Neurosensory discomfort/pain

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geroNP23
geroNP23 Member Posts: 32

Okay so I am experiencing a few things that are really uncomfortable and annoying. Wondering what others have tried that have brought some relief. While I know many have tried medications-I'd really prefer not taking a handful of pills every day.....

I am post double mastectomy with immediate recon with silicone implants and strattice (I had implants prior to my diagnosis) on 4/10/13. All went well, PS pleased. 

I'm a nurse practitioner-and while I am medically savvy-this is all new to me and not my niche (I work with the elderly!). I know that Neurontin and some of the antidepressant drugs have helped with the nerve pain; etc etc. 

Perhaps I am just needing a 'there there', or 'I hear you' or my hand held an some reassurance that with time, these things will get better. I plan on starting up with a support group next month, as I think that would help too. 

1) I feel like my upper chest, back, and underarms have a severe sunburn. Wind, clothing, ANYTHING really, is sooo sensitive on this skin. Who else have experienced and what has worked at relieving it? Has it dissipated with time? I miss my sleep, needless to say. It's JUST like sleeping with a bad sunburn. 

2) Generalized discomfort. I am just stiff, touchy, my chest around my sternum and ribs is really sore (still!). My 2 drains (well 4 that Y'ed into 2) were pulled last Tuesday. Just thought this pain would improve by now. I am also getting fluid build up around both implants. Not a lot, and likely some of this is loose skin. It's so hard to describe the sensation-I feel as though I have two huge blisters on my chest! Best way I can articulate it (fluid filled, uncomfy with pressure). 

I am unable to take ibuprofen yet as per my PS. He is very worried about a hematoma/bleed. He said maybe in a few more weeks. I am trying to stay away from the percocet (switched from that to dilaudid), I really thought I could wean by now. I have been taking tylenol every 4, and up until 3 days ago, I was taking BID celebrex-which seemed to help but Celebrex is not a drug they recommend taking long-term. PS also said no PT/vigorous physical activity until 3 week mark. I'm pretty active, and I run-which I miss terribly but know that is going to be a long while down the road to get back to. 

Anyone taking any supplements that work? Such as L-Arginine? 

I see PS on this Tuesday so of course will talk to him....just reaching out to those of you who are experiencing the same....

I am miserable and hoping I'd be feeling much better by now. While I of course know we all heal differently.....I am beginning to wonder if a month off is enough time.....

Anyway, FWIW. Thanks in advance. 

~Renee'

Comments

  • MauiGirl
    MauiGirl Member Posts: 17
    edited April 2013

    geroNP23-

    I know EXACTLY the sensations that you are describing, as I'm having the same thing.  I had my BMX with TE's about 2 weeks prior to your surgery, and while the neuropathic discomfort is subsiding, it still pops up every day or two. It got quite a bit better during 3rd post-op week. Gets worse again after having my expanders filled, but gets better then after a couple of days. PS "assures" me that it will go away, but he say's 6-12 months!  While I don't really want to take neurontin, I may have no choice--I certainly can't go topless at work! I go back to work (also as an NP) in 2 weeks, so I'm trying to stay off the narcs as much as I can.  Can't take Ibuprofen (get gastritis), and acetamenophen is like eating candy.  If you can take 6 weeks off, I'd recommend it.  I'm at 4-1/2 weeks postop now, and really would not feel like going back to work tomorrow.

    I'm also anxious to hear what others can recommend--this is by far worse than surgical pain!

  • geroNP23
    geroNP23 Member Posts: 32
    edited April 2013

    kayb and Mauigirl...thanks to both of you. Yeah, wondering if a month is enough time. We are down two providers so I feel awful taking time as it is, but if I am not ready, I'm not ready. I do have better days than others-yesterday woke up and every time I would twist/bend over it felt like someone was smacking my left nipple with a rubber band. Today that's gone and the sensitivity is much better. I am sparsely taking dilaudid when I need it and tylenol. Still no IBU allowed.

    Will have to try the washcloth thing. I force myself to run the water in the shower over the "sunburnt feeling" areas to desensitize. No idea if it's working. I'll try anything! I am also taking a B-complex daily-it helps with nervous system function. Can't hurt to try it I guess. Better than neurontin or effexor. 

    Thanks so much for sharing! I truly appreciate. Will let you know kayb how the washcloth works out.....

    R.

