Pain from tissue expanders?

gonzard222
gonzard222 Member Posts: 55
edited December 2015 in Pain

Hi all! Just had Bilateral mastectomy done 6 days ago. The Dr. put in tissue expanders and I am in so much pain. I feel like I am having muscle spasms constantly across my chest. Sat night I was putting my mini dachsund in her bed which i know I shouldnt have picked her up, that didnt hurt but i did manage to lose my balance and stumbled. Caught myself on the couch but oh my gosh, the pain is so unbearable. I don't see the dr til oct 3. I am scared about the pain. I also feel little lumps across the top of my chest which is extremely sensitive. Any advice or will this pain go away. I still have my drains and seems like i can feel the fluid leaving the site sometimes. Is that normal? The pain is so intense that I put my fingernails into the spot which ends up hurting as well. I don't know what to do. It hurts to brush my teeth. I am dying for a warm bath or shower. I can't stop crying...Is this normal or am I losing my mind due to the pain? Thanks 

Robin G

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Comments

  • HLB
    HLB Member Posts: 1,760
    edited September 2012

    I had expander and I thought they were painful for a pretty long time. I was given pain meds as well as valiun for spasms. They said to alternate them but it hurt too much to skip the pain med every other time. Did you get a lot od fluid put in at surgery? I took 2 percocets every 4 hours for about 5 days and by the third hour I was watching the clock for the next dose. Then of coUrse got severly constipated. I waited longer than usual for the first fill because I just felt too sore. Then each fill seemed to set me back a day on the pain scale. One time someone hugged me too hard and I had a day of pain from that. They seemed to spasm when I was in the shower and if I went out in the cold. They would suddenly grip, like they were being sqeezed. I want to say its normal but I can't be sure. If its reaLly bad maybe u want to call the dr. Maybe u just need a higher dose of pain med. I had my drains out after about one week. Hated having them. I put some water in the tun and sat on the edge and carefully balanced the drains on the edge and just cleaned myself sitting there. At one point I dunked myself down in while making sure the drains stayed put. It was pathetic lol! I was so afraid the drains were going to fall out. Little did I know how far in they really were. Hope it gets better soon. I do remember the third day I thought omg this was just a big mistake! But I'm very happy with the surgery now. Best wishes to you :-)

  • HLB
    HLB Member Posts: 1,760
    edited September 2012

    Also, I had a follow up with the surgeon 3 days after surgery and she was concerned that I couldn't lift my arm very far and that I wasn't doing arm exercises. I was like are you kidding me!!??? I barely could make in to the appt!! But she was pretty adamant and said do them and make sure I took enough pain meds to be able to do them. So I did and I think it really helped because I have full range of motion and never had any problems that I read about some people having. She said if you don't do it you will have to go to pt and then you'll really hurt! There we're just two exercise I did and also when watching tv I would put my hand behind my head and just push my elbow back. It was just like strtching execises that you get a little more flexible each day. They prob gave you instructions but if not, let me know and I will decribe them to you.

  • gonzard222
    gonzard222 Member Posts: 55
    edited September 2012

    Thanks for getting back to me, I didnt get any instructions for excercise. I wonder why? My arm still hurts and it feels like its pulling my chest apart anytime I move. Last night I woke up with a feeling that my chest was pouring blood out. My drains were filling up so fast that I had to drain them 5 times in an hour. I had thought maybe I pulled a drain out and was panicking, but luckily it was just draining alot. Called dr and nurse said it was normal. I just have these really weird pains shoot through my chest and underneath as well. I wish so bad I could take a hot bath. I need a shower...Surgery was a week ago tomorrow and I feel so miserable still. I hate just sitting around doing nothing. My husband says I am doing too much but I can't just sit around. Also, for a little amusement, I think either I am losing it or the drugs are getting to me, but I woke myself up laughing hysterically in my sleep. Then I couldn't stop laughing when I woke up and I don't know what was so funny. Wow....wish I had that recorded...lol  

