Significant pain three months post -BMX

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Significant pain three months post -BMX

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  • Wrongchick
    Wrongchick Member Posts: 36
    edited May 2012

    Hello my non-recon sisters,

    I have to start this post by apologizing for complaining.  I swear that pre-BC I was not an especially negative person, but it seems like ever since my dx I have traded in my nightly class of wine for whine!   Anyway, I had my BMX in early Feb and incision-wise, everything has healed nicely.  My problem is the rubberband -like tightness.  By the end of the day, the discomfort is full-on PAIN, and I often have to take 1/2 tablet of prescription pain meds in order to get a decent night's sleep.  I go both PT and acupuncture weekly, and do my stretching exercises as often as I'm able. I have two young kids (6 and 2), so taking it easy as I continue to heal is not really possible.

     Neither my surgeon nor my PT can discern any signs of le. I'm starting to grow a bit anxious, and more than a little discouraged. I think I would be feeling better about the flatness if I felt better in general...if that makes sense.  The pain is wearing me down. 

    My RO suggested today that women with fairly slender torsos might have more trouble than most, but I can't find the how/why of  that pattern in the literature.  I think understanding why this pain persists, or maybe that I'm not alone, would comfort me. 

    Stories?  Advice?   

  • bangotti40
    bangotti40 Member Posts: 19
    edited May 2012

    I had continued pain...as in a tightness...at the end of the day for several months.  It seems that the more I did (I'm a kindergarten teacher, and I went back to work 6 weeks after the BMX), the more I felt that tightness.

    If it helps, I'm 10 months out now, and I don't notice it as much any more.

  • cinnamonsmiles
    cinnamonsmiles Member Posts: 779
    edited May 2012

    I assume you are getting Myofascial Release for scar tissue in therapy? There is something called Post Mastectomy Pain Syndrome. Mine is from nerve damage from the node dissection. I have had severe pain since I awoke from surgery 15 months ago. It manifests in several ways: burning feelings, feeling like I was hit with a baseball bat, my chest can feel like anything touching it feels like barbed sand paper, overall pain feelings at the end of the day, tightness from scar tissue, I still get electrical shocks that feel like bee stings (last summer I went running and screaming thinking I was being stung by bees lol). There is a new section called Pain on here now. I think that would be a good place for you to post as well. There are many of us that have posted in the Post Mastectomy Pain Thread which is pinned to the top of the Pain Forum.

    Many of us have written what treatments we have had. If you have anymore questions, me or the other people on the PMPS/Pain Forum could help you.

    I really don't know what weight/figure has to do with it. Sounds a little non-sensical to me. I think it is a crap shoot who gets it, who doesn't. I am no where near slender and have one of the worst cases my pain clinic has seen. Not one of my three pain specialists nor my breast surgeon ever mentioned figure having anything to with it.

  • Erica3681
    Erica3681 Member Posts: 1,916
    edited May 2012

    Hi,

    I am also a slender person, but I didn't have the type of pain you're describing. However, I started PT, with myofascial release, two weeks after my BMX (in 2006) with a physical therapist who specializes in working with breast cancer patients, so perhaps that helped me avoid the type of tightness you're describing. But it sounds as if you've had lots of PT and it hasn't really helped. I hope you are seeing someone who works with lots of breast cancer patients.

    The LE question is an interesting one. It's good you've explored that possibility. If you have any remaining doubts about whether you might have early-stage LE, the Lyphedema forum here has some real experts who could answer your questions about that. 

    I hope your experience is like Bangotti's and that the pain eases up and eventually goes away. Tightness is a common early complaint, but usually it resolves fairly quickly. 

  • coraleliz
    coraleliz Member Posts: 1,523
    edited May 2012

    My MO asked me if I have the tight band feeling around my chest & he acted suprised when I told him no. My BS led me to believe that if I ever stop stretching, I might experience it. I'm 14 months out from my BMX & still get weird pains at times. Sometimes I get pains like I use to get before my periods in my breasts that aren't thereUndecided. Thankfully most days are fine.

