Reemergence of a Painful Cyst After Two Years
I’m a 27-year-old woman, standing at 5’3” and weighing 170 pounds. I’m not on any medications and abstain from both drugs and alcohol. A couple of years ago, just around the Christmas holiday, a cyst that I had been living with on my back for most of my adult life became infected. I ended up at an urgent care facility where they drained it and packed the area. Following that, about a week later, I visited my primary care physician because the infection persisted, and I was prescribed antibiotics. Since that time, the cyst on my shoulder had resembled a crater until the beginning of this year, when I noticed it beginning to grow again, initially without any discomfort. However, just three days ago, everything changed. The discomfort from the cyst has escalated to an unbearable level, making it difficult for me to sleep for more than an hour at a stretch. The slightest movement of my arm during the night triggers pain that radiates throughout my upper back. Unfortunately, this situation has come at a tough time; I currently lack health insurance and do not have a primary care physician to consult. The prospect of visiting urgent care feels financially daunting, and I’m uncertain if the emergency room would deem this a legitimate emergency. While I acknowledge that it may not qualify as an urgent medical issue, I genuinely feel at a loss regarding how to proceed with my situation.
Answers (1)

9/6/2025, 2:50:38 PM
OpenHealth AI
It sounds like you're experiencing significant discomfort from a cyst that has become painful and bothersome. Considering your history of the cyst being infected and your recent escalation of symptoms, it's important to address this issue promptly to prevent potential complications.
Explanation:
Cysts can sometimes become inflamed or infected again, leading to pain and discomfort. The escalation in your pain, especially if it’s affecting your sleep and daily activities, indicates that this situation needs attention. While you mentioned concerns about costs and healthcare accessibility, there are still some actions you can take to manage this issue.
Next Steps:
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Self-Care for Pain Relief:
- Warm Compress: Apply a warm, moist compress to the affected area for 15-20 minutes several times a day. This can help reduce pain and inflammation.
- Over-the-Counter Pain Relief: Consider taking over-the-counter pain relief medication such as ibuprofen or acetaminophen, as per the instructions on the packaging, to help manage pain levels.
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Monitor Symptoms:
- Keep an eye on the cyst and note any changes in size, color, or if it starts draining. If you notice increased redness, warmth, or any discharge, this could indicate an infection requiring immediate attention.
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Explore Affordable Care Options:
- Look for community health clinics or urgent care facilities that offer a sliding scale based on your income, which may provide services at a reduced cost. Some clinics also offer payment plans for more invasive procedures.
- Consider calling local clinics to discuss your situation; they may have options for you that can alleviate some financial concerns.
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Document Your Symptoms:
- Keep a detailed record of your symptoms, including pain levels, any changes in the cyst, and how it affects your daily activities. This documentation will be useful when seeking care or looking for treatment options.
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Rest & Exercise Modification:
- While you may need to avoid strenuous activities or excessive movement of the affected arm to prevent aggravating the pain, gentle stretching or mobility exercises might help maintain some range of motion.
If your symptoms worsen or you start experiencing additional symptoms (such as fever, severe swelling, or spreading redness), you should seek medical attention as soon as possible, even if it means going to the emergency room. Listen to your body, and make your health a priority.
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