Pain from tissue expanders?

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  • Alley123
    Alley123 Member Posts: 7
    edited February 2014

    AZ - the zapping thing has happened and I have also had phantom nipple sensations.

    Hmmm this lymphedema is a new to me. I asked if there was something I needed to do with regards to the missing lymph nodes everyone said don't worry about it we only took 3......

    I did have swelling and pain in the underarm on the side they took the nodes, at about 3 weeks out I was just rubbing the underarm carefully in the shower and down my side and all of a sudden I felt what I can only call a release. The swelling and the pain was noticeable less, I have no idea what happened but it was a relief. So I do the massage once a week and have had no issue since.

    I guess I need to make another list of questions to ask the PS

  • AZ85048
    AZ85048 Member Posts: 2,613
    edited February 2014

    Alley123 - Yes, I've learned from these boards that some medical professionals don't regard lymph node removal as a threat, but then they're probably also the ones who don't have to worry about it.  I wish I could take those same people over to the Lymphedema forum to read some of those posts, and then try to tell me it isn't a serious problem.  Shocked  http://community.breastcancer.org/forum/64 

    Phantom nipple sensations?  I don't know, but I suppose it may be similar to phantom limb pain that amputees experience.  I still have my nipples (for the time being anyway... long story) but they don't have much feeling at all.  I do remember the itching though.  Way down deep inside where you can't possibly get to it - but that too goes away eventually.  Here's an old thread discussing phantom sensations....

    http://community.breastcancer.org/forum/47/topic/750251

    So many little things that no one ever tells you about....  Mostly because they don't know about it unless they've lived it.  Winking

  • Moonflwr912
    Moonflwr912 Member Posts: 6,856
    edited February 2014

    The zaps are  weird . I had one that went like a zipper all along the whole incision and it was the one that got the mudflaps (sideboobage) so really long. The zap traveled. So weird! Nipple phantom pain hits occasionally.  If it's really bothersome try a bit of heat or ice. 

    For whoever it was that complained about the pain under the breasts, if you had Alloderm, that most likely was the cause. Mine always felt like a broken rib. Some positions were better. But i swear that I could almost hear the things  crunch like a plastic bag! LOL.  

    Much love

  • AZ85048
    AZ85048 Member Posts: 2,613
    edited February 2014

    Hi, Moon!  I like the new picture!  New glasses? Nerdy

  • Moonflwr912
    Moonflwr912 Member Posts: 6,856
    edited February 2014

    why, Thank you. And yes, New glasses. 

  • mnmbeck
    mnmbeck Member Posts: 313
    edited February 2014

    Unfortunately, MANY doctors don't inform their patients about lymphedema risk.  My understanding is that they know very little about it themselves.  I know for a fact that my neighbor has it in her leg after having a groin lymph node taken.  Her leg is noticeably swollen.  She said her doctor told her that "lots of people have that 'post surgical swelling'" after surgery....nothing to worry about (her surgery was many years ago).  I told her that was NOT true and she needed to be seen but....you know....everybody believes their doctor.

    My CLT told me that one of her patients (a University professor) was told by her doctor that "The way I do surgery, my patients can't get lymphedema."  Imagine her frustration and anger when she got it!!!

    I have 3 friends who have had this done, two of them with positive nodes.  None of them have been told of Lymphadema, and they all think I am a freak to even worry about it.  They are all between 3-10 years post surgery.  They don't beleive they have a lifetime risk (which they do).  One of them is on a plane to Mexico as we speak....not taking any LE precautions because her Doc said she didn't need to. 

    I am very grateful for my PS, who told me "your risk for LE is very low (only had sentinel node taken), but it's not zero.  We  need to make sure we have baseline measurements and some education for you."  Well guess what.......I GOT LYMPHADEMA!  I am so grateful that I began seeing a Lymphadema therapist literally within 24 hours of my first symptoms.  I am so sad that so many are never told about this.  We REALLY need to be educating people about this!!!!! 

  • Chartruse
    Chartruse Member Posts: 40
    edited February 2014

    Hey Everybody!

    My BS did tell me that I would not need chemo, rad or hormonal treatment, since I had to have my left breast removed and because I had, in the past, had 2 lumps removed from right breast (no cancer), I decided to have it removed as well.  With no breast tissue left...per my consult with a MO on Tuesday, I definitely do not need any further treatment.  I am ecstatic hearing this!  My BS told me to have an open mind and that seeing a MO was part of the process so that all bases would be covered.  I only (unless unforeseen things happen) need to see my BS for 5 years, to be sure I don't have any problems and of course my PS.  I see my PS next week for my second fill...hope it goes well.  

