Burning pain with tissue expanders before first refill.
Thank you for taking time to read this:
I have waited a year to start my breast reconstruction. I now have tissue expanders put in 3 weeks ago. I am experiencing burning sharp pain in my shoulder blades and around my sides of my ribs and under arm pits. IS THIS NORMAL? I haven't had my first refill yet. I have read that women have this pain when they get the refills, but like I said, I haven't had my first one yet. Ibprofen does not work, only percocet (SP) works to minimize the pain throughout the day.
I just need some testomonies that this is what I am going to be experiencing when I get my refills.
Comments
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I had tissue expanders for 3 months (just had my exchange last Friday) and I don't know if there was ever a time I didn't have a pain of some sort somewhere. Whether it was a burning pain or a sharp pain (everything you mentioned and even things you didn't), a dull ache, or a pain that was so intense it took my breath away, I was pretty much saying "ouch" for three months. Even at the beginning, there was never a time that they weren't bothersome, but I also had them put in during my BMX so it's hard to say what pain was from the BMX and what was from the expanders. What I do know though, every week when I saw my PS and would tell her about whatever pain I was having, she assured me it was all "normal." There are some people I've talked to that had the TEs and never really had any bit of trouble. I guess I wasn't one of those people. There were a couple of times I told my husband that I seriously thought I couldn't take them any more but I survived, I'm glad I "kept on keeping on", and glad they are gone.
How often do you see your PS? I would definitely bring it up to him/her just to be safe but I have a feeling everything is "normal."
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dmorgan41 - I'm so sorry you're going through this - I feel your pain - literally!!!
I had my TEs put in at the same time as my BMX a year and a half ago. I cried every day for a month after I got home... I was sure the TEs were trying to kill me!!!
The pain was indescribable... like a red-hot iron vise around my chest.... like being caught in a rusty bear trap... well, you get the picture.
I sobbed and told DH to take me back to the hospital so I could get those things out of me, or I would do it myself!!!
He was very patient, and just patted my leg and let me cry.
What I did find out was that I was not taking my pain medication the correct way... I only took it after I felt pain. The wise ladies here told me to take it around the clock at the maximum dosage, so I did. Within days I could tell the difference. It allowed me to get healing sleep, which I desperately needed.
I was not getting enough water, so I was always dehydrated, which made me feel weak, which made me feel pain more sharply. I increased my water intake.
I was also not getting enough protein, so upped that and felt better.
I found that taking a nice warm shower before bedtime, and having DH massage the muscles in my back really reduced my back and shoulder blade pain.
By the time I started fills a month later, I had absolutely no pain whatsoever from the fills. I got up to 620ccs in only five visits, then kept the expanders in for a total of 9 months while I lost weight before exchange.
As always, talk to your PS about your pain levels. Perhaps your meds can be changed, or maybe there is another issue that's causing your discomfort.
For me, a combination of Norco and Valium were exactly what I needed to break the pain cycle.
Wishing you the best!!!!
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dmorgan41
It was explained to me this way, even without a single drop in the TE, your muscles and skin begin stretching immediately because the TE with its port takes up space. It doesn't matter if you had a small, large or no fill. Your body is adjusting to all that stretching and pulling. Listen to blessings advice and if you find your fills are too painful, ask to go slower and with less cc's. You set the pace and be sure to describe everything you are feeling when you see your PS. Also remember that you can go back in and have some saline removed if you are terribly uncomfortable after a fill! Best of luck to you. -
Yes, it's normal. My ps prescribes Valium to be taken at night, as it is a muscle relaxer. Maybe ask for that? He offered some sort of "nerve block" to me, but I declined that. My exchange is set for June 12th. I can't wait. It's hard to be in some state of pain, 24 hrs a day. Mine have been in since 11/11/11.
