had been present for 2 weeks and was getting worse. He reported that he was very stiff in the morning for about 10 to 15 minutes until he began moving. The pain was achy all day and scored as 6 to 7 of 10 on a numeric pain scale. The pain was aggravated by lifting heavy objects at work and transitioning from sitting to standing. The patient gave consent to have his personal health information published without divulging personal identifiers.

Orthopedic and chiropractic examination procedures revealed restricted intersegmental motion with pain from L4 to S1 on all movements with a pain level of 6 to 7 of 10. Results of Straight Leg Raise, Braggard, Kemp, and Patrick FABERE tests were positive for LBP at a pain level of 7 to 8 of 10 with radiation to the right leg down to midthigh. Result of Valsalva test was positive with a pain level of 6 to 7 of 10. Results of muscle, sensory, and reflex testing were all normal. The patient reported that he was otherwise in good health. His vital signs were within normal limits; and there were no signs or history of weight loss, wasting, or other chronic, systemic disorder. The initial working diagnosis was sciatica with strain/sprain and muscle spasm. He was treated with chiropractic care consisting of spinal manipulation to improve spinal motion and reduce pain intermittently over 4 months. By the end of the 4-month period, the patient reported that the LBP was 2 of 10.

During the fifth month, the patient presented with LBP that radiated into his right leg; but this time, the pain was of a higher intensity. He stated that this pain came on suddenly while straining during a bowel movement. His pain was worse in the morning (8/10) and remained achy all day. The pain interfered with his work, which required lifting heavy objects. The LBP was constant with no reported relieving factors. The leg pain was relieved by rest and lying down. No sphincter or bladder disturbances were reported. A reexamination found positive results in the Straight Leg Raise test, Well Leg Raise test, Braggard test, and Kemp test, all with radicular pain down the right leg. Result of Valsalva test was positive. Deep tendon reflexes were equal bilaterally. No muscle weakness was evident. An area of numbness was noted over the left and right hips, corresponding to the L1-L2 dermatomes. A working diagnosis of disk herniation was made, and the patient was referred for a magnetic resonance imaging (MRI) scan of the lumbar spine.

Magnetic resonance imaging findings revealed thecal sac and cauda equina compression at the L1 and L4 levels due to destruction and collapse of the L1 and L4 vertebrae with posterior extension of a soft tissue mass (). There was destruction of the L1 and L4 anterior vertebral cortices with anterior extension of a soft tissue mass (). In addition, suspicious high-signal lesions were noted in T12 and S2 on the short tau inversion recovery (STIR) sequence (), which was not readily appreciated on the T2-weighted image (). The differential diagnoses included spinal metastasis of unknown origin, primary or metastatic lymphoma, multiple myeloma, tuberculosis/Pott disease, infection, and epidural abscess.

Magnetic resonance imaging T1 sagittal image of the lumbar spine. The image shows compression of the middle and anterior L1 and L4 vertebral bodies with both anterior and posterior extension of mass, which is isointense relative to marrow.

Magnetic resonance imaging T2 sagittal image of the lumbar spine displaying the same pathological compression fractures that are isointense and slightly hyperintense relative to bone marrow. Faint high signal is seen in the T12 vertebral body and S2, raising the suspicion of additional lesions.

Magnetic resonance imaging completely balanced steady-state sagittal image of the lumbar spine confirms the lesions to be isointense relative to bone marrow. The posterior mass lesions are clearly seen extending into the cerebrospinal fluid and compressing the cauda equina.

Magnetic resonance imaging STIR sagittal image of the lumbar spine confirms the high signal in T12 and S2.

The patient was referred for an immediate consultation with his medical physician with the preliminary diagnosis of metastatic bone lesions or primary bone lesions of unknown etiology. The patient underwent bone biopsy, computed tomography, and positron emission tomography scanning. The biopsy revealed small cell NHL. Computed tomography and positron emission tomography scanning showed metastasis in the lung and liver. Chemotherapy and radiation were administered for 4 days followed by chemotherapy for 6 months. The patient has been in remission for 18 months.


Spinal metastasis as the initial manifestation of NHL is rare and is thought to occur in less than 5% of cases.1,2 Spinal metastasis and epidural metastasis are infrequently encountered in patients with established NHL as well.3,4 Spinal cord/cauda equina compression from NHL is usually due to an isolated primary or secondary deposit within the spinal canal5 or by extension from an adjacent nodal mass or collapsed vertebra.2

Most neoplasms presenting with spinal epidural metastasis as initial manifestation of malignancy are carcinomas of the lung, multiple myeloma, NHL, and carcinoma of unknown primary site.6 Cauda equina or cord compression due to secondary malignant epidural spinal extension is commonly encountered in up to 70% or more of patients already diagnosed with cancer.7,8 Spinal metastasis with epidural extension typically occurs in the later disease stages. 9,10

The spine is the third most common site for cancer cells to metastasize, following the lung and the liver. The vertebral column is the most common site of skeletal metastases.11 Cancers of the breast, lung, and prostate account for 60% of all metastases to bone.12

Non-Hodgkin lymphoma is a group of blood cancers, and it is the seventh most common cancer in the United States.13

There are about 30 subtypes that range in severity from aggressive to mild. Signs and symptoms usually include swollen lymph nodes in the neck, groin, or axillary regions; fever; fatigue; weight loss; abdominal pain; cough; and/or shortness of breath. These are often nonspecific symptoms, but should prompt further diagnostic workup. The patient in this case demonstrated no constitutional symptoms, which is the norm rather than the exception.6

The cause of NHL is unknown, but certain risk factors have been identified. The most common types of NHL usually appear in people in their 60s and 70s. Men are affected more than women. In the United States, white people are more likely to develop NHL than African Americans and Asian Americans. A history of viral or bacterial infections such as Epstein-Barr virus or human immunodeficiency virus may play a role in some lymphomas. Immune system deficiency disorders, autoimmune disorders, exposure to industrial and agricultural chemicals, and radiation treatment have also been linked to NHL.14 Our patient exhibited none of these risk factors other than being a white man. As demonstrated by this case, it is imperative that the treating practitioner performs a thorough neurological examination and promptly refers for advanced imaging when indicated.