    I also have the same problems with the TEs as you ladies have mentioned.  Sometimes it feels as though my ribs have cracked...and I have had a cracked rib before.  I'm still having the cold sensations when I drink anything..I hate it!!  I am cold most of the time now.  

    And yes, no one spoke with me about lymphedema either.  But my right side does hurt more than the left.   

    Sorry for being so chatty...hope I was not too boring!   LOL!!  Love y'all for being here...cancer can be lonely, even though I tell everyone "Check your boobies"!!!

  • mmtagirl
    mmtagirl Member Posts: 509
    edited February 2014

    Chartuse, congratulations on not needing any additional therapy!  Good luck with your fills.  I, too, have the cold drink sensation.  Wonder when it goes way?  I heard that the rib cracking feeling, which in have on occasion is due to the alloderm? Some other women on these forums mentioned it.  I am asking my PS next week at my next fill.

    On the lymphedema discussion my BS did mentioned an increased risk.  She indicated that 10 nodes was the magic number for an greatly increased risk.  I am going to ask for a rx on a sleeve when I can start traveling again for work.  I do a lot of long distance flying.

    Make it a great day, ladies!

  • jbdayton
    jbdayton Member Posts: 700
    edited February 2014

    In reference to bras.   My insurance covered two mastectomy bras per year at no charge to me.  I was fitted for my final cup size and there are inserts to put in the bra to make up the missing volume.  As you get your fills you just remove some of the filling in the pocket until you are fully inflated.   I wear them all the time.  My clothes fit better since I have full breasts just like before the BMX.  

    My plan for fills changed when my pathology changed after surgery and I required rads.  I have done no fills and will not be doing any since I will now be having DIEP reconstruction.  Glad I have these bras so I did not have to go basically flat for months.   Check with your insurance you may have coverage.

  • Alley123
    Alley123 Member Posts: 7
    edited February 2014

    Chartruse good for you sister, what a relief

    I noticed while doing a winter activity outside my TE's were colder than the rest of my body, not really cold but I could tell the difference. I haven't had the cold feeling when drinking. 

    The alloderm causing the rib pain hmmmm I never thought about that. Is the alloderm also stitched to your ribs or the pec muscles? I guess another questions to ask.

  • AZ85048
    AZ85048 Member Posts: 2,613
    edited February 2014

    Chartruse - GREAT NEWS!  YAY!  Thanks for letting us know! 

  • Moonflwr912
    Moonflwr912 Member Posts: 6,856
    edited February 2014

    from my understanding, the alloderm is placed like a sling to help the implant or TE to stay up. So it won't slide down or cut through to your skin. I believe it is sewn in yo the pic muscle. But sewing anything to muscle isn't strong. I don't know if they attach the alloderm to the ribs but they probably bump into them which doesn't help. I had that pain for about 2 weeks after my sx. Each time he placed it. I know I had it placed at least 2x. And it does feel just liked a cracked rib. 

    Much love

  • Tamara621
    Tamara621 Member Posts: 1
    edited April 2014

    Hello all:  I received expanders during my bilateral mastectomy and the pain from the surgery was far worse than the expanders.  They are uncomfortable and heavy at times but not horrible. I'm reading horror stories and want someone that didn't have that bad of an experience.  Can someone tell me if it was all bad?  During expansion did you use any topical creams for muscle pain?

  • Moonflwr912
    Moonflwr912 Member Posts: 6,856
    edited April 2014

    Tamara. There are  a lot of women who don't have issues.  A lot of them are now on the TEs  a Beginners Primer board. Try that one!  Much  love

  • AZ85048
    AZ85048 Member Posts: 2,613
    edited April 2014

    Tamara621 - Moon is right.  (Like usual, except when she tries to spell...LOL!)  Many women go through BMX, reconstruction and treatment without any major complications.  Those are the women who aren't here on BCO - they're out living their lives and BC was just a detour on the road of life.  Not everyone has a bad experience, but many of those who do are here, seeking support and guidance from those who've already been there and can tell them exactly what to expect because this or that has happened.  Be optimistic, you might be one of the lucky ones!  I only wish that everyone was....

