Post-Surgery Sensitivity and Comfort After Breast Cancer Treatment

Breast cancer issues?

Hello! I recently went to the hospital for a check-up and found out that I have breast cancer.
At that moment, I really couldn't accept it, especially since I am working abroad and it is inconvenient to return to Taiwan.
The doctor believed that immediate action was necessary, so based on the doctor's advice, I underwent a partial mastectomy and had a tissue expander implanted last week.
During the recovery period, I noticed that my breast is not as sensitive to touch as it used to be.
Is this a normal phenomenon? I also have trouble sleeping at night; whether I lie on my side or on my back, my chest feels very uncomfortable.
Are there any methods to alleviate this discomfort? Is chemotherapy necessary after surgery? Thank you for your help, and I hope to receive a response.

Linlin, 20~29 year old female. Ask Date: 2016/07/30

Dr. Wu Yuting reply Surgery

1.
Is it normal to find that my breast sensitivity is not as pronounced as before during the recovery period? A: This is a normal phenomenon.
2.
I am unable to sleep well at night, whether lying on my side or back, as my chest feels very uncomfortable.
Are there any methods to alleviate this? A: It may be necessary to understand the reason for your inability to sleep well (e.g., chest pain, changes in mental state, or other factors) in order to address the underlying cause.
Due to the presence of an implant or tissue expander, there may be a foreign body sensation, and simple rehabilitation exercises may help improve this.
3.
Is chemotherapy necessary for all patients after surgery? A: Breast cancer treatment is currently personalized; whether chemotherapy is needed depends on the results of the pathology report and the staging of the disease.
Dr.
Wu Yu-Ting, Breast Surgery, Xinying Hospital.

Reply Date: 2016/07/30

More Info

After undergoing breast cancer surgery, it is common for patients to experience changes in sensitivity and discomfort in the affected area. The surgical procedure, especially when it involves the implantation of a tissue expander, can lead to alterations in nerve function and sensitivity. It is not unusual for the breast to feel less sensitive or for the sensation to change post-surgery. This is primarily due to the trauma inflicted on the nerves during the surgical process, which may take time to heal.
In terms of discomfort while sleeping, this is also a frequent complaint among patients who have undergone breast surgery. The presence of a tissue expander can create a feeling of tightness or pressure, making it difficult to find a comfortable sleeping position. Here are some strategies that may help alleviate discomfort:
1. Pillow Support: Use pillows to support your body in a way that reduces pressure on your chest. For instance, placing a pillow under your arm or between your knees can help maintain a comfortable position while sleeping.

2. Sleep Position: If sleeping on your side is uncomfortable, try sleeping on your back with a slight incline. This can help reduce pressure on the chest area.

3. Gentle Stretching: Engaging in gentle stretching exercises can help improve circulation and reduce tightness in the chest area. However, it is crucial to consult with your healthcare provider or a physical therapist before starting any exercise regimen.

4. Pain Management: If you are experiencing significant discomfort, discuss pain management options with your doctor. They may recommend over-the-counter pain relievers or prescribe medication to help manage your pain.

5. Physical Therapy: Consider seeking physical therapy, which can provide tailored exercises and techniques to improve comfort and mobility post-surgery.

Regarding chemotherapy, whether or not you will need to undergo this treatment depends on various factors, including the specific characteristics of your cancer, such as its stage and hormone receptor status. In many cases, chemotherapy is recommended to reduce the risk of recurrence, especially if the cancer is aggressive or has spread to lymph nodes. However, treatment plans are highly individualized, and your oncologist will consider your unique situation when recommending a course of action.

In summary, experiencing changes in sensitivity and discomfort after breast cancer surgery is normal. Implementing supportive measures for sleep and consulting with healthcare professionals about pain management and rehabilitation can significantly improve your comfort during recovery. Additionally, discussions with your oncologist regarding the necessity of chemotherapy will provide clarity on your treatment plan moving forward. Always remember that you are not alone in this journey, and seeking support from healthcare providers, support groups, and loved ones can be invaluable.

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