A prodromal phase of local back pain persisting up to a year followed by a second phase of rapidly progressive signs of nerve compression has been described in NHL presenting with spinal epidural involvement.15 This was the case with our patient; however, the same clinical presentation/scenario may also be encountered commonly with disk herniation.

The most common presenting symptom of NHL is a painless swelling of the lymph nodes in the neck, underarm, or groin; however, owing to its insidious nature, symptomatic lymphoma, primary or secondary, may present as seemingly uncomplicated musculoskeletal complaints in chiropractic offices. Cases presenting to chiropractic offices that have been reported in the literature include LBP with radiculopathy,16 shoulder strain, rotator cuff tendinitis,17 posttraumatic sprain/strain of the hip,18 chronic piriformis myofascial pain syndrome with sacroiliac joint dysfunction,19 thoracic spine pain,20 and “biomechanical” neck pain,21 all commonly encountered entities in chiropractic practice. Non-Hodgkin lymphoma has also been reported to mimic thoracolumbar spinal tuberculosis or Pott disease.22 Primary bone lymphoma is exceedingly rare, accounting for only 3% of all primary bone malignancies.23 Primary bone lymphoma may also present with LBP and radiculopathy as the initial manifestation of malignancy. 24-26

This case highlights the importance of STIR sequences as part of a routine lumbar spine MRI examination. Without the STIR sequences, the additional deposits in T12 and S2 would not have been readily appreciated. Short tau inversion recovery imaging is a fat-saturated imaging technique that results in markedly decreased signal intensity from fat and strikingly increased signal from fluid and edema. As a result, STIR is an extremely sensitive tool for detecting most types of soft tissue and marrow pathology. Most musculoskeletal imaging protocols include STIR sequences together with standard T1 and T2 pulse sequences.


This case report represents an unusual presentation; therefore, it cannot be assumed that other patients with metastatic NHL will present or respond to care in a similar manner. Best clinical judgment should be used in consideration of each patient case.


This case describes the presentation of metastatic NHL as a possible contributing cause in a patient presenting with lumbar radiculopathy, a common musculoskeletal condition. Although metastatic NHL of the spine is rare, it should be remembered in the differential diagnoses. The presented case provides an example of a rare and unique presentation of disease and an early discovery and treatment.

Funding sources and potential conflicts of interest

No funding sources or conflicts of interest were reported for this study.


1. McDonald A.C., Nicoll J.A., Rampling R.P. Non-Hodgkin’s lymphoma presenting with spinal cord compression; a clinicopathological review of 25 cases. Eur J Cancer. 2000;36(2):207–213. [PubMed] [Google Scholar]2. Eeles R.A., O’Brien P., Horwich A., Brada M. Non-Hodgkin’s lymphoma presenting with extradural cord compression: functional outcome and survival. Br J Cancer. 1991;63:126–129. [PMC free article] [PubMed] [Google Scholar]3. Giglio P., Gilbert M.R. Neurologic complications of non-Hodgkin’s lymphoma. Curr Hematol Malig Rep. 2006;1(4):2214–2219. [Google Scholar]4. Iizuka Y., Iizuka H., Tsutsumi S., Nakagawa Y. , Nakajima T., Sorimachi Y. Diagnosis of a previously unidentified primary site in patients with spinal metastasis: diagnostic usefulness of laboratory analysis, CT scanning and CT-guided biopsy. Eur Spine J. 2009;18:1431–1435. [PMC free article] [PubMed] [Google Scholar]5. Mally R., Mayur S., Shadma K., Vernon V. Primary lumbo-sacral spinal epidural non-Hodgkin’s lymphoma: a case report and review of literature. Asian Spine J. 2011;5(3):192–195. [PMC free article] [PubMed] [Google Scholar]6. Schiff D., O’Neill B.P., Suman V.J. Spinal epidural metastasis as the initial manifestation of malignancy: clinical features and diagnostic approach. Neurology. 1997;49(2):452–456. [PubMed] [Google Scholar]7. Rose P.S., Buchowski J.M. Metastatic disease in the thoracic and lumbar spine: evaluation and management. J Am Acad Orthop Surg. 2011;19(1):37–48. [PubMed] [Google Scholar]8. Abrahm J.L., Banffy M.B., Harris M.B. Spinal cord compression in patients with advanced metastatic cancer: “all I care about is walking and living my life” JAMA. 2008;299(8):937–946. [PubMed] [Google Scholar]9. Alencar A., Pitcher D., Byrne G., Lossos I.S. Primary bone lymphoma—the University of Miami experience. Leuk Lymphoma. 2010;51(1):39–49. [PubMed] [Google Scholar]10. Luo C.C. Spinal cord compression secondary to metastatic non-Hodgkin’s lymphoma: a case report. Arch Phys Med Rehabil. 2005;86(2):332–334. [PubMed] [Google Scholar]11. Hatrick N.C., Lucas J.D., Timothy A.R., Smith M.A. The surgical treatment of metastatic disease of the spine. Radiother Oncol. 2000;56(3):335–339. [PubMed] [Google Scholar]13. Altekruse S.F., Kosary C.L., Krapcho M., Neyman N., Aminou R., Waldron W. National Cancer Institute; Bethesda (Md): 2010. SEER cancer statistics review, 1975-2007.http://seer.cancer.gov/csr/1975_2007/ [based on November 2009 SEER data submission, posted to the SEER Web site] [Google Scholar]14. Boffetta P., de Vocht F. Occupation and the risk of non-Hodgkin lymphoma. Cancer Epidemiol Biomarkers Prev. 2007;16(3):369–372. [PubMed] [Google Scholar]15. Epelbaum R., Haim N., Ben-Shahar M., Ben-Arie Y., Feinshod M., Cohen Y. Non-Hodgkin’s lymphoma presenting with spinal epidural involvement. Cancer. 1986;58(9):120–124. [PubMed] [Google Scholar]16. Reggars J.W., French S.D. A case of leptomeningeal disease presenting as lumbar nerve root radiculopathy. Australas Chiropr and Osteopat. 1998;7:112–115. [PMC free article] [PubMed] [Google Scholar]17. Keyes W.J., Morgan C., Pulinec A. The horse that was a zebra: primary lymphoma of bone mimicking shoulder strain in an elderly male. J Can Chiropr Assoc. 2000;44:21–28. [Google Scholar]18. Busse J.W., Columbus C., Imrie K. Delayed diagnosis of non-Hodgkin’s lymphoma: a case report. JNMS. 2001;9:60–63. [Google Scholar]19. Guben J.N., Van der Mark R.L.J., Yeghiayan E. B-cell lymphoma presenting as mechanical low-back pain with leg pain: the importance of the physical and ultrasound examination of the buttock in patients with low-back pain and leg pain: a case report. J Can Chiropr Assoc. 2011;45:81–85. [Google Scholar]20. Rowe L.J. Hodgkin’s lymphoma of the thoracic spine. J Aust Chiropr Assoc. 1985;15:70–73. [Google Scholar]21. Wessely M., van Koert G. Chiropractic radiology: a case challenge. Br J Chiropr. 2001;5:1/2:31–34. [Google Scholar]22. Adegboye O.A. Non-Hodgkin’s lymphoma “masquerading” as Pott’s disease in a 13 old boy. Indian J Med Paediatr Oncol. 2011;32(2):101–104. [PMC free article] [PubMed] [Google Scholar]23. Durr H.R., Muller P.E., Hiller E., Maier M., Bauer A., Jansson V. Malignant lymphoma of bone. Arch Orthop Trauma Surg. 2002;122(1):10–16. [PubMed] [Google Scholar]24. Ebus S.C., Bernsen H.J., Norel Van G.J., Donk R. Primary non-Hodgkin’s lymphoma in multiple vertebrae presenting as a lumbar radicular syndrome. Spine (Phila PA 1976) 2002;27(10):E271–E273. [PubMed] [Google Scholar]25. Prestar F.J. Malignant lymphomas with first manifestation in the spine as a rare differential diagnosis of lumbar intervertebral disk syndrome. Neurochirurgia (Stuttg) 1993;36(1):1–10. [PubMed] [Google Scholar]26. Tahiri L., Benbouazza K., Amine B., Allali F., El Mesbahi O., Hajjaj-Hassouni N. Primary non-Hodgkin’s lymphoma presenting as radicular syndrome: report of two cases. Rheumatol Int. 2009;30(1):113–117. [PubMed] [Google Scholar]

