Post-mastectomy Pain Syndrome

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Hi, can I first send my good wishes to everyone as you face your challenges.  I haven’t posted before as felt I’d had an easy time of it compared to what many of you have gone through.  Now I’m having a lot of pain and wondered if anyone had experienced a similar situation.  My cancer was caught early due to routine mammogram, I had a single mastectomy without reconstruction a year ago, no radiotherapy or chemo needed.  I was on my own so looked after myself right from arriving home from hospital and didn’t experience much pain, just some discomfort, with steady progress in raising my arm etc.  Suddenly at 5 months I got a lot of pain in the former breast area, a mixture of it feeling like concrete with a dull ache, sharp pain at the underarm end, and then stabbing pains.  It was intermittent, the only connection I could make to anything I’d done was driving. Around this time my other arm and shoulder began to feel the effects of having done the work of both sides and I also have a stiff neck.  After speaking to my BCN I saw the consultant, who checked the area and explained that pain was normal, just part of the healing process and may continue for up to another 18 months.  I have ME so any healing does generally take longer and I accepted that.  Seven months on it’s no different, and I had an online chat with a Macmillan nurse, who after eliminating some things sent me a link to research Post-Mastectomy Pain Syndrome.  Briefly, this is where there is tissue or nerve damage, there’s no simple treatment for it and it may or may not get easier.  I’m already managing several chronic conditions, 2 of which are also painful, so I have strategies I can use and prefer not to take any strong drugs. (Paracetamol doesn’t have any effect on this pain.)  My attitude is to do all I can to ease them, accept them and then get on with my life, I don’t want them to take over.  I just thought it would be worth asking if anyone had found ways of dealing with this which I might not have thought of, and also any solutions to the problems caused by driving.

  • Hi, sorry I can’t help as I have not experienced this, but I just wanted to say hi and that I thought your post was really positive. I wish you the best of luck in finding some easing of the pain soon 

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  • I wonder if it may be worth seeing someone from the complementary therapies, such as a chiropractor. They may not have a solution to the root cause, but may be able to offer some relief. 

    As for you having had a relatively easy time, I think it's important that we get to hear these stories too. I like them, they somehow make me feel better even when I generally feel rotten.

  • Thanks for your reply, I see from your profile that you have been on quite a tough journey and I wish you well with your life.

  • Thanks for your reply, I'm thinking about complementary therapies, but wondered first if physio would be appropriate.  Trying to gather info and think things through before deciding whether to ask for Drs appointment.  I get the impression this isn't very common, hope by posting I can find out if others have had it and what helped.

  • Physio sounds like a good idea, yeah. Sometimes, in situations such as yours, we really have to fight for ourselves. Too many times I have had someone from the medical teams trying to dismiss a concern, and it angers me because not every patient is able to stand their ground or knows how to go about it effectively. Too many times when we are told, "nothing can be done about it," it actually means, "We don't know how to deal with it," but not necessarily, "this is really beyond help." 

  • Aw thank you, that's so kind x

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  • If anyone else is looking for information on this - I found when searched that no information came up, which is why I decided to post.  Then I tried searching for nerve pain and several posts on post mastectomy pain at a later stage came up, but they were a few years old which puzzled me, as someone must have had it in the years since.  I still have the impression it's not very common.

  • Hi,

    I was diagnosed with post-mastectomy pain syndrome and I have Lidocaine patches prescribed that I stick over the area, its a private prescription as I have medical cover, I asked my GP to prescribe them and they wouldn't, they said their were cheaper alternatives that are just as good, it may be worth talking to your GP. I also use Voltarol gel on the area this was recommended by my breast Consultant, it also helps with the pain. Paracetamol will not be effective because the pain is nerve pain.  

  • Thank you for that, and I hope your own pain level is reasonable at the moment.  I have gel for arthritis so will have a go with that, and the patches sound useful -  they  didn't come up in any searches so I wouldn't have known about them otherwise.  Also both these solutions don't involve taking lots of drugs.

  • I am 6 weeks post mastectomy. Only really getting pain on driving. I am finding doing stretching exercises is helping alleviate.