Post-surgery for hyperhidrosis..?
Hello Dr.
Hsu,
I am your patient with hyperhidrosis.
It has been a week since my surgery last Friday.
Although the surgery was successful and my hand sweating has significantly improved, I have been experiencing persistent "chest tightness" that has not improved.
This is especially noticeable in the morning when I wake up.
Additionally, I have soreness in my right chest and right back, and I am unable to extend my left arm backward without experiencing significant pain in my left chest.
These symptoms are particularly severe upon waking.
Perhaps due to this, I have become easily fatigued and feel sleepy.
Could you please advise if the soreness in my right chest and right back, as well as the pain in my left chest when extending my left arm backward, are normal? I would appreciate your help and suggestions.
Thank you!
Sincerely,
A patient still in recovery.
Chen, 20~29 year old female. Ask Date: 2002/05/04
Dr. Xu Xianda reply Neurosurgery
Hello Mr.
Chen: The soreness in your right chest and back is due to the discovery during surgery that there were venous vessels crossing over your sympathetic nerves (the nerves that control sweating).
During the sympathetic nerve resection, more time was spent on cauterization to prevent continuous blood flow from the venous vessels.
The area of cauterization was also more extensive.
Therefore, your soreness may last longer and be more severe.
However, these symptoms will gradually subside and will not affect your normal functional activities in the future.
Neurosurgery, Dr.
Hsu Hsien-Ta.
Reply Date: 2002/05/04
More Info
Hello! Thank you for reaching out with your concerns regarding post-surgery symptoms following your hand sweat surgery. It’s great to hear that the surgery was successful in alleviating your hand sweating, but I understand that the discomfort you’re experiencing in your chest and back can be quite concerning.
Firstly, it's important to recognize that any surgical procedure, including those for hyperhidrosis (excessive sweating), can lead to a variety of post-operative symptoms. These can range from mild discomfort to more significant pain, depending on the individual and the specifics of the surgery performed.
The chest discomfort you are experiencing, particularly the tightness in the morning, could be attributed to several factors. After surgery, especially if it involved anesthesia or manipulation of the upper body, it is not uncommon for patients to experience muscle soreness or tension. This can manifest as tightness or discomfort in the chest and back areas. The right chest and back pain you mentioned could be related to muscle strain or tension, especially if you have been compensating for discomfort in your left arm.
The pain in your left chest when attempting to stretch your left arm backward could indicate that the muscles or tissues in that area are still healing. Post-surgical pain can sometimes be exacerbated by certain movements, particularly if those movements engage muscles that were affected during the surgery.
Fatigue and a desire to sleep more than usual can also be common after surgery. Your body has undergone a significant procedure, and it requires time and energy to heal. It’s essential to listen to your body and allow yourself adequate rest during this recovery period.
Here are some recommendations to help manage your symptoms:
1. Gentle Stretching and Movement: Engage in gentle stretching exercises to help alleviate muscle tension. Focus on slow, controlled movements, especially for your left arm. However, avoid any movements that cause significant pain.
2. Pain Management: If you haven’t already, consider discussing pain management options with your physician. Over-the-counter pain relievers may help alleviate discomfort, but it’s crucial to follow your doctor’s recommendations.
3. Posture Awareness: Pay attention to your posture, especially when sitting or lying down. Poor posture can contribute to muscle tension and discomfort in the chest and back.
4. Follow-Up Appointment: It’s essential to keep your follow-up appointments with your surgeon. They can assess your recovery and determine if your symptoms are within the normal range or if further evaluation is needed.
5. Physical Therapy: If your symptoms persist, you might benefit from physical therapy. A physical therapist can provide tailored exercises to help improve your range of motion and alleviate pain.
6. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet to support your recovery process.
If your symptoms worsen or if you experience any new symptoms, such as shortness of breath, severe chest pain, or any signs of infection (like fever or increased redness at the surgical site), seek medical attention immediately.
In conclusion, while some discomfort is expected after surgery, it’s essential to monitor your symptoms and communicate openly with your healthcare provider. They are best equipped to provide personalized advice and interventions based on your specific situation. Wishing you a smooth and speedy recovery!
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