    I didn't take it easy following my BMX. I got my drains out 6 days after surgery & wasn't given any guidance. My BS told me that studies have shown PT didn't make a difference with mobility & range of motion in the long run. I went to the gym & did things I probably shouldn't have. Whenever I felt frustrated, I pushed myself. I found that I could lift, pull & push after I got over the fear. Being active helped me recover both physicall & mentally. It is still early in your recovery. Fortunately you have a PT to help guide you.

  • bookart
    bookart Member Posts: 564
    edited May 2012

    I described my pain to people as a bad sunburn that had been scrubbed with a wire brush and then taped/strapped down tightly.  Combine that with breath-stealing zings from nerves, and the almost never-ending axial LE tenderness - it all hurt pretty bad for the first year or so.  I'm more than two years out and it has tamed down a lot.  I still have some pain (and itching!)along the scars and axial area, which both BS and Onc say is normal(!).  LE flare-ups cause tenderness - like light sunburn/tightness now.  I wish that it was better, but it is livable without pain meds now.  It took almost seven years for tenderness from a broken wrist to totally disappear, so maybe I can outlive this pain, too!  Sometimes it's just a crapshoot.  I was told recently that new studies may show that those with fewer lymph nodes to begin with are more likely to develop LE.  If you had edema before surgery, you are more likely to get LE.  So something comparable could be true about pain, too.  If you've never been seriously injured or had cutting surgery, this may just be the first time your body has shown you how it deals with it - give it more time.

  • miranda43
    miranda43 Member Posts: 7
    edited May 2012

    Hi all, I have a pain on my skin and a bad sunburn is a good way to describe it. My RO said it could last 6-12 months. She prescribed a numbing med. which will only give 10 minutes of relief which I need to get. I Hope in knowing there will be an end to the pain.

  • bluepearl
    bluepearl Member Posts: 961
    edited May 2012

    I have post mastectomy pain syndrome, now 15 months out but I am noticing it is getting less. I remember on another forum a fellow with lung cancer had his lung removed and said it took 2-3 years for the surgical pain to subside and reading about PMPS, the majority who suffer this WILL get better. I have also heard/read that DIEP flap reconstruction can aleviate the pain in the chest area...probably due to excessive scarring. I take a B-Vit supplement daily as that helps nerves. I've tried everything. Oddly, ativan worked the best but because of its high abuse profile, not a good solution. Antidepressants work. Nortrityline worked but I had one of the rarer side effects and now on citalopram (lowest dose)..if nothing else, it keeps the negative thinking in check. I use A535 before I go to bed; helps. Massaging helps...esp with aloe vera...cooling. Exercise works....babying it makes it worse. I bought a spray of sunburn med but haven't used it....Lanacain has a friction cream that is silcone based and that really helps with the "sunburn" pain and sleeves rubbing on it. Gosh....we were never told about this possibilty but suffering from it goes down significantly if you have an SNB and a BREAST surgeon rather than a general surgeon....that nerve that's responsible must be preverved as much as possible and breast surgeons have experience with it.

  • crystalphm
    crystalphm Member Posts: 1,138
    edited May 2012

    I am 2 years out and still have pain, especially around the ridges where the breast once sat (not the middle so much) and under my arm where 9 lymph nodes were removed. Unfortunately this lymph node site is right where a bra strap would go, so I wear cami's right now.

    The myofascial release has helped me, even though it was started 18 months after the surgery, I do this to myself now several times a week, just stretch the scar, and my sensitivity has gone down a bit.

    You are not alone, that is for sure. I did not have radiation and I feel that bad sunburn feeling, my doctor said burning is nerve damage and said "some women have this". No answers.