  • fredntan
    fredntan Member Posts: 1,821
    edited September 2012

    Hang in there girls. I remember those first days weeks were the worst. Me and my TE have been together little over year and in 13 more days am getting this bastard out. Ask for flexeril. Its a muscle relaxant. The percocets made me so constipated it wasn't funny

  • HLB
    HLB Member Posts: 1,760
    edited September 2012

    Haha well I never laughed that way but I got really chatty. Someone on here mentioned putting the drain balls in a fanny pack and carefully take a bath. Wow they really are draining a lot. When I had them taken out she kept pulling and pulling, like there was a whole yard in there! Here I was thinking it was only about 2 inches and I would pull them out by accident. Ok here are the exercises if u want to attemp:

    Stand beside your kitchen table with your hand on the table. Then keeping your hand there, kneel down slowly. When it starts hurting, go down just a little bit more. The other one is stand beside a wall and walk your fingers up the wall. When it starts to hurt walk them up a tiny bit more. Do these a few times a day and you will be able to fo a little further each day. I didn't do anything at all except watch tv and knitting. Slept in a recliner because I couldn't get back up again. I didn't like to sleep too long or it would really hurt when I woke up.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited September 2012

    I've had my tissue expanders in for three months now. They are driving me out of my mind. I can't imagine having them in for over a year. My chest feels tight all the time. When does it get better?

  • fredntan
    fredntan Member Posts: 1,821
    edited September 2012

    Do you have all your range of motion back yet Veggy. It took me a long time to get all mine back. My pain did get better after that. But its been hurting more lately since i have been working out at gym

  • Anonymous
    Anonymous Member Posts: 1,376
    edited September 2012

    I have most of my range of motion. I do the exercises a couple times a day. I feel like I have a bra on that is too tight.

  • fredntan
    fredntan Member Posts: 1,821
    edited September 2012

    Arghh thats what mine feels like better some days

  • Anonymous
    Anonymous Member Posts: 1,376
    edited September 2012

    That's how I describe this feeling to my friends. Its so uncomfortable. I might have a couple of muscle relaxers left from the surgery. I might take one tonight and see if that helps.

  • fredntan
    fredntan Member Posts: 1,821
    edited September 2012
  • gonzard222
    gonzard222 Member Posts: 55
    edited September 2012

    oh great! I don't think I can deal with these TE in for a year! omg! thanks for the tips on excercise. I am taking flexiril and pain pills like candy....ugh....I am so uncomfortable! I want the drains and the TE out! boo hooohoooo.... I hate this. 

  • SpecialK
    SpecialK Member Posts: 16,486
    edited September 2012

    If Flexiril is not working for your muscle tightness and spasm you might request Valium.  It does seem to work for a lot of ladies with TEs.  Activity and drain output are linked - if you want the drains out you need to do less.  Gentle stretching is good but don't overdo it at this point.  I found a warm shower or bath to be a great help, once you are allowed.  Good luck!

  • gonzard222
    gonzard222 Member Posts: 55
    edited September 2012

    Thank  you for your input. It is greatly appreciated! I just spoke to my Dr and was scolded for not doing Less. I actually did pull a drain out apparently cuz now its now draining at the site, stitches are visible and drain isnt staying compressed. I now have to go first thing in the morning to see what can be done. I feel as if my entire body is swelling. How can I do absolutely nothing. Ugh! My dr probably thinks i am the worst patient ever. Anyone ever have this problem?

  • SpecialK
    SpecialK Member Posts: 16,486
    edited September 2012

    I know it is hard to feel like you are doing nothing, especially if you are feeling ok - is there a project you could do that doesn't require a lot of movement?  I had a tumor removed from my calf in '08 - my calf muscle hurt unless it was being iced.  I chose that recovery period to organize my photos - which I could do laying on the bed, lol! 