Swollen Lymph Nodes | Cigna

Topic Overview

What are lymph nodes?

Lymph nodes are small, bean-shaped glands throughout the body. They are part of the lymph system, which carries fluid (lymph fluid), nutrients, and waste material between the body tissues and the bloodstream.

The lymph system is an important part of the immune system, the body’s defense system against disease. The lymph nodes filter lymph fluid as it flows through them, trapping bacteria, viruses, and other foreign substances, which are then destroyed by special white blood cells called lymphocytes.

Lymph nodes may be found singly or in groups. And they may be as small as the head of a pin or as large as an olive. Groups of lymph nodes can be felt in the neck, groin, and underarms. Lymph nodes generally are not tender or painful. Most lymph nodes in the body cannot be felt.

What causes swollen lymph nodes?

Lymph nodes often swell in one location when a problem such as an injury, infection, or tumor develops in or near the lymph node. Which lymph nodes are swollen can help identify the problem.

  • The glands on either side of the neck, under the jaw, or behind the ears commonly swell when you have a cold or sore throat. Glands can also swell following an injury, such as a cut or bite, near the gland or when a tumor or infection occurs in the mouth, head, or neck.
  • Glands in the armpit (axillary lymph nodes) may swell from an injury or infection to the arm or hand. A rare cause of axillary swelling may be breast cancer or lymphoma.
  • The lymph nodes in the groin (femoral or inguinal lymph nodes) may swell from an injury or infection in the foot, leg, groin, or genitals. In rare cases, testicular cancer, lymphoma, or melanoma may cause a lump in this area.
  • Glands above the collarbone (supraclavicular lymph nodes) may swell from an infection or tumor in the areas of the lungs, breasts, neck, or abdomen.

Common sites for swollen lymph nodes include the neck, groin, and underarms.

What does it mean when lymph nodes swell in two or more areas of the body?

When lymph nodes swell in two or more areas of the body, it is called generalized lymphadenopathy. This may be caused by:

  • A viral illness, such as measles, rubella, chickenpox (varicella), or mumps.
  • Mononucleosis(Epstein-Barr virus), which results in fever, sore throat, and fatigue, or cytomegalovirus (CMV), a viral infection that causes symptoms similar to those of mononucleosis.
  • A bacterial illness, such as strep throat (caused by the streptococcus bacterium) or Lyme disease (a bacterial infection spread by certain types of ticks).
  • Side effects of phenytoin (Dilantin), a medicine used to prevent seizures.
  • Side effects of measles-mumps-rubella (MMR) vaccination.
  • Cancer, such as leukemia, Hodgkin disease, and non-Hodgkin lymphoma.
  • Acquired immunodeficiency syndrome (AIDS), which develops after a person contracts HIV (human immunodeficiency virus). This virus attacks the immune system, making it difficult for the body to fight off infection and some disease.
  • Syphilis, a sexually transmitted infection.

How are swollen lymph nodes treated?

Treatment for swollen glands focuses on treating the cause. For example, a bacterial infection may be treated with antibiotics, while a viral infection often goes away on its own. If cancer is suspected, a biopsy may be done to confirm the diagnosis.

Any swollen lymph nodes that don’t go away or return to normal size within about a month should be checked by your doctor.

How long will lymph nodes remain swollen?

Lymph nodes may remain swollen or firm long after an initial infection is gone. This is especially true in children, whose glands may decrease in size while remaining firm and visible for many weeks.

Groin pain or swelling | healthdirect

The most common causes of groin pain or swelling are swollen glands, an injury or a hernia. If it is very painful and it doesn’t improve in a few days, you should see your doctor.