  • BikerLee
    BikerLee Member Posts: 355
    edited May 2012

    oh my gosh - that just sounds awful!  seems like loads of you are just suffering so.

    i now feel very very lucky.

    i have tightness, as if i am wearing a bra...

    i have some touch tenderness under my snb armpit...

    but my range of motion is good... and in general, i love being flat.

    one thing to consider - maybe you are dealing with axillary web syndrome (AWS)?

    i did get cording, but it's resolving and it didn't limit my range of motion much.

    i fall into that category of relatively thin... and i'm super active.

    i ended up in a clinical trial meant to study the prevalence of aws as well as how it progresses and resolves... the physical therapist in charge of it said that thinner women deal with aws more.  anyway, it feels like cords running from just below my armpit to about 1/3 along the underside of my arm - like guitar strings.  also, one of my tendons pops out and is kind of touch tender.  

    i wish i had answers - seems like few have good answers... i do know that it seems to hurt more if i don't move and if i don't sleep well....

    good luck....

    lee

  • shirleysangels22
    shirleysangels22 Member Posts: 36
    edited May 2012

    Hi Wrong chick,

    I have the same rubberband feeling as you do. I had a double mastectomy 7/28/2011. I went on line to John Hopkins Hospital @ questions and answers forum about 2 weeks ago and one of the breast cancer nurse's said to get Rehab Medicine Therapy. She said it's tight scar tissue.  I'm not a small person. 5 ft 190 lb. It looks like I'm 9 months preg. The Dr's don't know anymore than we do about what's happening to our body's. I had a Breast Surgeon and I still have the rubberband feeling. All we can do at this point is take it one day at a time and pray for a better tomorrow.  It does help to know that I'm not alone with this rubberband feeling and that it's not all in my head. At least the nerves are now using they're inside voice. LOL.

    May God bless us all, Your Sister in Pink, Shirley

  • MT1
    MT1 Member Posts: 371
    edited May 2012

    I have the rubberband tightness too and all I can really say is stretch. Wall walk, child's pose, do any sort of stretching that involves your upper body, arms and shoulders.

    In the last three weeks I have been feeling much less restriction in my body and I wonder if it has to do with exercise. I started excercising at that time. 

    I don't know about pain, my PT/OT counseled me against using pain killers and I pretty much stopped about two weeks after surgery. I sometimes wonder if I am feeling pain worthy of medicine.

    My surgery was June 21, 2011. 

  • crystalphm
    crystalphm Member Posts: 1,138
    edited May 2012

    I should have mentioned my pain is rarely where I have to take advil...I have not taken prescription pain meds at all for my mastectomies. Sometimes a cool cloth revives me well enough.

    So my pain comes when I wear a bra, forms...but I can wear the Still You cami with only a tad of discomfort.

  • Momine
    Momine Member Posts: 7,859
    edited May 2012

    Wrongchick, I had tightness for a LONG time, much longer than I had expected and it made me cranky too. 

    I am now 8 months past the BMX and I still feel tightness, but it is much less intense and not all the time.

    Make sure you use some cream and generally massage the area a bit. I have also found that it really helps not to wear bras. I wear my foobs in a cami instead. 

  • kestrelgurl
    kestrelgurl Member Posts: 266
    edited June 2012

    Wow! This was great to read. Not that I am happy that everyone has post-BMX pain, but it is nice to know I am not the only one.

    Like another poster, I didn't get a ton of guidence on activity and left to my own devices I will push myself.....so I do. BS finally did said I was pushing the limit, but didn't tell me exactly what that meant.

    At 8 months post-surg, I still have tightness and pain at the location someone else described - where my right breast used to sit. My armpit drives me crazy with a weird feeling. All of seems worse when I am fatigued.

    It's not as bad as the barbed wire bra feeling right after surgery, but it feels like I am wearing an underwire bra that is about 2 sizes too small.

  • crystalphm
    crystalphm Member Posts: 1,138
    edited June 2012

    I found foobs in a cami worked best for me...I wear a Still You cami and microfoam boobs, it is good "enough" for most pieces of clothing.

    Everytime I wear a bra, I end up sore, and the fullness swollen feeling in my armpit, which turns out to be mild lymphedema. :-(

    I am 8 months post also, and still have everything you described. Except now when I wear no bra, no breasts, I have almost no discomfort.