  • ashleigh
    ashleigh Member Posts: 23
    edited April 2013

    hi ladies,

    i am just over a month out from bmx with expanders, but i can also relate on some levels.  initially, i had a lot of burning pain, similar to what you're describing for the first two weeks after surgery.  i took straight tylenol every 4 hours as well and had dilaudid for when i needed it.  i did end up asking for a prescription for pregabalin - just low dose, that i took bid.  i also found icing the area helped alot especially around sleep.  initially the touch of the ice pack and uber coldness were hard to tolerate, but after a few minutes that subsided as did that burning pain.  between the pregab and the ice pack, that feeling cleared up almost entirely by the time i was 2 weeks out. i'm now about 4 weeks out and the burning sensation is gone. 

    gero, i'm not sure if you're reluctant to take gabapentin/pregab? if so, the ice may help.

    i do, however, feel that my skin is still a little sensitive to touch, mainly around the incisions.  i've found a couple nice tanks that are pretty easy to get into and are loose-fitting and quite soft that i can wear.  just wondering if anyone has any suggestions on tops that they've found are comfortable to wear after?

  • peanutsgal
    peanutsgal Member Posts: 161
    edited April 2013

    Hello ladies,



    Yes absolutely understand your feelings about the sunburn pain. I am now almost 4 months out from my BMX. At about the 2 month mark the burning started to subside and it is totally gone now. I did use the soft washcloth approach along with some moderate pressure and massage to the areas. It would hurt at first, but somehow the areas seemed to become desensitized after awhile. I did not find that the narcotics helped in any way since it was a nerve pain. As far as some soothing clothing that I found bearable, I bought a few of jjill's pure jill tees. They are a little pricey for a tee, but they are extremely soft and feel almost like butter against your skin. They also last forever and won't pill up. If your pain is interfering with your quality of life, I would recommend taking the neurontin. You can try it for a short period and then once the nerves settle down, you can wean off of it. I did not have to take it for BMX pain, but I have MS and have found it useful during my exacerbations. Hang in there and remember that this is more than likely temporary and that there are things that can be done to help alleviate the pain.

  • geroNP23
    geroNP23 Member Posts: 32
    edited April 2013

    Thanks so much Pam. I appreciate the advice. I have been searching for fabrics that help...will definitely have to check our jjill. Encouraging to know that for many of you the sensitivity subsides......hope that's the case for me too.

    Thanks again for the responses! Best of luck to all of you.

    ~Renee'

  • Lisa_Lock
    Lisa_Lock Member Posts: 16
    edited May 2013

    Hi gero,

    I too had a similar dx, and a double mast with immediate implants because of prior implants already in. My surgery was Feb 2013. I had alot of the same pain you are having. I am actually having more pain in my arm on the side they took nodes. Nerves are a funny thing...they take so long to heal. I think it is because alot of trauma when they put the permenant implants back in immediately. It is not like you are getting fills every week. I did not want to leave my home for the first month. I can honestly say that at the two month mark I was really turning the corner. Fabric is pretty important. I could not stand flannel or anything that was not soft cotton or microfiber. Hang in there. You are making progress! 

    Lisa 

  • PeggySull
    PeggySull Member Posts: 686
    edited May 2013

    Hi, just wanted to put my two cents in about Neurontin. I was taking this before the BC diagnosis because I had a form of peripheral neuropathy in my feet.



    I don't know if my body had habituated to it, but my hopes that I wouldn't get taxol induced neuropathy were dashed. Seven weeks out from taxol and my fingertips don't even feel like their mine.



    You are mostly talking about pain and skin sensitivity. It's one of the few SEs I didn't get. Maybe the Neurontin prevented that. If you decide to try it, try by starting at a low dose, because it is habit forming, despite the Big Pharm non-notice about this. I want to start going down to a lower dose and my MD wants me to cut back slowly when I feel ready.



    Hope this is relevant!



    Peggy

  • Outfield
    Outfield Member Posts: 1,109
    edited May 2013

    Hi GeroNP,

    I wanted to mention something I don't see above.  It's vicious stuff and you have to be very careful, but tiny amounts of capsaicin cream were helpful for the sunburn sensation on my upper arm.  It's really rough stuff - can be blindingly painful in your eyes or if you get too much on anywhere, but it was what my BS's office recommended so I bravely tried it, using disposable gloves.  It's no cure-all, but the pain quickly reduced by about 50%.  I stopped using it as quickly as possible because I didn't really want to be dealing with the precautions needed to keep from getting it on my fingers, my kids, etc.  I would carefully do it again in the same position.