Swollen glands

Swollen glands or lymph nodes usually mean you’re fighting an infection. If the glands in your groin are swollen, you might have an infection in your leg. Swollen glands usually get better by themselves, but if they don’t go away or you are in discomfort, see your doctor.

Groin injury

The groin can be injured when the muscles, tendons and ligaments attached to the groin are over-stretched, over-used, or ‘pulled’ (strained). Occasionally groin pain is the result of nerve injuries in the lower-back. Groin injuries usually get better by themselves, but this might take several weeks.


A hernia is when a piece of internal tissue or internal organ which is normally held in place by muscles, manages to push its way through the muscle that make up the wall of the abdomen. Hernias can appear in the abdomen or groin and are usually brought about by strenuous activity or heavy lifting. This results in a bulge under the skin and possibly pain. This bulge might come and go or be there all the time. See your doctor if you think you have a hernia.

Other causes of groin pain or swelling

Sometimes groin pain is caused by something else. It could be a bone injury or fracture, kidney stones, a problem with the testicles, a pinched nerve or sciatica.

When to see a doctor

Most groin pain will go away by itself. But see a doctor if:

  • you have very severe pain
  • the pain doesn’t improve in a few days
  • you have pain in the testicles that lasts for longer than a few days
  • there’s a lump or swelling in a testicle
  • you have pain your abdomen
  • there’s blood in the urine

Go to the emergency department if you have pain in your testicles that comes on very quickly and you also have nausea, vomiting, fever or blood in the urine.

Looking after yourself

  • you should avoid any bending and particularly lifting until you see your doctor
  • avoid any activity that may be causing the pain or swelling, or that makes the symptoms reappear
  • you should also avoid any strenuous activity for at least 2 to 3 days after your symptoms have gone
  • an ice pack may help relieve swelling but should not be placed directly against the skin. It should be wrapped in a clean cloth to avoid burning the skin. Ice packs can be re-applied every 2 to 3 hours but do not leave them on the skin for more than 20 minutes at a time
  • avoid wearing any tight clothing around the painful or swollen area
  • if you are in pain, get advice on medicines you can take

Not sure what to do next?

If you are still concerned about your groin pain or swelling, why not use healthdirect’s online Symptom Checker to get advice on when to seek medical attention.

The Symptom Checker guides you to the next appropriate healthcare steps, whether it’s self care, talking to a health professional, going to a hospital or calling triple zero (000).

Are Swollen Lymph Nodes a Symptom of COVID-19? Doctors Explain

At this point in the pandemic, you’re fairly familiar with the laundry list of possible COVID-19 symptoms, including a fever, chills, body aches, a dry cough, shortness of breath, and a loss of taste or smell.

However, the Centers for Disease Control and Prevention (CDC) notes that symptoms associated with the novel coronavirus can manifest uniquely in each individual, meaning one person could have a completely different experience compared to another.

One symptom you may not hear a lot about: swollen lymph nodes. Much like dizziness, back pain, or an odd skin rash, it doesn’t make the CDC’s official list of common symptoms.

However, swollen lymph nodes, especially in the neck area, are a hallmark sign of any viral or bacterial infection in the upper respiratory tract (nose, mouth, throat, etc.), says Joseph Feuerstein, M.D., director of integrative medicine at Stamford Hospital and associate professor of clinical medicine at Columbia University. “The lymph nodes are where the immune system of the neck is located, so any infection in the head or neck will cause an activation of the lymph nodes as they get inflamed,” Dr. Feuerstein says.

But do swollen glands automatically signal COVID-19? Here’s what doctors want you to know.

What are the “official” symptoms of COVID-19?

These are the most common symptoms of COVID, according to the CDC:

  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

    If you’re experiencing a symptom that’s not on the CDC’s list, you should still pay close attention to how you’re feeling. Even though cases of the virus are now dropping across the country, thousands of positive coronavirus infections are still reported every day.

    “Similar to other viral and even bacterial illnesses, each person may have some overlapping symptoms and some different ones,” says Sharon Nachman, M.D., chief of the division of pediatric infectious diseases at Stony Brook Children’s Hospital in New York. “Strep throats are a perfect example: Some children present with high fever, others with sore throats and mild fever, and others with abdominal pain—yet a throat swab in each case reports out the same pathogen.”

    COVID-19 is similar, she notes, as the immune system response to the virus differs between people.

    What typically causes swollen lymph nodes? And what do they feel like?

    We have hundreds of lymph nodes—small, bean-shaped glands—throughout our body. They’re a major component of the immune system and become larger when they’re responding to an infection. Why? They collect fluid, waste, and “bad cells” to essentially filter them out of the body, per the American Cancer Society (ACS).

    “The lymph fluid, traveling through lymphatic channels, contain lymphocytes (white blood cells) that help your body fight off infections and diseases—hence the swollen nodes,” says Nikhil Bhayani, M. D., an infectious disease physician with Texas Health Resources in Bedford, TX.

    For the latest health news, join Prevention Premium to gain exclusive access to expert-backed wellness content you can trust.

    And they’ll be hard to miss. “Swollen lymph nodes can feel like small, rubbery, pea-sized nodules to large, tender, boggy, cherry-sized nodules to even larger, hard, very tender, plum-sized nodules,” explains Dr. Nachman. “They are all over your body, including your neck, groin, and armpit.” However, usually just one area of nodes swells at a time, per the ACS.

    Are swollen lymph nodes a possible symptom of COVID-19?

    Yes, but not always. Swollen glands aren’t an immediate sign of COVID-19, but it is a possible symptom. “It is, after all, your body trying to fight the virus and stop from it going down into the chest cavity and the lungs,” says Dr. Feuerstein.

    Two small studies, published in The Lancet: Infectious Diseases, suggest that swollen lymph nodes are found in under 10% of adults who had a confirmed COVID-19 infection. However, Dr. Nachman points out that it can be quite difficult to differentiate between true acutely enlarged neck lymph nodes (i.e. from a recent infection like COVID-19) from routine borderline enlarged nodes related to past viral illnesses.

    “If you feel your own neck at the time of an acute viral illness, you will note that some of these nodes feel enlarged; if you check back weeks later, they will often still feel slightly enlarged,” Dr. Nachman says. “As adults, our neck node enlargement (and presence) is related to years of viral illnesses and in some cases, these never disappear but are palpable all the time, even when you’re not ill.