  • gonzard222
    gonzard222 Member Posts: 55
    edited September 2012

    Yeah I do crochet and am always online. I can find Nothing to do but I feel so guilty that my husband is doing so much. Thats a great idea as well...I used to have so much stuff organized. Good time to start that again. Can the fluid buildup be bad for my body?

  • SpecialK
    SpecialK Member Posts: 16,486
    edited September 2012

    Not sure what you mean by fluid build-up - do you mean at the surgical site, or generally swelling? 

  • HLB
    HLB Member Posts: 1,760
    edited September 2012

    I had mine for about 9 months and they always felt like a tight bra. They did eventually stop hurting though. The silicone will be much better and not painful at all. I had mine 7 years now and they still clench sometimes if I go out in the cold. It doesn't hurt though. It will be worth it in the end.

  • karody
    karody Member Posts: 89
    edited September 2012

    I was in the hospital for 5 days, though I did have to have a seperate surgery on day 2 to remove lymph nodes because they found cancer later on the frozen sections of the sentinal node.  I think they just took me off the PCA when they sent me home on day 5.  I had incredible pain for two or three weeks.  Bad pain.  Pretty much took percocet around the clock.  I did end up with a huge seroma on one side.  But I was walking and caught the tubing on something and it pulled it as far as it could go being stitched in.  Immediately 60 ccs of fluid drained out and that brought a lot of relief.  Other than the seroma, no complications, perfectly normal.  When I think back to that time, it is very dark because the pain was so unremitting.  I went nearly a year with the TEs in place because I was scared to have the exchange surgery.  It was not bad at all.  Really nothing in comparison.  So, I would guess your pain is probably normal, but nobody really tells you beforehand how painful it is or you might run away :).  But in my experience, I would tell you the worst is over.  It only gets better from here :).

  • armywife199
    armywife199 Member Posts: 19
    edited September 2012

    I had a TE put in at the same time as the mastectomy.  Now when I drink something cold I get cold waves across that side of my chest....is that because the fat insulation is gone?  I also went to PS and asked him if I could start getting 100cc instead of 50cc put in every week.  He said no that these things had to be done carefully.  I jokingly asked him was it soo tough to get shoe leather to stretch.  To his credit just doing the 50 made old incision (5wks) bleed.  So I see that his idea must be best for my flesh.  I did start working with free weights 15 and  later 10 lbs to increase ROM and strength.  Also to improve lymph movement since 4 nodes were removed.  Any other ideas?

  • gonzard222
    gonzard222 Member Posts: 55
    edited September 2012

    Yeah the fluid that is being drained from each breast area. Well as i was on the laptop, i felt something wet and it was leaking so my husband and i was trying to change dressing and he cut the drain tube by accident. now i am freaked out....will germs get inside and cause infection? oh my gosh i don't know what to do and my chest is hurting. I am having cold hurting feelings in my chest when i eat or drink anything. I was thinking its from the breathing tube during my surgery but i don't know. I am going in to my ps office tomorrow but i am scared to fall asleep now. I also got a copy of my TRUE pathology results in today. It shows that I had DCIS as well in same breast. The radiologist showed both concerns on my mammogram but said the one was probably a cyst. He did biopsy on the more obvious one and now it shows I had two different cancers. It also showed only 2 lymph nodes were tested and both were negative. Now i wonder if they should have taken out more. what if it has spread and they wont know. I have to wait for PS to clear me to see an oncologist. I feel so lost and weird and painful... try to keep positive and make light of things but I am so scared and worried.

  • HLB
    HLB Member Posts: 1,760
    edited September 2012

    I think I only got about 25 cc put in at a time. It was so sore for so long even after the really bad pain stopped. I figured the slower the better that way the skin would stretch nicely and not get stretch marks or anything. By the last two fills they went down to 15 cc because they were so tight. The exchange surgery is a piece of cake in comparison. Once the pain subsided enough to start fills, that was like a turning point in the whole cancer nightmare where things seemed to get better all the time. I liked seeing my foobs get bigger, like Growing Skipper. Haha if anyone remembers her!

