PMPS is pain that persists after a mastectomy or another type of breast surgery is performed. Procedures that may lead to post-mastectomy pain include total mastectomy, partial mastectomy, lumpectomy and even breast reconstruction.
Causes
Post-mastectomy pain is often neuropathic, meaning it is usually caused by nerve damage. Most researchers assume post-mastectomy pain is caused by damage to the nerves in the breast and underarm area or the development of a neuroma (an abnormal nerve tissue growth).
Another possible cause of post-mastectomy pain under investigation is the formation of a hematoma during surgery.
Symptoms
Post-mastectomy pain can cause numbness, a burning pain, or a dull ache. The pain may be present in the chest area (near where the breast was operated on) as well as the armpit and arm on the operated side. This pain is often worse when you move the shoulder on the affected side. Post-mastectomy pain may also increase when pressure is applied to the area.
The degree of pain varies from woman to woman, ranging from mild to severe.
Treatment
Post-mastectomy pain may be treated with a variety of medications, including the following:
Tricyclic antidepressants Anticonvulsants NSAIDs
Opioids may also be used to treat chronic post-mastectomy pain in cases where other medications are not effective.
Other options for treating post-mastectomy pain include the following:
Topical medications, such as capsaicin Physical therapy Acupuncture Counseling Massage or reflexology Hypnosis
Support
If you or someone you know suffers from post-mastectomy pain, you are not alone. Talking with others can help, and there are several communities online with members who know exactly what you are going through. Furthermore, please remember to air your concerns with your primary care physician or surgeon. There is no reason to live with chronic pain if appropriate treatment is available.
