Port-a Cath pain?

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  • runnerlori
    runnerlori Member Posts: 15
    edited May 2009

    I have to admit...when I first found this forum, it was before my port a cath insertion and reading all the posts about the difficulties with the port scared the crap out of me!  However, I had my port insertion of Friday May 15th and I am doing well.  My partial mastectomy was on April 13th and I would recommend having the port put in during that surgery if possible. I am not sure why my surgeon didn't give me that option.  At any rate, I have some bruising and some muscle stiffness.  Other than that, there is no pain or discomfort. I am very relieved that I can't feel it at all... just a mild awareness of something in me, but it is not intolerable. I see it as my port to good health.  the chemo will heal me of this shit called cancer, the radiation will insure eradication of all cancer cells and then I can move on with my life. To live, to love, to laugh. Be well fellow breast cancer survivors. I am thinking of you. hugs, Lori

  • dsantrizos
    dsantrizos Member Posts: 1
    edited June 2009

    My daughter had a double masectomy in January of this year. Right side with lymphectomy. For some reason they put port in her right arm, even though she told them it was her bad side. She not only has a great deal of pain, she now has a very stiff cord going the full length of her arm. Not sure if its an artery or tendon or nerve. she is having ultrasound of her arm today followed by a portagram. Has anyone else had similar problems? I will keep you posted as to the findings. You are all my heroes.

  • AEK
    AEK Member Posts: 3
    edited June 2009

    I had my cath inserted today and yes it bloody hurts. In fact it hurts worse than my breast surgery site but I also realize this is temporary, the picc line never stayed in so no options left...

    I'm trying to suck it up but it ain't easy!! 

  • kajhope
    kajhope Member Posts: 7
    edited June 2009

    I just had my port put in today and you are right it hurts!  I feel more pain with this than my mastectomy!  I just started icing it and it is helping my shoulder and collarbone feel better!  We will get through it though!

  • Eph3_12
    Eph3_12 Member Posts: 4,781
    edited June 2009

    I had mine installed yesterday.  I have a high threshhold for pain & I just got of the phone bawling to my mom about the pain.  I have a hump under the dressing & bruising spreading out.  Hurts much worse than lumpectomy in May.  Is icing or heat pads better?  

  • Eph3_12
    Eph3_12 Member Posts: 4,781
    edited June 2009

    I'm back. FYI-later the 27th I ended up in the ER due to swellling & pain at the port site.  Then on the 28th, the on-call surgeon took me back into OR and had to clean out the site.  I was still bleeding into it which was causing the swelling & pain.  Better today, but not much. 

  • beachbabe
    beachbabe Member Posts: 4
    edited July 2009

    I also had the port a cath surgery on June 30th and the port is fine but the pain in the neck, front and back when I stand up (the weight of my chest going down) is hard to take. I feel a little better doing the deep breathing, has anyone had this? how long does it last. I do not think I can make it the year for chemo with this pain in the neck also. Do I need to call the doc and is there anything that can be done?

  • EGAL
    EGAL Member Posts: 539
    edited July 2009

    beachbabe,

      The neck pain will only last a week or two, not forever.  No one told me of that pain, so I was unprepared.  I had my port accessed just a few days after insertion.  It will get better and I am so glad I had the port for the two years in needed it.  I had 8 tx's of chemo, rads and then one year of Herceptin.  I actually miss it when I  need to have blood drawn.

    Ellen

  • jacee
    jacee Member Posts: 1,384
    edited July 2009

    Had port installed today. No complications, but am seeing some blood on gauze, about the size of a nickel. Anyone else have bleeding show up. Pain is intense. Mine is on left side and goes to vein in heart rather than neck. Can't feel anything under gauze, so must be pretty deep. Surgery was easy, as I was totally out...Had chest xray immediately after in recovery to check pleura in lung, and all was well. After mast on rt side and port on left, I will be sleeping in the recliner tonight. The pain has caught me by surprise and I can see bruising already. BUT, it took 4 tries to get my IV in, so I KNOW a port was the way to go. Good luck ladies,

    Joni

  • BlessedOne2
    BlessedOne2 Member Posts: 106
    edited July 2009

    I just happened to forum and am I glad.  I am having my port assessment in the morning with placement on Wednesday.  Since my lumpectomy is on the right side, will the port automatically be placed on my left side?

    Wanda 

  • jacee
    jacee Member Posts: 1,384
    edited July 2009

    Wanda...My mast was on the rt and port on left. I think because I also had axil. node dissection on rt side. I think if the port is on the rt, they put the catheter into a vein in the neck and if it's on the rt, they go with vein in heart. But I may be wrong about that.

