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Post Mastectomy Pain Syndrome

Breast Cancer | Last Active: Jan 23, 2019 | Replies (30)

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@stansgal

Hello...
On September 15, 2017 I had a left side mastectomy with 27 lymph nodes removed. I underwent 6 months of chemo but no radiation. I definitely have lymphedema. My arm is not enlarged but my armpit feels like it has a metal claw clamped down on it 24/7. I have significant numbness to the area below my armpit and around to my back. I try my best to do self lymphatic massage and breathing exercises to manage the discomfort but this is different from the pain I have at the my incision site.
I have been diagnosed with Post Masectomy Pain Syndrome brought on by damage or disruption to the nerves at my incision site. One year plus post surgery I can not wear my prosthetic. Anything remotely touching my skin at my incision site is very painful and sensitive. Wearing a bra is an extreme challenge.
I have had physical therapy, acupuncture, and massage with no positive results. I have been taking Gabapeten and Nortriptyline for 4 months, again I am seeing little relief. I am now working with the Pain Management Dept to next try an intercostal brachial nerve block. I think the lymphodema I’ll always have to self manage but this nerve damage pain is another story.
I will report back after I have undergone the procedure. Hope to have some encouraging news to share.

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Replies to "Hello... On September 15, 2017 I had a left side mastectomy with 27 lymph nodes removed...."

I will be very interested to hear the results of your procedure and wish you good luck. I had a bilateral mastectomy in 2002 with lat flap reconstruction (uncommon now) and 11 nodes removed on one side, chemo, no radiation. I have been uncomfortable since day one and it has never changed. Tightness in a band all around my chest, jabbing in my armpits, all 24/7. I tried gabepentin, lyrica, now take a bit of topiramate but nothing helps. I finally was diagnosed with intercostal neuropathy, which is much like what happens to amputees but surgeons deny the existence of it in mastectomy patients, or at least they did. Maybe times are changing...I hope so.