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UGH, I can certainly feel your pain! I had mine put in Feb.6, 2013 and I experienced pain very similar to what you posted. I told my PS, and he said it sounded like inflamation around the suture areas. I don't know if you had an Alloderm sling put in to hold the TE in place but my PS said your body can have a slight reaction to that foreign object being attached to your ribcage and sternum. (hope I'm explaining correctly) Anyway, he prescribed a Prednisone Burst for a week, to calm my body down. Sort of like using a fire extinguisher to put out the fire! It helped during the first couple days with the real high dosage, but as the dosage lowered it did return, but at a much lower level! Then after a couple days it became tolerable. I still take Valium at night as a muscle relaxer, but am not on anything during the day now. The things are still uncomfortable, and the PS said that is just part of the course. My exchange date is May2nd, can't wait!! Please talk to your PS about your pain, he/she can and will help as best as they can! Good Luck
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Thank you all for responding. I feel a little better that this pain from tissue Expanders is a normal feeling. So more water and protein intake will help with the symptoms and prescribed medication should do the trick.
I did inform my PS-A about the pain I was experiencing and she told me to take a Nasid. (Alieve)
I did find that a heating pad helps with my stabbing pain.
I can't wait for this to be over with, I tell my self that it will be all worth it in the end and to stop being a wimp lol. Thank God it's only temporary and this too shall pass! -
I had two failed reconstructions, in both cases my left side (where I had my lymph nodes removed) filled up with lymphatic fluid, formed a hole in my reconstructed breast(pre-implant) and the expander popped out. After two attempts I decided to stop trying. I have a blog and have written many articles on this subject. Here is my latest: http://myvigorlifestyle.com/do-i-need-these-breast/
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I'm so happy to hear that I'm not the only one experiencing awful pain and soreness/stiffness with TEs and fills. I had my surgery on March 7 2013, and my first fill two weeks later. Now 4 weeks out I am still in a lot of pain and very uncomfortable. My PS gave me a prescription for Valium which I did not fill, but now after reading this I will and will try it tonight. Thank you ladies!!!
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Edited to add: I'm just a few days post surgery.
I am having more pain it feels like around my muscles in the back all around my rib cage. It feels like my whole trunk is being squeezed tight. It hard to breathe deep. I'm feeling pain at the top of my boob area (I'm assuming that's the pecs ) too, but compared to the truncal pain, that is nothing. What do you think? Is this normal?
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Unfortunately I had pain too under my arms,and on the sides of the outer breast too. there are some stretching exercises that really helped me. I know, the last thing I wanted to do is move, but they did help. They are on the Internet : Exercises post mastectomy. I know you had it a while ago but you just started the reconstruction.
I just had last week the expanders changed for the implants and also went through horrible underarm pain. Again, what saved me where those stretching exercises.
Be prepared for the expanders to feel like rocks after a few fills. the good thing is that once you can change them for the implants, they feel back like regular breasts.
hope you feel better -
I hope you are doing well! I had fatty tissue accumulate under my arm which pushed my prosthesis over. I decided to do reconstruction since I was going to have surgery on that tissue. I am an 11 year bc survivor. Had I know how painful this is, I would not have done it. I had the expander put in 2 months ago. In the past few weeks, I have not pain pretty much nonstop. I just got flexeril today. It knocked me out, but really didn't stop the pain. I have tried tylenol and ibuprofen. Percoset makes makes me have nausea and itch. I expecially have burning pain under my arm and around to my back. I don't know if I can do 3 more expansions. Does anyone else have burning pain under the arm? Any suggestions? Help!!? (this is on my right side- and I am right handed. What I can do is very limited because of this.)
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I had immediate reconstruction and have had TE's in for 2 months. Exchange is only 4 days away. I had pain/discomfort from day one. Every day it felt exactly the same so I figure the pain is not from the mastectomy, but from the expanders. They itch, especially up near the armpit where they stick out on the side, they burn, they pull, they spasm-always worse during the day. It all seems to settle down after I fall asleep and when I get up in the morning it isn't too bad but the discomfort and all the weird feelings build up as the day goes on. I just pray to GOD that this all goes away once the permanent implants go in. I don't think I could live with this kind of pain and discomfort for the rest of my life. If I knew it was going to feel like this I would have thought twice about doing it. Hopefully nothing else is going on inside there where all the feelings are. I guess I will find out on Friday (7/11).
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Surfergirl55- Wishing you a successful surgery on the 11th!! I bet it's going to be so much better!!