    Best wishes for a successful surgery. I feel much better today, but still some pain & stiffness. No further bleeding on gauze. I guess I'll see you on the July chemo thread??

    Hugs to all,

    Joni

  • runnerlori
    runnerlori Member Posts: 15
    edited July 2009

    My port still has given me no discomfort or trouble. I know it's there when my grandkids press on it or when I have my bra off, but it is working fine.  I have only one chemo cycle of adriamycin and cytoxin to go thru. YAY... then I'll get taxol or taxotere.  The port saves much trauma to the veins/arms.  You can still see it tho... it is like I haev a stack of nickels under my skin.

  • beachbabe
    beachbabe Member Posts: 4
    edited July 2009

    Had my 9 day check up on the port and mastectomy scar and was told to remove the steri strips in the shower. Did this and the next day had a swelling around the port area. now it very sore, I am calling my dr. in the am. not sure if it is infected I go for chemo in a week.

     Anyone else? 

  • runnerlori
    runnerlori Member Posts: 15
    edited July 2009

    I did have some swellling and soreness around my incision sites.  I found the ice pack to be very helpful.  Is there redness around the site or is it hot?  Best to check with your doc if you are in doubt or feel there is infection.

    best to you, beachbabe!  Lori

  • Amy_T
    Amy_T Member Posts: 12
    edited July 2009

    I had my port put in on Friday (7/10/09) and it still hurts, too.  They didn't give me any directions or meds for pain so I've been using my hubbies 800 mg Ibuprofen.  It's about the only thing that works.  I haven't had my breast surgery yet (doing neoadjuvant chemo prior to surgery), and they put my port on the left (my tumor is in the right breast).  They inserted mine into the chest vein rather than the neck vein (they said it stair steps a lot to get to neck vein and tends to come out of the vein easier).  Since the tumor is sensitive to pressure, and the left side is sensitive due to the port surgery, I can't hardly find a comfortable way to sleep!  I have to dope myself up at night to sleep at all.  Major bruising also... Here's a pic taken yesterday when I was finally able to remove the bandages:

    port-a-cath surgery

     Amy_T

    http://aymzbc.blogspot.com/ 

  • MaineCoonKitty
    MaineCoonKitty Member Posts: 125
    edited July 2009

    I had my port put in on Tuesday, July 14th, on the right side.  I also had a left side skin graft to cover the mastectomy wound and a right side breast reduction done at the same time.  There is zero pain at the skin graft site and more soreness than real pain on the right side at the port site.  I suspect that the soreness is more from the swelling from the breast reduction than from the port.  I do have the shoulder soreness, but it's tolerable with a little Percocet.  I have a pretty high pain tolerance, but really, it's not bad at all.  I don't expect to be running or playing tennis this week, but really ladies, don't fear the port - it's not that bad - sore, more than painful, at least for me.

  • MaineCoonKitty
    MaineCoonKitty Member Posts: 125
    edited July 2009

    An update today (port installation plus 4 days):

    Saw the plastic surgeon yesterday for the follow-up visit on the skin graft and rt side breast reduction.  Will see the breast surgeon on Wed for the port install follow-up.  The port was by far the most sore of all of the procedures, but 4 days later, even the mild soreness is now gone from my shoulder.  I was on Percocet and Vicodene for about 24 hrs post surgery, Advil for another 12 and for the last 24 hrs, no pain meds needed at all.  Slept like a baby for the last three days and walked a mile yesterday and 2 miles this morning with no pain or fatigue.  Have full range of motion in both arms and shoulders and am pretty much back to my normal routine, with the exception of lifting things heavier than 5 lbs, which greatly upsets my 30 lb Maine Coon buddy!

    I was a little afraid of the port install after seeing the problems that so many of you have had with it, but it was truly very tolerable and will prove to be a blessing in the long run when my chemo starts.  No more digging around for a "good" vein for me, just plug the little sucker in and let's roll!  Honestly...a couple days of soreness was very doable.  I might be one of the luckier ones with so little pain, but I've had more painful dental appointments than this latest round of surgery.

    Have faith, ladies...it's not bad and you've already proven that you're a tough bunch just by making the decision to fight this monster with everything you have.

    Rock on, BC sistahs!

  • samarcande
    samarcande Member Posts: 1
    edited July 2009

    Hello all!

    My mother just had a full mastectomy on her right side and is continuing chemo. A port was installed 3 days ago and to our surprise it was placed on the right side just above her mastectomy wound. There seems to be a conflict between the mastectomy surgeon, who says it should have been placed on the left side and thought it was a terrible mistake to place it on the right and that it has a lot of risks and the surgeon who placed the port on the right side. Has anyone experienced something like this? Any ideas?

     All the best to all of you!