  • HLB
    HLB Member Posts: 1,760
    edited September 2012

    Gonzard it is scary and worrisome, but it will get better. I hope your appt goes well today.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited September 2012

    Having DCIS in addition to IDC is very common - surgery is the treatment for DCIS and you have already done that so don't worry about that.  As far as the lymph nodes, the Sentinel Node Biopsy that was done took the first two nodes away from the breast.  If they did not contain any cancer cells it is highly unlikely that additional nodes would.  The more nodes that are removed the more your risk of lymphedema goes up - that is why they only sample those sentinels instead of taking all the underarm nodes.  Try not to worry - hoping your PS appt. goes well.  Ask these questions of your doc also so that he can ease your fears.

  • gonzard222
    gonzard222 Member Posts: 55
    edited September 2012
    Thanks for the encouragement with these issues. I went to the PS today and they removed one drain and will reinsert it tomorrow in outpatient surgery. During the drive home, the right side came out showing the stitches. UGH! So now I have a ton of fluid in my breast area that was caved in and my belly area is so swollen as well and my back is killing me. Called the PS back and he told me to do nothing today. If I fill like its swelling and affecting my breathing to go to er. Thank you so much for all the information and encouragement!! It helps alot!!Laughing
  • andreas12
    andreas12 Member Posts: 2
    edited October 2012

    Hi, I'm new to all of this and was searching for a question that you asked! I just received my tissue expanders with my bilateral mastectomy on Sept. 26th. I had one fill, and feel sharp muscle spasms. Because I have to have radiation, I have to wait until next year to get my "breasts" back. I can't imagine living 10-12 months with these in my body, they feel like turtle shells. I had chemo prior to my surgery, radiation is next. I'm terrified of lymphodema, and just want to feel normal again. I'm sorry, I'm not offering any advise, I'm just venting myself. This whole thing is just so scary.

  • JamieB86
    JamieB86 Member Posts: 397
    edited October 2012

    andreas12 - don't feel bad about venting.  We all do it.  I'm sorry you're experiencing pain.  Did you PS give you muscle relaxers? Many women find they help after the fills.

    As far as the lymphodema, there is a thread about that.  It's a scary time, but you'll make it through.  Hang in there. You'll get to normal. It will be a "new normal". Be patient with yourself. They ladies here will be a great source of encouragement.

  • NYCMOM3
    NYCMOM3 Member Posts: 61
    edited November 2012

    I had my mastectomy with te put in on Oct 24 - have had two fills since (100cc, then 60cc - we'll see what this week brings!)

    It's like a cruel joke - the second I start to feel a teeny bit of relief, as in my skin stretched a little and I can almost breathe, more gets pumped in. I want to get it done quickly, but boy, do I feel your pain, literally. I hated the meds and have been doing a half dose of Advil pm since my drain was removed, it helps a little at night and allows me to wake up and help my daughter get ready for school. 

    I'm so looking forward to the end of this, as I know all of you are in your own lives. Of course, the good thing is that we are alive, right?  xo

    http://breastcancernycmom.blogspot.com

  • Nancybc
    Nancybc Member Posts: 12
    edited December 2012

    Hi gonzard222, how are you doing with the tissue expanders now.  I had surgery on November 26th with tissue expander, incisions keep opening,, and they are closed 3 times , so one incision is not healing , second the tissue expander pain is not tolerable.  And to close the incision site PS has to deflate the expanders,, more than a month with surgery, still not healed from it,, and tissue expander pain and they are deflated...really need some help...

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2013

    Did you have radiation on the side that is not healing? I did 3 years ago. I had the same problem as you. My left side didn't heal and the incision kept opening up. The PS tried to fix it a couple of times, each time deflating the TE a little more. Two weeks ago my he had to remove it, sorry to say. He wants me to wait until I get a break with chemo and a chance to heal before doing another procedure. I want to heal both physically and emotionally before even thinking about it. The right side healed fine. It still feels like a turtle shell under my skin. I hate cancer. It sucks!!

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