Post-Fibroadenoma Surgery: Pain and Recovery Concerns - Breast and Thyroid

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Postoperative care for a fibroepithelial tumor?


I had surgery for a fibroadenoma at the beginning of last month.
The wound has healed since then, but recently I've been experiencing frequent pain in my breast and near the incision site, and occasionally I also have pain in my armpit.
I would like to know if these pains are normal and if they are caused by the surgery.

mademoiselle, 20~29 year old female. Ask Date: 2023/05/07

Dr. Yuan Tianmin reply Breast and Thyroid


The pain near the wound is likely more related to the surgery, while other breast pain may be more associated with your menstrual cycle.

Reply Date: 2023/05/07

More Info


After undergoing fibroadenoma surgery, it is not uncommon to experience pain and discomfort in the breast and surrounding areas, including the armpit. The healing process can vary significantly from person to person, and several factors can contribute to post-surgical pain.

Firstly, it's important to understand that surgery, even minimally invasive procedures, can lead to inflammation and irritation of the surrounding tissues. This inflammation can manifest as pain, tenderness, or a sensation of tightness in the area where the surgery was performed. The surgical site may also be sensitive to touch, and you might experience shooting pains or a dull ache as the nerves in the area heal and regenerate.

The pain you are experiencing could be attributed to several factors:
1. Nerve Regeneration: During surgery, nerves may be cut or irritated. As these nerves heal, they can send abnormal signals to the brain, resulting in pain or discomfort. This is often a temporary condition, but it can be distressing.

2. Scar Tissue Formation: After surgery, scar tissue (also known as adhesions) can form. This tissue can sometimes cause discomfort as it develops and can lead to sensations of pulling or tightness in the area.

3. Muscle Tension: Following surgery, you may unconsciously alter your posture or movement patterns to avoid pain, which can lead to muscle tension in the surrounding areas, including the chest and armpit. This tension can contribute to pain and discomfort.

4. Inflammation: The body’s natural healing response includes inflammation, which can cause pain. If the inflammation is significant, it may lead to prolonged discomfort.

5. Physical Activity: If you have resumed physical activities too soon or engaged in movements that strain the surgical site, this could exacerbate pain. It’s crucial to follow your surgeon’s recommendations regarding activity levels during the recovery phase.

While some degree of discomfort is expected after fibroadenoma surgery, it is essential to monitor the severity and duration of your symptoms. If the pain is persistent, worsening, or accompanied by other symptoms such as swelling, redness, or discharge from the surgical site, you should consult your healthcare provider. They may want to assess for any complications, such as infection or excessive scar tissue formation.

In terms of management, here are some strategies that may help alleviate your discomfort:
- Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can be effective in managing post-surgical pain. Always consult your doctor before taking any medication.

- Gentle Stretching: Engaging in gentle stretching exercises can help alleviate muscle tension and improve mobility. However, be sure to avoid any movements that cause pain.

- Warm Compresses: Applying a warm compress to the affected area may help reduce pain and promote relaxation of the muscles.

- Physical Therapy: If pain persists, consider consulting a physical therapist who can provide targeted exercises and treatments to help with recovery.

- Follow-Up Care: Regular follow-up appointments with your surgeon or healthcare provider are crucial to monitor your recovery and address any concerns you may have.

In conclusion, while some pain after fibroadenoma surgery can be normal, it is essential to stay vigilant about your symptoms. If you have any doubts or if your pain significantly impacts your daily life, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your recovery is important, and addressing any concerns promptly can help ensure a smoother healing process.

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