    ThumbsUp

  • pattij
    pattij Member Posts: 40
    edited April 2014

    i had bmx april 8, had one expansion and one chemo treatment so far... i HATE THIS EXPANDER it is so uncomfortable cant sleep, muscle spasms, back pain, feel like a bbq skewer is in my chest i cant believe i have to have this thing in me for 4 months until after chemo... i am out of pain meds, i dont know if my ps will give me more but i am going out of my mind with this ... i just need something to dull the pain at night...

  • Moonflwr912
    Moonflwr912 Member Posts: 6,856
    edited April 2014

    patti. You are still having pain from th he surgery. I was on heavy duty pain pills for 3 werks. The pain finally pet up after that 3rd week. Try maybe an ice bag to get comfortable. But I don't leave it on long. And don't get any more fills till you are comfortable with what you have now. You can take as much time to expand as you want. It's not a race. If your PS says you need to expand f aster ask why. Unless you are planning on rads there is no rush. Try ice or heat on your back and see what works for you. Sleeping with many pillows placed in strategic spots helps many women. Also try raising the head of the bed for a bit. If you are allowed baths take one before going to bed to relax all your muscles. Remember you need to be taking it easy. Sometimes it is hard not to overdo. But your body does need time to get better. You are in healing mode right now. Listen to your body. 

    Much love. 

  • mnmbeck
    mnmbeck Member Posts: 313
    edited April 2014

    patti....I would suggest calling your PS to tell him/her that you are still suffering.  I took narcotics for 4 weeks.  Then, start seeing a PT who specializes in breast reconstruction.  Mine changed my life.  I was never comfortable, and I usually had some amount of pain, but it was NOTHING like before I saw her!  I read here that some women can't stand it and insisted that their PS take the expanders out....changed their mind about reconstruction because of the pain.  I thought I was going to be one of those people.  My PT CHANGED EVERYTHING. 

    I ended up having my expanders for 5 months....I never thought I could do it.  But, it's possible.  You just need to see the right people!  Hang in there!

    OBTW....I'm not sure why the centering of this post is off, or why it is in italics.  I've pushed something accidentally on my keyboard.  I didn't know my computer did that!  LOL!!!

     

  • Xinghong
    Xinghong Member Posts: 85
    edited May 2014

    Hi ladies I had LD flap withTE surgery on left side and TE only on right side 1 week ago. I had some cough after surgery and now I feel pain under the TE on the left side when I have deep breath or cough. Is it normal?

  • Moonflwr912
    Moonflwr912 Member Posts: 6,856
    edited May 2014

    xing,someone answered in TE trouble. But yes pain is possible.  Especially because you had a LX flap with the TE. That's a lot of work on your body. If you see red or fun a fever be sure to call your doc even at night if you have a fever over 100. They need to know. 

    Much love. 

  • ElaineE
    ElaineE Member Posts: 3
    edited June 2014

    Regarding opting NOT to reconstruct: I was diagnosed almost 10 years ago at age 37.  I opted to have a mastectomy without reconstruction knowing I'd have dose dense chemo and not wanting to add to my discomfort or my family's financial burden.  After 6 months of chemo and a year of Herceptin I had a prophylactic mastectomy on my remaining breast, again choosing not to reconstruct.  I lived flat for years, wearing prosthetis in mastectomy bras, but hated how I looked and would even change in the dark so I wouldn't see myself or be seen by my husband.  I consulted PSs twice but never went forward, mostly for financial reasons but also fear of surgery.  This year I decided to finally have reconstruction, found a PS I love, and had tissue expanders in last month.  Came out of surgery with 150cc in each, have had 3 fills of 100cc (now at 450cc each).  WOW does it hurt, brings me right back to the mastectomy days, and I am wondering why I am putting myself through this.  I sometimes wish I had just done it back then, but no reason to dwell on that.  I am thrilled to watch my breasts grow (well right now they are like rock hard boulders) and the first time I saw some sort of cleavage I cried from happiness.  I believe it will be worth it, but back when I was first diagnosed and worried about survival, having breasts was not important to me.  I haven't been on these boards for many years but found them again and find comfort in shared experiences.  Relived to read the permanent implants are more comfortable because right now I'm miserable.  Wishing everyone health and minimal pain through this process!

  • Moonflwr912
    Moonflwr912 Member Posts: 6,856
    edited June 2014

    Elaine. I am sorry you are in pain. But it should pass. Please check out the TE Beginners forum or the TE Trouble forum for more help. Also pop in the exchange forum there are a lot of people on those with ideas to help. You will get through this. Remember the word is TEMPORARY! Much LOVE. 

