Post-Breast Vacuum Aspiration: Underarm Numbness and Arm Weakness - Surgery

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After breast vacuum suction, experiencing numbness in the armpit and weakness in the arm and fingers?


After vacuum suction of the breast, experiencing numbness in the armpit along with weakness in the arm and fingers may indicate potential damage to the lymphatic vessels in the breast.
It is advisable to consult a healthcare professional for a thorough evaluation.
They may recommend imaging studies or a physical examination to assess any possible lymphatic injury.
Treatment options could include physical therapy, compression garments, or other interventions based on the severity of the condition.

Ms. Li, 40~49 year old female. Ask Date: 2023/06/23

Dr. Tang Yuxiong reply Surgery


Hello Ms.
Li: It is rare for normal ultrasound-guided aspiration to cause hand numbness or finger weakness.
It is recommended that you return to the hospital for a consultation to understand your condition.

Reply Date: 2023/06/23

More Info


After undergoing a breast vacuum aspiration, experiencing underarm numbness and weakness in the arm and fingers can be concerning. It is essential to understand the potential causes of these symptoms and the appropriate steps to take.

Firstly, the procedure of breast vacuum aspiration, which is often performed to remove fluid or tissue from the breast, can sometimes lead to temporary nerve irritation or damage. The brachial plexus, a network of nerves that innervates the arm, runs close to the underarm area. If the procedure involved any manipulation or pressure in this region, it could potentially lead to symptoms such as numbness, tingling, or weakness in the arm and fingers.

Additionally, lymphatic drainage can be affected during surgical procedures, especially if lymph nodes are involved or if there is significant swelling post-procedure. Damage to lymphatic vessels may lead to lymphedema, which can cause discomfort and a feeling of heaviness in the arm. However, lymphedema typically presents with swelling rather than numbness or weakness.

It is also important to consider other factors that could contribute to these symptoms, such as:
1. Positioning During the Procedure: If your arm was in an awkward position for an extended period during the aspiration, it could lead to temporary nerve compression, resulting in numbness and weakness.

2. Post-Procedure Swelling: Swelling in the underarm area can compress nerves and lead to similar symptoms. This is often temporary and resolves as the swelling decreases.

3. Infection or Hematoma: In rare cases, complications such as infection or the formation of a hematoma (a localized collection of blood outside of blood vessels) can occur after the procedure, leading to increased pressure in the area and subsequent nerve symptoms.

To address these symptoms, the following steps are recommended:
1. Consult Your Healthcare Provider: It is crucial to follow up with your doctor or the healthcare provider who performed the procedure. They can assess your symptoms, perform a physical examination, and determine if further imaging or intervention is necessary.

2. Rest and Avoid Strain: Allow your arm to rest and avoid activities that may exacerbate the symptoms. Gentle movements and stretches may help, but avoid any strenuous activities until you have consulted with your doctor.

3. Ice and Compression: Applying ice to the affected area can help reduce swelling and numbness. If there is swelling, gentle compression may also be beneficial.

4. Physical Therapy: If symptoms persist, your doctor may recommend physical therapy to help regain strength and mobility in your arm and to address any nerve-related issues.

5. Monitor Symptoms: Keep track of your symptoms. If you experience worsening numbness, weakness, or any new symptoms such as pain, fever, or changes in skin color, seek medical attention promptly.

In conclusion, while underarm numbness and arm weakness following a breast vacuum aspiration can be concerning, they may be related to temporary nerve irritation or swelling. It is essential to communicate these symptoms to your healthcare provider for appropriate evaluation and management. Early intervention can help prevent potential complications and ensure a smoother recovery.

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