    What to do if you have swollen lymph nodes

    If you have swollen lymph nodes, especially in your neck, Dr. Lee would not immediately think of COVID-19 as a cause, unless you know of a recent exposure. Instead, she recommends focusing on other symptoms, such as fever, headache, chills, or body aches. “If you have symptoms apart from neck swelling, I recommend isolating yourself and getting tested, but if the lymph nodes are your only symptom, please reach out to your healthcare provider for a full examination,” she says.

    She also highly recommends getting vaccinated as soon as you can. Just note that the COVID-19 vaccine itself may also lead to swollen lymph nodes as a side effect, particularly in the armpit area on the side you received the injection. “This is normal and a reassuring sign that your immune system is working to develop antibodies against the virus,” she says.

    If you have swollen lymph nodes that feel especially hard or persist for several weeks, it is a smart idea to touch base with your doctor. “Swollen glands could be caused by a number of things, including cold and flu infections, mononucleosis, sexually transmitted illnesses, skin infections, rheumatoid arthritis, and even certain types of cancers,” says Dr. Bhayani, “all of which deserve a thorough check-up.”

    This article is accurate as of press time. However, as the COVID-19 pandemic rapidly evolves and the scientific community’s understanding of the novel coronavirus develops, some of the information may have changed since it was last updated. While we aim to keep all of our stories up to date, please visit online resources provided by the CDC, WHO, and your local public health department to stay informed on the latest news. Always talk to your doctor for professional medical advice.

    Jenn Sinrich
    Jenn Sinrich is an experienced writer, digital and social editor, and content strategist covering health, fitness, beauty, and relationships.

    This content is created and maintained by a third party, and imported onto this page to help users provide their email addresses. You may be able to find more information about this and similar content at piano.io

    90,000 ultrasound of the lymph nodes of the neck in Berezniki in the diagnostic center, do ultrasound of the abdominal, axillary, inguinal, cervical, retroperitoneal, peripheral lymph nodes at low prices, which shows ultrasound of the lymph nodes

    Lymph nodes are an important part of the human immune system. Their functions include cleaning the blood from viruses, bacteria, toxic substances, and various atypical cells. Hundreds of lymph nodes produce antibodies that protect the body from pathogens.

    A healthy person does not notice the constant work of the lymphatic system and does not feel the nodes in his body in any way.With the development of pathology, the lymph node becomes denser, deformed, and painful. In most cases, the changes are visible externally.

    To find out the cause of the transformation and choose a treatment, the patient is prescribed an ultrasound of the lymph nodes. Today, ultrasound is one of the safest and most affordable methods for diagnosing diseases.

    In the clinic “Alfa-Health Center” in Berezniki, you can have an ultrasound scan of the lymph nodes at a convenient time and at a reasonable price.The examination is carried out on an expert class digital scanner. The price for ultrasound of lymph nodes includes a standard description from an experienced doctor of ultrasound diagnostics.

    Indications for the procedure

    An increase or change in lymph nodes almost always indicates a disease of nearby tissues and organs. Therefore, manifestations depend on the location of the pathological focus.

    The doctor assigns the area of ​​study, taking into account the current clinical picture.

    • Ultrasound of the axillary lymph nodes is indicated for fever, weakness, general malaise. The structures increase in size and are well palpable as small round lumps. When feeling the armpit, the patient feels pain. Discomfort in the armpit is possible with sudden hand movements on the affected side.
    • Ultrasound of the lymph nodes of the neck is prescribed for often recurrent pharyngitis, tonsillitis, laryngitis, tonsillitis, which are difficult to treat.The indication for examination is suspected measles, rubella. Inflammation of the cervical lymph nodes is often accompanied by difficulty swallowing, pain.
    • Ultrasound of the inguinal lymph nodes is performed for swelling and pain in the legs, lower abdomen. Symptoms are accompanied by an increase in temperature and a deterioration in the general condition of the patient. Seals are palpable in the groin area.
    • Ultrasound of the submandibular lymph nodes is prescribed if a malignant tumor is suspected. The structures also increase with infections, various lesions of the oral cavity.Scanning the submandibular lymph nodes allows the doctor to assess the severity of immunodeficiency after previous illnesses.
    • Ultrasound of the retroperitoneal lymph nodes is indicated for hemolytic pathologies, fever of unexplained origin. The examination is carried out for abdominal pain when it is not possible to accurately establish the cause of the syndrome. Routine ultrasound of the internal retroperitoneal nodes helps to monitor the effectiveness of treatment of hematological, inflammatory diseases, assess the patient’s condition after surgery and plan interventions.
    • Ultrasound of the lymph nodes of the abdominal cavity is prescribed for the diagnosis of pathologies of the intestines, pelvic organs. Scanning allows you to establish the cause of pain, plan the operation in cases where it is impossible to examine the patient by other methods.
    • Ultrasound of the lymph nodes of the breast is prescribed in the presence of nodules, seals in the chest area. Scanning is carried out for mastopathy, various inflammatory diseases. Ultrasound examination is one of the methods for early diagnosis of breast cancer.

    If indicated, ultrasound of peripheral lymph nodes of other groups is also prescribed: elbow, popliteal, submandibular, supraclavicular, subclavian, parotid.


    Ultrasound is not informative with woody density of lymph nodes, the presence of syphilis, Koch’s bacillus, lepromatous cells. Diagnostic scanning is difficult in the presence of open wounds, purulent skin lesions in the area of ​​the sensor installation.

    How is the examination done

    Ultrasound of the lymph nodes of the neck, abdominal cavity, mammary glands, groin and any other group does not require special preparation. The doctor will tell the patient in advance what rules to follow. The procedure is outpatient and lasts about 15-20 minutes.

    After scanning, the patient is given a description of the ultrasound of the lymph nodes. To decipher the results, you must consult a general practitioner or the attending doctor who sent for the study. It is possible to make a diagnosis using a sonogram only taking into account laboratory tests, the patient’s current condition, and other important factors. Therefore, the decoding is not included in the price of an ultrasound of the lymphatic vessels and is done at a separate consultation.

