Post-Operative Pain and Discomfort After Pneumothorax Surgery: What to Expect - Pulmonology

More Info

---

Post-operative pain and discomfort after pneumothorax surgery, particularly after a procedure like video-assisted thoracoscopic surgery (VATS) for pleural adhesion, can be expected due to several factors. It's important to understand that surgical interventions, even minimally invasive ones, can lead to a variety of post-operative symptoms, including pain, discomfort, and sensitivity in the affected areas.

Firstly, the pain you're experiencing in your back upon waking is not uncommon. After thoracic surgery, many patients report discomfort in the back and chest areas. This can be attributed to several reasons:
1. Surgical Trauma: Even with minimally invasive techniques, the manipulation of tissues and organs can cause inflammation and irritation in the surrounding areas. The muscles and nerves in your back may be reacting to the surgical trauma, leading to pain that can be exacerbated by certain positions during sleep.

2. Positioning During Surgery: The position you were placed in during the surgery can also contribute to post-operative discomfort. Surgeons often need to position patients in ways that may strain certain muscles or nerves, leading to soreness after the procedure.

3. Incisional Pain: The area where the incisions were made can be sensitive and painful as it heals. The skin and underlying tissues may react to the surgical intervention, leading to localized pain or tenderness, which you mentioned as a "light touch pain" in the left anterior chest area.

4. Nerve Sensitivity: After surgery, nerves may become more sensitive due to inflammation or direct trauma. This can lead to sensations of pain or discomfort even with light touch, which is a normal part of the healing process.

5. Muscle Spasms: Post-operative muscle spasms can occur as your body adjusts to the changes after surgery. These spasms can lead to discomfort and pain, particularly in the back and chest areas.

Regarding your symptoms of waking up due to back pain and discomfort when lying on your side or back, it is essential to manage your pain effectively. Here are some recommendations:
- Pain Management: Ensure that you are following your physician's recommendations for pain management. This may include prescribed pain medications or over-the-counter options, depending on your specific situation.

- Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises to strengthen the muscles around your chest and back, improve flexibility, and reduce pain.

- Posture Awareness: Pay attention to your sleeping posture. Using supportive pillows or adjusting your sleeping position may help alleviate some discomfort. For instance, placing a pillow under your knees when lying on your back can relieve pressure on your lower back.

- Gradual Activity: While it's important to rest, gradually increasing your activity level as tolerated can help improve circulation and reduce stiffness. Gentle stretching and walking can be beneficial.

- Follow-Up Care: Regular follow-ups with your surgeon or healthcare provider are crucial. If your pain persists or worsens, or if you experience new symptoms, it’s essential to seek medical advice. They may want to evaluate for any complications such as fluid accumulation or infection.

In summary, while some level of pain and discomfort is expected after pneumothorax surgery, it is essential to monitor your symptoms and communicate with your healthcare provider. They can provide tailored advice and interventions to help manage your pain effectively and ensure a smooth recovery.