  • johnnyy
    johnnyy Member Posts: 1
    edited August 2009

    My wife had a port installed, in her right upper chest area 5 days ago, her arm neck and shoulder are so painful, that she can't even move, had to take her to the emergency room over the weekend. They injected a diferent pain killer (Ketoroloc) which can only be used for 5days  and wrote  prescription and the pain is just about bearable now.

    Wonder if there is a possibility, the port might be pressing on a nerve.

    She feels like a nerve is pinched, she will see the surgeon tomorrow.

  • JGrim
    JGrim Member Posts: 57
    edited August 2009

    I hurt worse after the port insertion as well (as opposed to after my mastectomy), but since I stayed awake during the surgery (a special request on my part) I know why... there is an insane amount of muscle and bone manipulation to get the port line in the right spot.  After they locate the vein they want to use they run a guidewire quite a distance in and they have to move muscles and go around bones sometimes to do this, and then afterward they run some tubing the same way.  I had one of the nurses take photos of the whole procedure and I've posted them in the photo section at cancervacation.com if any of you want to see what it was like... it really helps you understand why there's so much bruising afterward.  At the end of the port photos are some scans from the port manual that the hospital receives that have the "installation instructions"... those are kind of an interesting read when you think of them in terms of your own body.  Also, something you never want to hear while you're lying on the operating table is "Well, that's not going to work there, let's try another spot."

  • Faith316
    Faith316 Member Posts: 2,431
    edited August 2009

    I had my port put in June of 2008.  I was miserable for the first two weeks after that at night.  I could NOT sleep.  But, after the two weeks, I was fine.  I used my port for infusions from June 2008 through July 2009.  I had a recurrence recently and they switched me to oral chemo.  I will be having a mastectomy after about 3 more months of chemo and even though at this time I am not using my port, I told my surgeon that I want it left in.  If my current chemo regimen doesn't work, the next treatment will be back to a type of chemo that is infused instead of oral.  And, I do NOT want to go through port implantation surgery again.  For now, while it is not being used, I just have to get it flushed once a month.  No big deal. 

  • kathimdgd
    kathimdgd Member Posts: 268
    edited August 2009

    I had my port put in last Oct,and it was uncomfortable for a couple days,but nothing worse.I had a bilateral mastectomy and the right side was the side with the cancer,so they put the port on the left side.Everyone i know that's been thru this had the port on the opposite side of the cancer.I finished chemo in Feb this year and still have my port.

    Sorry you're having so much trouble with yours,hope it passes soon.

    Kathi

  • dgdarla
    dgdarla Member Posts: 1
    edited October 2009

    I got a double lumen port a cath just 7 days ago but it still hurts like it was the day of the surgery. It also cramps up into a ball when I use my left arm. That's the side it is on; and, I am hoping that the swelling, tenderness, and soreness will go away over time.

     How about you? How are you doing? How is your port a cath site? I hope this msg finds you and yours healthy and happy.

     DarlaSmile

  • GracePang
    GracePang Member Posts: 178
    edited October 2009

    I got a port installed 5 days ago (last Friday) and it was really painful for the first two days and I started coughing a bit. It got better starting the 3rd day, but still have sourness up to today. The nurse drew blood from it yesterday successfully and she said it worked well. However, when I saw my onc today, he suggested me to have X-ray and ultrasound of the area to make sure it works. I understand about the X-ray, because I picked up some coughs after the surgery. Do anyone know why ultrasound is needed after successful blood draw? The lady doing ultrsound on my today digged alot in the sour area and really hurted me. It took her a full hour to have the ultrasound done. Is this normal? I felt more pain after her pokes and now I have to put icepack on it and take some advil to reduce the pain.

  • Sunshine1958
    Sunshine1958 Member Posts: 22
    edited November 2009

    I had a port put in last Monday (Oct 26th) to begin chemo the same day, and from the time it was put in, I cannot breathe well and my heart beats REALLY fast if I try to lie on either side or lay flat on my back.  Has anyone else ever experienced this?? 

    I finally called my surgeon about it on Friday morning, told him what was happening, and he told me to call the oncologist (which surprised me because I figured since HE had put it in, he would have some answers for me).

    Since my oncologist was out of town, I got the "relief' oncologist who was an absolute a**!!!  He strongly insinuated that I was just being "over anxious" and causing it myself.  Then he told me "shortness of breath" is one of the side effects of Neulasta (the shot I get the day after chemo).  I tried to explain to him that this is not what I'm saying...I am NOT "short of breath" just sitting there...it only happens when I lay on my side or back. 

    Anyway, he at least sent me for a chest X-ray and my lungs were clear which was good to know.  But I still don't have an answer as to what is causing this.

    Anyone??