    What does ultrasound of lymph nodes show

    Normally, on ultrasound, the lymph nodes remain invisible. Healthy structures are highly echogenic and transmit ultrasonic beams without distortion. Visualization is possible only in the presence of deviations from the norm.

    During the examination, the doctor examines the shape, size, density of the nodes and adjacent tissues. According to the echogenic activity of individual areas, metastases can be detected in the area of ​​lymph outflow from the affected organ, and a malignant process can be suspected.

    Ultrasound of enlarged lymph nodes allows us to make the following diagnoses:

    • Lymphadenitis is an inflammatory process caused by infection in the most peripheral node or pathogens from the focus of lymph outflow.
    • Lymphadenopathy – damage to several groups of lymph nodes simultaneously due to infection with tuberculosis, brucellosis, HIV, toxoplasmosis and other severe infections.
    • Lymphosarcoma is an oncological lesion.

    In our clinic in Berezniki, ultrasound of lymph nodes is performed as part of a comprehensive diagnosis of diseases such as syphilis, Sesari’s disease, actinomycosis, and leukemia.To clarify the data, a biopsy, X-ray, and other studies may be required.

    Sign up for an ultrasound of lymph nodes in Berezniki

    Call us to make an appointment for an examination at a convenient time. The clinic’s registrars will tell you how much an ultrasound scan of the lymph nodes costs, advise on the cost of receiving narrow specialists, and answer all your questions. Our address: st. Komsomolsky prospect, 17, bldg. 11.


    Lymphomas, tumors of the chest, retroperitoneal space, bacterial and fungal infections


    Drainage area

    The most common diseases of the skin

    The most common diseases

    head and back of the neck

    Trichophytosis and microsporia, pediculosis, seborrheic dermatitis, rubella, HIV infection, other local infections and tumors

    Mastoid (in the area of ​​the mastoid process)

    Temporal part auricle, middle ear

    Local infections, otitis media, mastoiditis, diseases of the scalp, rubella

    Parotid: lymph nodes are located both above the parotid salivary gland and directly in its tissue. There are no lymph nodes in the tissue of other salivary glands.

    Lateral part of the eye and eyelids, conjunctiva, skin of the temporal region,

    external ear

    Conjunctivitis, local infections

    Oculoglandular Parino syndrome is a complication of bartonellosis and tularemia.

    Skin of the face and medial conjunctiva.

    Mucous membrane of lips and mouth, tongue, salivary glands.

    Infections of the oral cavity, ear, sinuses, nasopharynx, head and neck


    Lower lip, bottom of the mouth, gingival mucosa in the area of ​​lower incisors, tongue, cheek skin

    Local infections.

    Infections caused by EBV, CMV, toxoplasmas

    Anterior cervical (jugular, anterior to the sternocleidomastoid muscle in the upper cervical triangle

    Face skin, ear, salivary glands, mucous membranes and membranes of the nose, pharynx oral cavity, tongue (except apex), tonsils

    Local infections, pharyngitis, rubella

    Posterior cervical lymph nodes (behind the sternocleidomastoid muscle, in the lower cervical triangle)

    Scalp, organs neck, skin of hands and chest. Drainage of cervical and axillary lymph nodes.

    Local infections, Mononucleosis-like syndrome

    Tuberculosis, lymphomas, lymphogranulomatosis, head and neck tumors

    Right supraclavicular

    Mediastinum, lungs, esophagus.

    Skin of the upper chest

    Tumors of the lungs, mediastinum, gastrointestinal tract, retroperitoneal space

    Left supraclavicular (“Virchow’s gland”)

    Chest, abdominal organs

    Axillary lymph nodes

    Hands, chest wall, mammary gland

    Local infections, bartonellosis, breast tumors, lymphomas, silicone graft, melanoma

    III, IV, V fingers, inner surface of the ulnar part of the hand, ulnar surface of the forearm

    Local infections, lymphomas, sarcoidosis, tularemia, secondary syphilis

    9000 along the way inguinal ligament)

    Genitals, scrotum, perineum, skin of the legs, lower abdomen, buttocks

    Infection of the legs and feet, herpetic infections, gonorrhea, syphilis, chancroid, venereal granuloma, lymphomas, tumors of the pelvis, and genitals , urogenital infections

    Skin of legs and feet

    Local infections

    Lymphadenitis: Main causes, Symptoms of lymphadenitis, Types of lymphadenitis | doc.


    The main reason for the development of inflammatory processes in the lymph nodes is the penetration of pathogens into the body of a healthy person. The spread of bacteria and viruses occurs by the spread of blood and lymph throughout the body. The onset of inflammatory processes occurs due to the settling of microorganisms on the nodes of the lymphatic system. In other words, the cause of the development of lymphadenitis is the development of other infectious diseases.

    In some cases, the concepts of lymphadenitis and lymphadenopathy can be confused due to their similar sound.However, the disease is exclusively lymphadenitis. The second concept implies a preliminary diagnosis, denoting a general inflammatory process that occurs in the area of ​​the lymph nodes, which needs to be clarified. The diagnosis of lymphadenitis is made to a person solely upon completion of a detailed examination and passing the necessary tests.

    Root Causes

    Most often, the development of lymphadenitis occurs due to the development of other diseases. In most cases, the inflammatory process in the area of ​​the lymph nodes occurs due to infectious disease-causing processes that are acute or chronic, for example, boils, fistulas, ulcers, abscesses.General diseases of an infectious nature become the cause of the development of lymphadenitis much less frequently.

    Symptoms of lymphadenitis

    In case of infection of the lymph node, inflammation of the node itself occurs, which is accompanied by an increase in the size of the organ. The reason for the increase is considered to be the accumulation of cells responsible for the process of inflammation at the site of penetration of the pathogenic microorganism. Inflammation can occur as one or several nodes located nearby. In case of damage to regional lymph nodes, the patient is diagnosed with regional lymphadenitis.

