Increasing pain over time after Video Assisted Thoracic Surgery
I am wondering if anyone has had a similar experience. I had VAT surgery end December 2021 with wedge resection in right upper lobe. They removed a 3.1cm cancer stage 1b. I was off pain meds in five days. For two + months I had usual nerve pain under right rib. But it did go away. Then weeks later I noticed a slight soreness when I took a deep breath. Slowly this increased. My Pulmonologist said there was nothing on the CT scan to indicate a problem. But the pain has slowly increased and now after 9+ months it is a pain behind the breast which I certainly notice when I take a deep breath. My last CT scan was end October, but Pulmonologist made no comments Three days ago I started to have a pain on the right side below rib cage(not related to breathing). I can only see my Primary Care Physician next week and nurse triage said go to Urgent care to get things started. I am leaving for Europe in three weeks for a month and I sure do not want to have problems. Does such pain just come with thoracic surgery ???
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Hi @ruthiepeg2 , I'm just checking to see how your appointment went last week. Is your pain lessening at all?
@nannybb i don’t recall staples so presumably they used sutures.
@mimicmckay I would have never guessed. Thank you. 💕
@nannybb hoovering is vacuuming ; )
@pb50 Thank you for your post. Amazing the prednisone worked for you, but I can see why. You would think doctors would think to prescribe these alternative therapies, especially with pain lasting so long. You mentioned you had your entire lower lobe removed (?) Did they use staples internally? I had quite a few, and only had a lower lobe wedge. I don't do well with some metals and thought that could be causing my pain. Was the lessening of your pain a gradual thing over time for you? I was told I would be back to work after 6 weeks. Not a happening thing.
@ruthiepeg2 I do have anxiety at times as well. I have been taking pretty high doses of Tylenol as per my doctors advise. I know when 6 hours are up and it is time for more. I refused narcotics. I also find walking to be beneficial and causing less pain. Your explaination of why, made perfect sense....using less muscles. I was wondering what you mean by the term "hoovering." Could you explain please?
@lls8000Had app with surgeon last week who was very pleased with opp and x ray but wasnotreallyinterested.in pain Seeing my local lung doctor on 14th. Keep well
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1 Reaction@nannybb Thanks for reply. Since posting I have been taking Ibuprofen which has helped quite lot with pain. Odd thing is it does not cause a lot of problems when I sleep. At week 5 I did do some hoovering which I think aggravated nerves muscles. I am 75 and I think it is too much too soon. Coming up to week 8 and feeling less pain. However I do have anxiety which may aggravate how I feel. Have been told this could pain for 3 to 6 months re right lower lobectomy which takes longer to heal as it is the biggest lobe of both lungs. Have not been breathless. Have just hoovered again and exhausted moderate pain after. Walking isn’t moving so many muscles. I have been told I am pushing too hard and body will heal in its own time. I am impatient and bored
Wish you recovery
Welcome @ruthiepeg2, Ouch, that sounds rough. When you just want to feel better, additional pain is a real struggle. Did your doctors mention doing any scans since the pain started? Just to make sure that everything looks ok. Just a thought, I'm not a clinician, just a patient like you. Some members have mentioned broken ribs from surgery, but I'm not sure if that would be a delayed pain such as yours.
@ruthiepeg2 Curious, are you coughing at all? I have had severe pain since July. It was usually at the site of the operation, but now it feels like my lower rib on the opposite site is painful. I know it takes awhile for the lung to "drop" into the space created by the removal of lower lung being wedged, so I have tried to be patient. Just seems like the pain should have resolved 9 months post surgery. I am at the point I may go into the ER and just have an X-ray to see if anything has changed on either side. I ended up switching to a doctor who is a specialist in carcinoid tumors not far from me. He admitted that doing lung surgery with a robot can often result in PTPS. (Post-thoracotomy pain syndrome). It is caused primarily by intercostal nerve damage. For some people it can be so bad they have to go on disability. I'm praying the nerve block will work this time. I'm tired.
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