Post-Surgery Complications After Cyst Removal

Axillary sebaceous cyst excision surgery

Hello Doctor: Three weeks ago, I underwent a cyst excision surgery at a surgical clinic, but now the area around the wound feels hardened, and the tendons on the inner side of my arm are becoming increasingly tight, causing pain when I lift my arm.
Could this be due to damage to the tendon during the excision, or what other condition could be causing this? How can I resolve this issue?

Long, 20~29 year old female. Ask Date: 2015/07/12

Dr. Xu Kaixi reply Surgery

A sebaceous cyst is a benign tumor located in the subcutaneous tissue.
The wound healing process after surgery may result in temporary fibrous scar tissue, leading to hardening, and there may be pain and tightness for a short period.
This should improve over time; however, if the symptoms persist or worsen, it is necessary to return to the surgical outpatient clinic for further evaluation of other possible causes.

Reply Date: 2015/07/12

More Info

After undergoing surgery for cyst removal, it is not uncommon to experience a variety of post-operative complications and symptoms. In your case, the hardness around the wound and the tightness and pain in the inner arm could be indicative of several factors related to the healing process and the surgical procedure itself.

Firstly, the hardness around the surgical site may be due to the formation of scar tissue or fibrosis. When the body heals after surgery, it produces collagen to repair the tissue, which can sometimes lead to a thickening of the skin and underlying tissues. This is a normal part of the healing process, but it can sometimes cause discomfort or a sensation of tightness. If the hardness persists or worsens, it may be worth discussing with your surgeon, as they may recommend physical therapy or other interventions to help manage the symptoms.

The pain and tightness in your inner arm could be related to several factors. One possibility is that during the surgery, the surrounding muscles or connective tissues were affected, leading to inflammation or irritation. This can result in a condition known as post-surgical myofascial pain, where the muscles and fascia (the connective tissue surrounding muscles) become tight and painful. Stretching exercises, gentle movement, and physical therapy can often help alleviate this type of discomfort.

Another consideration is the possibility of nerve irritation or damage during the procedure. If the cyst was located near a nerve, it is possible that the surgical manipulation could have caused some temporary nerve irritation, leading to pain or altered sensation in the arm. If this is the case, symptoms may improve over time as the nerve heals, but it is essential to monitor the situation closely.

In terms of management, here are some recommendations:
1. Rest and Ice: Allow the area to rest and apply ice packs to reduce swelling and discomfort. Make sure to wrap the ice in a cloth to avoid direct contact with the skin.

2. Gentle Stretching: Engage in gentle stretching exercises for your arm and shoulder to help alleviate tightness. Be cautious and avoid any movements that exacerbate the pain.

3. Physical Therapy: If symptoms persist, consider consulting a physical therapist who can provide targeted exercises and treatments to help improve mobility and reduce pain.

4. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. However, consult your doctor before taking any medication, especially if you have any underlying health conditions or are taking other medications.

5. Follow-Up with Your Surgeon: It is crucial to keep your surgeon informed about your symptoms. They may want to examine the surgical site to rule out any complications, such as infection or hematoma (a localized collection of blood outside of blood vessels).

In conclusion, while some post-operative discomfort is expected, it is essential to monitor your symptoms and seek medical advice if they worsen or do not improve. Each individual's healing process is unique, and your healthcare provider can offer tailored guidance based on your specific situation. Remember that open communication with your medical team is vital for a successful recovery.

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