    Classification of Lymphadenitis

    Based on the localization of the occurrence of inflammatory processes, the following types of disease are distinguished:

    Cervical lymphadenitis, manifested as enlargement and inflammation of the lymph nodes of the cervical region. Other manifestations, headache, fever, pain when pressing on the lymph nodes. With cervical lymphadenitis, which proceeds as acute lymphadenitis, suppuration occurs in the inflamed area, the disease is accompanied by disturbed sleep, loss of appetite, headaches, and severe swelling of the neck.

    Submandibular lymphadenitis. The initial manifestation of this form of the disease is pain that occurs when pressing under the jaw or behind the ear. Later, lymphadenitis of the submandibular form manifests itself through edema of the submandibular region, the formation of suppurations, provoking a change in skin tone – from normal to burgundy. At the time of the release of purulent masses, blue skin is observed. Also, one of the manifestations of lymphadenitis is an increased body temperature.

    Inguinal lymphadenitis – determined by the processes of compaction and enlargement of the lymph nodes in the groin.With the development of the disease, an increase in body temperature, a feeling of pain during pressure in the lower abdomen are added to the symptomatic picture. In the absence of adequate timely treatment, inflammatory processes can cover the nearest lymph nodes. In a severely neglected form, inflammation affects all the lymph nodes of the body.

    Axillary lymphadenitis – the symptomatic picture of this type of disease does not differ from other types of lymphadenitis. The lymph nodes of the armpit area increase in size, with pressure, painful sensations arise, the body temperature tends to rise.In the case of the development of a purulent form of this disease, inflammation passes to the remaining lymph nodes, spreading the infection throughout the body.

    Lymphadenitis in children develops in the submandibular form, adults can expose children to lymphadenitis of any of the listed types.

    Types of lymphadenitis

    Depending on the duration, lymphadenitis is divided into acute and chronic.

    The acute form is characterized by a gradual increase in the symptomatic picture, which tends to fade smoothly with proper treatment.

    The chronic form of the disease is characterized by a course that lasts up to several years. In most cases, the development of chronic lymphadenitis is in direct connection with other diseases of a chronic nature of the course, periodically manifested.

    The causative agents of infection leading to lymphadenitis provide an opportunity to isolate specific and non-specific forms of the disease. Nonspecific lymphadenitis develops due to the influence of pyogenic microbes, for example, staphylococci, or toxins that are secreted by these bacteria.Also, the process of tissue decay at the site of the lesion by a purulent process can provoke the appearance of this disease. A specific form develops in the case of the development of syphilis, tuberculosis and other diseases.

    A purulent form of any of the types of lymphadenitis is dangerous in that the inflammatory processes pass to the fiber in the area of ​​the infected node, which leads to edema, redness of the tissues and the appearance of accumulations of purulent masses in the node itself. With the development of a non-purulent form, inflammatory processes do not develop outside the lymph node.

    Diagnosis of lymphadenitis

    In the chronic course of the disease, a biopsy of the affected lymph node is performed to exclude the risk of a misdiagnosis and not to be mistaken for oncology or leukemia.

    For the diagnosis of acute nonspecific lymphadenitis, it is enough for the doctor to collect the patient’s history and evaluate the clinical signs.

    To identify the specific character, it is necessary to undergo clinical and biological studies, which will be prescribed by the attending physician.

    Methods for the treatment of lymphadenitis

    In any case, before starting to take therapeutic measures, it is necessary to undergo a thorough consultation by contacting a phlebologist.Postponing the consultation in connection with thoughts about the possibility of self-elimination of the inflammatory process leads to the development of complications and a worsening of the patient’s condition, while increasing the likelihood of developing a purulent form of the disease.

    The beginning of the inflammatory process in the lymph nodes of the cervical region after the transfer of influenza, tonsillitis and acute respiratory viral infections does not require drug treatment. In some, it is possible to prescribe medications that have an anti-inflammatory effect at the decision of the doctor who treats lymphadenitis.However, without special need, medications are not prescribed, since in most cases, lymphadenopathy passes without medical intervention.

    In case of the appearance of purulent masses in the area affected by inflammatory processes, the treatment process takes on a medicinal character. The attending physician prescribes a group of antibiotics that will be most effective for one form or another of purulent lymphadenitis.

    Acceleration of the healing process of the disease is possible through the use of physiotherapy.Home treatment is accompanied by the use of anti-inflammatory ointments, vitamin complexes, as well as medications, which contain a high content of vitamin C, the need for which increases with the development of the inflammatory process.

    Recommendations for lymphadenitis include high patient fluid intake, avoiding hypothermia, and staying in a warm environment. In some cases, if the treatment is ineffective, surgical measures are used, the result of which is the removal of purulent masses from the patient’s body by opening the resulting suppuration.

    In the case of purulent lesions of several nodes of the lymphatic system, a surgical method is used to remove the purulent mass by inserting a drainage tube into the area of ​​the submandibular incision.

    With inguinal lymphadenitis, physical activity on the patient’s body is primarily limited. Also, a course of antibiotics is prescribed, which has a large-scale effect on the organism affected by the infection. In the event of purulent accumulations in the groin area, surgical measures are applied, including the processes of drainage and opening the focus of pus accumulation.Inguinal lymphadenitis is treated regardless of the gender of the patient.

    In case of development of the axillary form of lymphadenitis, the infection is initially eliminated by taking antibiotics. Until the patient fully recovers, physiotherapy is used, special exercises that strengthen the general condition of the body. The use of cold compresses is also acceptable. Purulent masses are removed surgically.

    You can book medicines that help with lymphadenitis through our website.

    Swollen lymph nodes: what to do, how to treat

    Lymph nodes are special formations located along the lymphatic vessels and in the fossa of the flexor surfaces of the limbs. White blood cells (lymphocytes) mature in them, which play an important role in protecting the body from infections, tumor cells and foreign substances.

    Enlargement of lymph nodes is observed in various infections, inflammatory processes, tumors, immune reactions.It is especially important to note that an increase in lymph nodes is observed in viral infections (hespes virus, Epstein-Bar virus, acquired human immunodeficiency virus). It is important to note whether the enlargement of the lymph nodes is single or systemic. What are the nodes to the touch: painful, soft or hard, fused with surrounding tissues and between themselves or separated. Whether the swollen lymph nodes are associated with other symptoms or not.