Ally
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I have had my te for four weeks...I hate them.I get pinching pains where drains were and after laying semiflat for sleep I wake in the morning and sit up and the pain of the blood rushing to them makes me sick to my stomach...i was filled with 400ml each at time of bmx..too much as my incisions werent healing as my skin was to tight across my chest..last week my ps removed 100ml from each which rendered a bit of relief but not much...ughhhhh.I'm so fed up alreadyand will be sporting these suckers for at least another 7 months as I need to have at least 3 months of chemo and they cannot do the switch until 3 month after the chemo...my back hurts 24 /7 from favoring my chest muscles and I cry all of the time is there anyone out there with any advice to get through this...
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tracirn41- so sorry to hear all the trouble you are having. I sleep on a wedge pillow with a smaller pillow under each arm. It helps some. Try and go as "low and slow" as you can on the fills. Is your PS trying to fill to a certain amount before chemo? I took an ibuprofen before each fill and a Valium at night twice during the fill process. I hope others may have some advice for you that can help. Hang in there. You can do this!!!
Ally
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tracirn41 - It really does hurt like h#$l for some ladies. It did for me. I had 200 put in at the mx, and one fill of 150. I was in agony. My pecs did not like stretching one bit. I used a heating pad (check with doc on that), also I used the adhesive pain patches on the area near the mammary fold, that is where it hurt the most for me. Also my back and my neck hurt like crazy. I am not a weenie. Generally I fight through pain no problem, but this HURT! I hear you. PT helped a lot, especially for my neck and back. I also used Bengay on the mammary fold area. PLEASE check with you doc about this. I did it, but I did not ask for permission. Gradually, ever so slowly my pecs stopped squawking. By the exchange (4 mos) it was better, the exchange also helped. I can still feel them, but it doesn't hurt at all, just a wierd tightness.
I threatened many many times to take the suckers out. Overall I still think it is a good option, but I've learned that breast reconstruction with implants is not for sissies! I am glad that all the remaining breast tissue is right up front, and I'm glad the prosthesis in on the inside so I don't have to fool with one. I do think, however, that flat would be a good option for me, and I will seriously consider it if I ever need to have the implants replaced.
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Thanks for posting this! I just had a skin nipple alveolar sparing mastectomy with expander put in at the same time. Having the same problem as you mentioned in your post and looked up everything but your post and comments you received was the most helpful. I seen your post is from a year ago. Do u have anything else to share. On recovering what helped with pain or any tricks in your book? Lol. Again thanks so much! Your article is was lead me to this group. Hope u are healed living a healthy happy life.
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am having pain between my shoulder blades like gas pains can it be my tissue expanders leaked
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jazzy - Sorry. Those suckers hurt like h€[[. I had pains in my neck and back. The PS said it couldn't be the expanders, yet anytime I worked my pecs even a little bam the pain was there. I found a PT and asked my BS for a referral. That helped some. This process is not for sissies! Things were much better by the time of the exchange five months post mx. Sorry you're hurting.
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Hi, I'm on my second fill but remember the pain and burning sensation. I was on all kinds of pain meds none worked really. It got better after a few weeks. Just had my second fill and was in pain all day , a stabbing pain in my back. muscle relxers don't help much. what works for you?? Hot showers are the best
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Dear 1741MAck,
Welcome to the community. We are sorry about the pain that you are experiencing but glad that you reached out. We hope that you will find support and information here on the boards. While you are waiting for some responses you might also want to check out the topic on TE's for further information. Keep us posted. We look forward to seeing you here. The Mods
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dmorgan41, I had the tissue expanders put in when I had my mastectomy on 5/23, I haven't have a fill yet, other than what they put in that day, I am in excruciating pain, just like you. (And I'm sorry you are going thrue this). I am actually going to talk to my breast surgeon tomorrow about this and then to the plastic surgeon, bc I am going to have them remove. I cannot handle this pain and be uncomfortable every minute of the day. (I will be starting chemo in July) I am too experiencing the same as you and I thought it was just me.
I hope you get thrue this and the pain goes away for you.
