Post-operative issues after breast cancer surgery?
Hello, doctor.
I am a stage II breast cancer patient who underwent a total mastectomy on December 23, 2022.
It has been nearly two months since the surgery, and I have completed my first round of chemotherapy.
I am experiencing a pulling pain in the area where my breast was removed, but I cannot feel anything when I touch it.
Is this a normal situation? Additionally, I have been experiencing occasional pulling pain in my left breast over the past couple of days.
I had a whole-body PET scan in early February, and the doctor indicated that there was no metastasis in other areas.
Is the pulling pain in my left breast just a figment of my imagination?
vicky, 60~69 year old female. Ask Date: 2023/02/21
Dr. Tang Yuxiong reply Surgery
Hello Ms.
Vicky: Pain after a mastectomy is mostly a normal response, which may be due to the nerves still undergoing repair or internal adhesions.
It is generally tolerable, but if the condition is more severe, you may consider consulting a rehabilitation specialist for physical therapy or a traditional Chinese medicine practitioner for acupuncture to improve the situation.
Reply Date: 2023/02/21
More Info
Post-surgery concerns for Stage II breast cancer patients can be multifaceted and often involve both physical and emotional aspects. After undergoing a mastectomy, it is not uncommon for patients to experience various sensations, including pain, tenderness, or a feeling of tightness in the surgical area. This can be attributed to several factors, including the healing process, nerve regeneration, and changes in the surrounding tissues.
In your case, experiencing pain or discomfort in the area where the breast was removed can be a normal part of recovery. This sensation, often described as "phantom pain," can occur even when the breast tissue is no longer present. The nerves that were cut during surgery may still send signals to the brain, leading to sensations of pain or discomfort. Additionally, the body undergoes significant changes post-surgery, which can also contribute to these feelings.
Regarding the occasional pain in your left breast, it is essential to consider that this could be due to several reasons. It might be related to muscle tension, changes in posture, or even anxiety about your health following the surgery. It is also possible that the pain is a result of referred sensations from the surgical site, where the body is still adjusting to the changes. However, if the pain persists or worsens, it is crucial to discuss this with your healthcare provider to rule out any complications or concerns.
You mentioned that a PET scan conducted in early February showed no signs of metastasis, which is reassuring. This indicates that there is no evidence of cancer spreading to other parts of your body at that time. However, it is essential to continue regular follow-ups with your oncologist to monitor your recovery and any potential side effects from chemotherapy.
In terms of managing post-surgery pain, several strategies can be beneficial. These may include:
1. Pain Management: Discuss with your doctor about appropriate pain relief options, which may include over-the-counter medications or prescribed pain relievers.
2. Physical Therapy: Engaging in physical therapy can help improve mobility and reduce discomfort. A physical therapist can provide exercises tailored to your recovery needs.
3. Emotional Support: Emotional well-being is just as important as physical recovery. Consider joining a support group or speaking with a counselor who specializes in cancer recovery to help process your feelings and experiences.
4. Self-Care Practices: Incorporating relaxation techniques such as deep breathing, meditation, or gentle yoga can help alleviate stress and promote overall well-being.
5. Monitoring Symptoms: Keep a journal of your symptoms, noting when they occur and any potential triggers. This information can be valuable for your healthcare team in managing your care.
In conclusion, while experiencing pain after a mastectomy can be a normal part of the healing process, it is essential to communicate openly with your healthcare team about any concerns you have. They can provide guidance and support tailored to your specific situation, ensuring you receive the best care possible during your recovery from Stage II breast cancer.
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