  • Chartruse
    Chartruse Member Posts: 40
    edited August 2014

    Hey All,

    I have been away for a great while.  Going for fills, and yes the TE pain became bearable.  I think I just got used to it.  I have been taking ibuprofen.  My exchange surgery is August 22.  My Mother died in March, so life has been an adjustment.  I do still have my Dad, thank God!  He has been taking me to all of my fill appts.  He's so sweet!  I hope everyone is doing well today, or as near as can be.  

  • Togetherness
    Togetherness Member Posts: 202
    edited August 2014

    I have a question to those who may have had complications and had to have tissues expanders or implants removed.  How long did you wait until you tried again with the reconstruction?  Some may know my story already, but last year I had 4 surgeries, bi lateral mastectomey with reconstruction, chemo, cellulitis and every complication you could imagine.  It has been six months since my last surgery where I had my implants removed due to infection.  I would like to try again in October.  At that point it will be nine months.  Do you think that is long enough to wait. Bloodcounts are good, I feel better.  I think the chemo just did a number on my body and I couldn't fight all the complications.  Any thoughts??

  • Moonflwr912
    Moonflwr912 Member Posts: 6,856
    edited August 2014

    together, I answered on TE thread. Chartuse, have you stopped by Exchange city? That thread is very helpful for the exchange process.

    Much love

  • Dori4411
    Dori4411 Member Posts: 4
    edited August 2014

    I am 3 weeks tomorrow from a double masectomy and have expanders in.  I am still so sore as well with some pains, especially in my top back and my check.  I am also swollen still under my armpits.  Is this normal.  I really just want to get mu first fill so they will look bigger, really miss my old boob size.  Just please tell me the pain goes away and at some point you feel normal.

  • Dori4411
    Dori4411 Member Posts: 4
    edited August 2014

    I have had mine for 3 weeks tomorrow, not sure I can make 3 months.  I am so uncomfortable, my check is tight and it feels like something will fall out or off.  They don't have me wearing a support bra yet and am happy for that as anything tight would hurt more.  My armpits and sides under them are still sore and swollen, I would probably need a size 38 C instead of 36 C (although I am now just an A hoping to go back to a C), seems so far away.  When does all of this swelling by where the drains where and my upper back feel better.  I have been moving my arms, doing things, have been back to work since 6 days after surgery, but just working from home on my laptops and calls (when not on pain meds).  Stopped taking them during the day last week so I can drive local.  How long do most take pain meds?  I am in med, more so at night and in the am.  I am just starting to sleep on an angle instead of flat on my back.  Any advice or info is so appreciated.

  • Dori4411
    Dori4411 Member Posts: 4
    edited August 2014

    I am finding the same sensation.  I thought ut was just me.  there should be a "what to expect when you're having a masectomy" book!

  • AZ85048
    AZ85048 Member Posts: 2,613
    edited August 2014

    Dori4411 - Welcome!  What you describe is pretty normal.  The pain will go away eventually and you will feel better.  I promise.  However, as you'll soon learn by reading these boards, we're all different and sometimes what takes two weeks for one will take four weeks for another.  I too had pain after my BMX, but it wasn't from the mastectomy itself, mostly it was nerve pain which is burning and deep.  It does go away.  I won't lie to you, it took me about six weeks to get past that part, but it will go away.  If it takes you that long, at least you're already halfway there, right?  As to sleeping, I used pillows, about a dozen of them to prop me up - and then one under each arm.   This a wonderful group of women who are here to support you and one another.  Here are some threads you may be interested in and will keep you busy as you recover...

    Here's a link to Exchange Cityhttps://community.breastcancer.org/forum/44/topic/...

    And here's another to whippetmom's BREAST IMPLANT SIZING 101https://community.breastcancer.org/forum/44/topic/... (The woman is a goddess and knows what she's talking about as far as implant recommendations go...)

    Just take a look around and make yourself at home... It really is going to be just fine.  The beginning is the hardest part by far.  Sending you a hug and a prayer...

  • Dori4411
    Dori4411 Member Posts: 4
    edited August 2014

    Can I ask how long after your surgery was your first fill.  My surgery was 3 weeks ago and I probably won't get a fill for another week or two.  Is that normal?  He says he wants me to heal more.  Does the fill hurt?  How quick is it?  I too can not wait to get this behind me.

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