    Over the long haul, the gentle pressure and massage has been my best tool. 

    Good luck.

  • ClaudiaMetz
    ClaudiaMetz Member Posts: 148
    edited May 2013

    Just read these posts and wonder if what I am feeling is the "sunburn pain" you all have described.  I have an unusual autoimmune condition that effects the skin.  I have had rashes on my chest before; however, since surgery and internal radiation the skin on my chest (just above where the mammosite balloon was placed) has really been red.  It does itch but the pain got so bad that I went to my dermatologist thinking it was my skin condition.  I was given an injection (steroid), new creme but also was given Neurontin (400 mg 2x day).  I haven't started taking yet.  What causes the sunburn pain?  When you have more than one condition it is hard to tell what causes what.

  • ashleigh
    ashleigh Member Posts: 23
    edited May 2013

    Claudia, sorry to hear you've been having so much discomfort.  The sunburn pain most of us are referring to is due to disruption of the nerves during the mastectomy.  As a result of this, there is often changes of sensation which can vary from decreased sensation to changes in sensation to perceiving non-painful sensations as painful.  It takes a LONG time for nerves to regrow and for the sensation in the affected areas to become normal again, but over time, you can get used to the different sensation.  In your case, it's hard to know what role your autoimmune condition is playing in all this, but I don't think giving neurontin a shot is a bad thing - you could even try a smaller dose if you find the 400 mg makes you too sleepy or gives you too many side effects.  The neurontin is one of the few medications that has proved effective in managing neuropathic pain.  Hope that helps!

  • geroNP23
    geroNP23 Member Posts: 32
    edited June 2013

    Update-okay-so just to let you all know-this horrific neurosensory/extreme sensitivity goes away. I am two months out post DMX-it's all gone now. It dissipated over time. Of course everyone may be a little different. I would recommend though, if it's that unbearable (I was close to that-), discussing neurontin with your surgeon. I am still numb of course, from my nipples downward-but the nerves are settled and seem to be adjusting well. GOOD LUCK! It gets better (it should). I'm just ridiculously impatient. Cool

  • SheChirple
    SheChirple Member Posts: 954
    edited June 2013

    I am glad I ran across this thread. I am 2 1/5 wks post DIEP and having horrible burning sensation on the skin that was transplanted. It has been unbearable at times and I described it to my husband as sunburn type pain.  Now I know I am not losing my mind.

    I have a f/u tomorrow (today) with my PS and expect to have my drains taken out, but that will not help the skin pain.  I feel silly asking for more pain meds, taking Norco, when it's really not helping all that much with this particular pain.  I hope he understands my description tomorrow and pehrap neurontin is the way to go.

  • ClaudiaMetz
    ClaudiaMetz Member Posts: 148
    edited June 2013

    Just an update, I went to my dermatologist and because of the redness on my chest close to the radiation site (internal) and other skin issues she gave me a shot and neurontin.  The shot helped to clear up my rash by the next day.  It is not easy when you have an auto immune skin condition to know what is what.  I do believe that the neurontin has helped with my pain and helping me sleep a little better.     SheChirple, with everything you have been through I would hope they would understand about the pain medicine.  I am in the state of Kentucky and due to people abusing pain medicine then the people who need it have to jump through hoops.  I would talk to my doctor about the Neurontin.

  • ClaudiaMetz
    ClaudiaMetz Member Posts: 148
    edited June 2013

    New problem.  I was trying to do some filing (hate it) and the filing drawer I was using caused me to lift my arms up a little above shoulder level.  Did not have any pain from it that day.  Yesterday I started having a really sharp pain close to the site where they removed lymph nodes.  I put heat on it and then ice.  I finally had to take a pain pill (very few left).  Today the pain isn't there until I try to lift my left arm.  Fixing my hair wasn't easy.  I can feel the scar tissue in that area but have not had a problem until now.  I really don't know what to do.  Any suggestions?

  • aweate
    aweate Member Posts: 53
    edited March 2018

    hi! I am not sure if you still on here but I have the same thing going on and it is awful! I am 16 days out from bmx...no reconstruction. My skin feels raw. Please tell me this goes away.

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