    Sunshine Smile

  • 5andcounting
    5andcounting Member Posts: 232
    edited December 2009

    Hey girls,

    I had my port in on Wednesday. I agree it was worse than the intitial surgery (lumpectomy with all nodes removed) but I think that's because I thought it would be "no big deal".

    It hurts, I can only sleep one uncomfortable way, hurts when I move my formerly "good" right arm, and in general just "sucks".  However, I need this port. The chemo (AC followed by T) is every 2 weeks and would destroy my veins and I trust my surgeon and oncologist. I am a nurse and don't give them this trust lightly..find someone you trust and follow their recommendations.

    None of us deserve this or signed up for this but we will get through it. I want my port removed the day I finish chemo. I want to be done with this forever but I'll have to do what God has planned and not what I want.

    I am finding that living in the present is the only coping strategy that is allowing me any peace of mind and staying positive is sometimes hard.  I start chemo on my sons 18th birthday (Dec. 30) and am trying to stay strong. Theres no shame is asking for pain meds, or using guided images or accupuncture or anything else that works.

    You are all in my thoughts and prayers. 

  • ATeamNana
    ATeamNana Member Posts: 464
    edited April 2010

    I had purple power port put in under local anthesia and went straight down for my first Chemo

    No issues at all. 

    My last chemo was 1/14 had lumpectomy on 1/28 and am on #28 of 33 rads.

    My port irratates me...does not really "hurt" just pokes out and the tube runs up into my neck and

    I don't like the looks of it ....makes me feel like frankenstein....he he he...but it is just more irrating than

    painful.  I am scheduled to have it removed 5/14.....I'm done with it!

  • 1PinkWarrior
    1PinkWarrior Member Posts: 1
    edited April 2010

    Hi, Sorry to hear so many are having problems.  I do think if you can tollerate the port it is way better than blowing out a vien.  I got past my first 4 treatments of Adrymician and got the first of 12 Taxol today, it appears they stuck the catheter and not the port.  It is very sore and I hope I don't have to take the treatment over.  They use the 1 inch needle and I think if they just stick in the right place there would be no problem.  I'm going by there in the morning and hope they can still see where I was stuck.  I know the surgeon would not be happy and I don't think the Onc will be either.

    Those who are getting or just got your port, give it a chance, not all have problems, but some people just cannot tollerate them.

    (((((Hugs & Prayers to all)))))

    Wanda

  • katerobins
    katerobins Member Posts: 1
    edited January 2011

    Everyone's posts about aching, side effects and other bumps in the road are comforting. I think the healthcare community sometimes underestimates the disturbing and concerning soreness and pain that goes with some of the underrated parts of the long breast cancer treatment ordeal. Either that or I wasn't really listening when they said, "this WILL hurt." The biopsy and the port-a-cath insertion hurt much more than the mastectomy but I'd assumed that the major surgery would be hell. I may also be losing some of my resolve for this ever lengthening process; there's something to be said for pacing your enthusiasm to just get on with it. Being eager to get it over with doesn't speed up the process. Anyhow, many thanks to everyone who made their port-a-cath insertion experience findable with a simple Google search. The chest aches and flu-ey feelings aren't setting off alarm bells anymore. Two Tylenol, rest, and another Google search in the morning.

  • irfriz
    irfriz Member Posts: 4
    edited April 2011

    OMG, will the portacath pain never end?! It's been 4 days since insertion and it feels like a knife is continually cutting the skin across the top of the port without the benefit of anesthesia. I called the surgical staff for two days in a row and was told the swelling, pain, and heat I was describing was normal and to just take a couple of Tylenol and use some ice to ease the pain. To them, pain was not a problem.  Well, pardon my low pain threshold, but it took two Vicodin every four hours for the last three days just to take the edge off the pain.  I just titrated to one Vicodin every four hours this evening and the pain is flaring to barely tolerable.  Still, I must admit the pain has lessened to where it is only causing me to cry somewhat quietly instead of feeling like I should be restrained with a straight-jacket and locked in a padded and soundproof room.  Of course, I quit moving around so much, like not at all, for the last 8 hours since using my arm to do anything (including typing this note) instantly starts that knife-cutting feeling again.  So, was 100+ hours of suffering so far with this portacath worth saving myself the pain of 10 planned chemo infusions that would have meant 10 IV sticks and maybe a total of 10 hours?  The math doesn't add up to me.  This has been worse than all together my double mastectomies, left axillary nodes removal, severe nerve pain and lymph vessel cording all the way to my left thumb.  My sister-in-law called this afternoon and after listening to me bawling on the phone, she said firmly to have it taken out.  She's known me for 25 years and usually gives me very sound advice.  Has anyone out there had such a bad pain reaction?  Has anyone had a portacath removed before it has even been used?  

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