    The reason for contacting a doctor is an enlarged lymph node if:

    • swollen lymph nodes remain for more than two weeks after signs of infection disappear,

    • there is an increase in all lymph nodes,

    • enlargement of lymph nodes occurs in the absence in the recent past of a cold, infectious diseases of the sinuses, ear and upper respiratory tract,

    • a very large and dense knot is found that does not lend itself well to displacement,

    • Along with swollen lymph nodes in the neck, there is also fever, swallowing problems, chronic sore throat or breathing problems, especially if you smoke or drink alcohol,

    • one of the enlarged lymph nodes in the neck area is significantly larger than the rest.

    You can get answers to your questions or make an appointment by calling the multichannel phone: (495) 956-91-03

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    We work until late in the evening, so that it is convenient for you to take care of your health after work

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    It is important for us that patients feel comfortable within the walls of the clinic, and we have done everything to surround you with coziness

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    At your service – attentive staff who will answer any question and help you navigate

    90,000 causes and treatment “- Yandex. Kew

    Inflammation and enlargement of the submandibular lymph nodes is considered a type of lymphadenitis, and is the most common form of this disease.

    The main causes of the manifestation of submandibular lymphadenitis can be various inflammatory processes that occur directly in the oral cavity.

    For example, in case of tooth decay, during chronic tonsillitis, periodontal disease and other diseases of the soft tissues of the dental gums. Enlarged submandibular lymph nodes often indicate known diseases such as tonsillitis – an acute inflammation of the tonsils and gingivitis – a serious inflammation of the gums.

    Why is the submandibular lymph node inflamed?

    There are three main causes of inflammation of the submandibular lymph nodes:

    • infectious diseases;
    • immune disorders;
    • tumor processes.

    If the lymph node under the jaw or on the neck is inflamed, this is most likely a sign of dental or ENT diseases. Usually, after recovery, this symptom goes away on its own. In other cases, when it is delayed and it is difficult to explain it, a detailed diagnosis and treatment is necessary.

    Causes of swollen lymph nodes under the jaw

    What does this mean? Painful sensations in the area of ​​the lymph nodes always provoke their inflammation. Why can a lymph node become inflamed? This happens in the event that he cannot cope with the pathogenic bacteria.

    Common causes of submandibular lymph node inflammation in adults are:

    1. Infectious diseases (tonsillitis, streptococcal or staphylococcal infection, tonsillitis, laryngitis, purulent tooth abscess, alveolitis,


      , sinusitis, mumps, infection of the head wound near the jaw, others).

    2. Diseases related to the functioning of the immune system – arthritis,


      , leukemia,

      HIV infection

      , AIDS.

    3. Dental diseases of the oral cavity. So, non-observance of basic hygiene rules can also lead to an increase in the submandibular lymph nodes. It is necessary to thoroughly brush your tooth every day so that you do not have to face a similar problem.
    4. Toxoplasmosis is an infectious disease caused by Toxoplasma, a parasite found in raw meat and cat feces.
    5. The so-called “childhood” diseases – chickenpox, or, in common parlance, chickenpox, mumps, measles – they all strike the body’s lymphatic system.
    6. A tumor is considered the most terrible reason due to which the lymph nodes change in size. If a person found a significant increase in the lymph node, and did not hit anywhere, did not get sick and cleaned his teeth regularly, it is necessary to urgently look for the true cause of the changes. The patient should be fully examined. It is necessary to pay attention to the fact that lymphadenitis can be the initial manifestation of cancer.Therefore, when it is detected, it is worth identifying the reasons for this state of the human body.

    You must understand that the lymph node is the most important part of the entire lymphatic system. Lymph is one of the types of connective tissue. It performs various functions: it takes part in immunity, protects a person from dangerous infectious pathogens, transfers many nutrients, removes dead erythrocytes and microbes from tissues, and then removes them from the human body.

    Therefore, when you notice an increase in the submandibular lymph nodes on one side, consult a specialist. The doctor will prescribe an examination, conduct laboratory diagnostics and, if a disease is detected, select the necessary treatment.


    At an early stage, the disease may not manifest itself at all, but very soon its most obvious signs become noticeable:

    • Rapid enlargement of lymph nodes under the lower jaw, tenderness to palpation and gradual hardening.
    • Slight redness of the inflamed areas, which gradually turn maroon and then cyanotic.
    • Edema at the site of inflammation.
    • Sleep disturbance.
    • Sharp short-term attacks of pain radiating to the ear (the so-called “lumbago”).
    • Discomfort while swallowing.
    • Inflammation of the oral mucosa.
    • Temperature rise up to 40 degrees.
    • General weakness of the body.
    • Elevated level of leukocytes based on the results of a blood test.

    Diagnosis of the disease in typical cases is not difficult for specialists. Only with severe submandibular lymphadenitis may need differential diagnosis with osteomyelitis, phlegmon. In chronic submandibular lymphadenitis, a puncture biopsy of the node is sometimes needed to establish the diagnosis.

    How to treat an enlarged submandibular lymph node

    Treatment should be supervised by a physician. First of all, therapy is aimed at eliminating the infection that provoked the disease.Basically, the treatment of enlarged submandibular lymph nodes in adults is carried out locally with the help of Burov’s fluid, and doctors use an antibiotic (penicillin) to suppress the infection.

    If suppuration has formed, heating with sollux and warm lotions is prescribed to dissolve it, before getting rid of the focus of infection. If a whole group of lymph nodes is inflamed, surgical intervention is performed, during which a drainage tube is inserted through the submandibular incision to remove pus.


    If you do not want to experience the symptoms of this disease, you must adhere to a few simple rules:

    1. Timely treat all emerging infections.
    2. Any damage to the skin (wounds, cracks, scratches, injuries) must be treated with special agents so as not to pick up an infection.
    3. Observe the rules of oral hygiene and regularly visit the dentist to exclude the development of diseases: caries, fungal infections, gingivitis can later become the cause of the onset of the disease.

    Remember that the use of “grandmother’s recipes” for acute lymphadenitis meets with extremely negative responses from doctors.