Postoperative issues following breast fibrocystic surgery?
Hello Doctor, I am currently 14 days post-operative from breast fibrocystic surgery.
I have been experiencing mild swelling and pain in my armpit these past few days.
Could this be due to mastitis or lymphadenitis? There is no redness or swelling on the surface of the wound, but I can feel a lump inside.
How long will it take for this to resolve? I still feel a pulling sensation at the wound site during movement.
How long do you recommend before I can resume weight training? Thank you, Doctor!
Feifei, 30~39 year old female. Ask Date: 2023/09/13
Dr. Yuan Tianmin reply Breast and Thyroid
If you are concerned about any issues with your postoperative wound, you can go to your original attending physician for an ultrasound examination.
Reply Date: 2023/09/13
More Info
After undergoing surgery for fibrocystic breast changes, it is common to experience various sensations and discomforts during the recovery period. In your case, you mentioned feeling mild swelling and pain in the armpit area, which raises concerns about potential inflammation, either in the breast tissue or lymphatic system. It’s important to understand the typical healing process and what symptoms may indicate complications.
Firstly, the absence of redness or swelling on the surface of the wound is a positive sign, suggesting that there may not be an active infection. However, the internal sensations you are experiencing, such as the feeling of a lump and discomfort, can be attributed to several factors. After surgery, it is normal for the body to undergo a healing process that includes inflammation and the formation of scar tissue. This can lead to sensations of tightness or pulling, especially when moving or engaging in physical activities.
The mild pain you are feeling in the armpit could be related to several factors, including:
1. Post-Surgical Inflammation: After any surgical procedure, inflammation is a natural response as the body works to heal. This can manifest as discomfort in surrounding areas, including the armpit.
2. Lymphatic Changes: Surgery can affect the lymphatic system, especially if lymph nodes were removed or manipulated during the procedure. This can lead to temporary swelling or discomfort in the armpit area.
3. Scar Tissue Formation: As the incision heals, scar tissue can develop, which may feel firm or lumpy. This is a normal part of the healing process, but it can take time for the tissue to soften and for sensations to normalize.
Regarding your question about how long it will take for the lump-like sensation to subside, this can vary widely among individuals. Generally, it may take several weeks to months for the internal swelling and any associated discomfort to resolve. If the lump persists beyond a few weeks or if you notice any changes such as increased pain, redness, or fever, it is crucial to follow up with your healthcare provider to rule out any complications.
As for returning to physical activities, particularly weight training, it is advisable to wait until you have fully healed. Typically, patients are encouraged to avoid strenuous activities for at least 4 to 6 weeks post-surgery, but this can vary based on individual recovery and the extent of the surgery. It is essential to listen to your body; if you experience pain or discomfort while attempting to resume activities, it may be a sign that you need more time to heal.
In the meantime, gentle stretching and light movements can help maintain mobility without putting too much strain on the surgical site. Additionally, wearing a supportive bra can provide comfort and help manage any swelling.
If you have concerns about potential inflammation, such as lymphadenitis or mastitis, it is best to consult your physician. They may recommend imaging studies or further evaluation to ensure that your recovery is progressing as expected.
In summary, while some discomfort and sensations are normal after breast surgery, it is essential to monitor your symptoms and communicate with your healthcare provider about any concerns. They can provide personalized guidance based on your specific situation and help ensure a smooth recovery.
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