  • Wrongchick
    Wrongchick Member Posts: 36
    edited June 2012

      Wanted to write and say thanks for all of the compassionate responses.  It really helps to know that I'm not alone.  As predicted, my pain and tightness is worsening during radiation, but my ever-so-kind PT has agreed to see me twice a week through the end of treatment.  The myofascial release seems to be especially helpful for tightness and range of motion issues.

    I'm also seeing an acupuncturist.   And I must confess that I started to cry a bit yesterday when he told me not to feel badly about still needing pain meds at night. His words: " Listen, I'm not usually one to push the pills, but they do have their place.  The damage done from unrelenting pain is worse than what the narcotics will do you.  You won't be on them forever."  I'm not sure why, but his comments lifted this cloud of guilt/shame/worry I've been carrying around.  I keep reading about all these women who never took pain meds, or stopped after day two post-surgery.  I wanted to be one of those women.  I thought for sure I would be.

    Like so many other things on the BC highway, this detour ( or is it a flat?) is reveals a humbling truth: our bodies are strong but not always responsive to our plans.   I need to learn to love mine again anyway.

  • bak94
    bak94 Member Posts: 1,846
    edited June 2012

    I have the same problems. Super tight, pain and sensitivity. I go to pt once or twice a week. She is wonderful, but progress is slow. I had surgery in November of last year and just had to have another drain put back in because of a seroma-again! Not happy! I can't wear a bra, I also wear a cami with micro bead forms. I am tired of the pain, well, more like an uncomfortable feeling. Nothing helps. Ibuprofen doesn't touch it, I haven't tried anything stronger. Surgeon doesn't see too concerned but it is wearing on me, as all of you understand I am sure. My range of motion is really bad, posture is bad. I exercise, stretch, and nothing really helps. Boo hoo! Sorry I am so whiny:) But I just want to feel normal again!

    Wrongchick, glad you got the ok for pain meds. My nurse gave me such a bad time right after my bmx about how much I was taking, and I was just following what my doc told me to do, that I am afraid to ask for anything. Feels good to know we are not alone!

  • crystalphm
    crystalphm Member Posts: 1,138
    edited June 2012

    Bak94, I had this same problem, for almost 2 years. I got great advice from someone here, as well as my lymphedema therapist.

    The therapist started myofascial release, and she also suggested when I take a shower, or whenever, to rub different textures against the site to desensitize. In the beginning I could hardly stand silk...but now 8 months later from this advice, I can do a natural sponge, towel and rougher things, and the sensitivity has decreased.

    I could not wear any foobs until someone suggested I wear a cami 1 or 2 sizes bigger. I am a medium, so I bought extra large. And it works! I wear the microbead or memory foam foobs (not every day, that would be too much) but I can wear them maybe 10 hours with no real pain.

    I do not wear a bra yet though...soon.

  • Outfield
    Outfield Member Posts: 1,109
    edited June 2012

    I don't think my pain was as severe as you all were describing, but I wanted to pass this on to you.  

    I'll be 2 years out from surgery 7/1, and I found myself thinking this week that my pain has continued to improve even in the past 6 months.  I had phantom pain across my chest - sometimes my first thought when I woke up would be "Pain."  It's much better than it was a year ago.  I don't exactly know why, I assume something just kept healing.

  • bookart
    bookart Member Posts: 564
    edited June 2012

    I'm reminded. I bought several silk t-shirts and very fine soft undershirts that fell just right across my scars - had to get rid of a lot of shirts because they had heavy silk-screening, or rough weave, or buttons, seams or pockets in the wrong place.  Some I still avoid, but I don't have to wear the silk undershirts as often.

  • crystalphm
    crystalphm Member Posts: 1,138
    edited June 2012

    I too bought silk cami's with no lace or trip, and that was the trick to "calm down" the pain sensation, but it took  about a year for that to happen. Although I still only wear breast forms maybe 2 times a week, more and I get sore again. but it is a different "pain" now. Before it was a sunburn, picking, burning, barbed wire feeling, now it is a soreness.

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