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My name is Abra. I found out June22nd that I had Stage 1 cancer. While fighting with insurance company my cancer spread be Stage 2b. I had both breast removed and because I was a size A, I had to get expanders to become a size C. I had 2 fills and because I've lost ALOT of weight, I was experiencing really strong burning sensations on my breast. They were stretching too much too fast (once a week) about 40 to 50 ccs a visit. WRONG!!! Now I'll have stretch marks on them when we could have took our time. They have had to remove fluid until I'm ready. Your body may be ready for expanders but if you're already experiencing the burning, it makes me leery. I would start small amounts first, like 30 cc first and see how you react. Hope I helped. (removed by moderators). This is all new to me but if I can help let me know. Oh and grease your body especially breast like a chicken. It helped me.
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I actually had more pain when mine were smaller than when they are fully expanded. I think when they are flatter, they stick out on the sides more, and that pulling/pushing sensation on the sides is more painful to me than the stretching part of filling. After each fill, I am miserable for a couple of days, but then it settles down. I am on an aggressive fill schedule due to beginning radiation, so even though I was not able to go the small and slow fill route, with just Advil I got through it. I had to stop filling the left side to allow for radiation, I will complete fills on it after I am done. The right side has been over-filled since that is the side the radiation will be on. And its crazy, but right (which is huge) hurts less now (pain from the fills is done.) The left feels like it is jabbing me constantly around the edges. If you have ever seen them, its like a baggie- when its flat, the edges are sharper, when its iflated, they round out. I have mine in for awhile since I still have to get radiation and then let my skin heal before swapping them out, so I am trying to just get used to the new normal of these things. But its possible you may actually get some relief once you start filling them! I am sure it also depends on how big they are, the bigger they are the more I imagine they stick out in the corners.
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I am 2 weeks out from a bilateral mastectomy with tissue expanders. The pain and feelings that you are having I am experiencing as well, However I'm not sure thatall the different kind of pain I have is from the expanders alone because of having them done during the mastectomy. I do feel like I have a golf balls under my armpits, praying relief for us all..
Blessings 💞
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Hi all, I am 11 days out from my surgery. I had a double Mastectomy with tissue expanders and a nipple saving procedure and a hysterectomy at the same time. I felt I would chicken out on the procedures if I did not do them all at the same time. I would have been right. My hysterectomy was no big deal. Dont even feel it, except when the sutures poke through my shirt. The mastectomy was terrible. I was in the hospital 1 day only. kept on the pain meds as this is not my first surgery rodeo so know what happens when the pain gets out of control. Problem is at 2 pills every 4 hours thats only almost 4 days of pills.I also got the terrible burning pain around the underarms towards the back. That was without a doubt the worst pain. I dealt pretty well with the rest of it, but the burning pain made me cry. I thought it was the ace wrap digging in so went to a sports bra as soon as I could it has helped. forcing my arm down against my body actually help relieve it aside from pulling away from it. I feel my expanders, feels as though I have some balloons under there. They expanded right away at surgery for a 200cc fill. I am not sure if they meant 200 each or 200 total. Right now, I have bruising showing up in my chest, the top of the expanders. I assume is normal. I see my breast surgeon today, and my second follow up with my plastic surgeon and my OB/GYN on Thursday. I still have drain tubes, and the sticky tape stuff on my breasts until this week hopefully. I bet one of the drains will come out, but cannot until it is draining less than 20cc in a 24hr period. the other, my dominant hand side, has the most drainage, the most burning pain, and the most bruising. I can only assume its because its my more dominant side.
Would I do it all again? Absolutely. I am 43. While it has been hell of a lot of pain, the 9 people in my moms family that have had cancer (whether breast of reproductive) I did not want to be like. Most of the ones with cancer had the BRCA2 gene, some did not. I carry the BRCA2 gene, my mom does not have cancer though. My best friend in high school, just got diagnosed in November and went through a double mastectomy and currently through radiation. No reconstruction. She was diagnosed a month or so from her mom with lung cancer who died a few weeks ago. Cancer has touched so many of my family and friends. I fear death. I love my life, and if having this done can prevent what almost feels inevitable, and avoid me the pain of cancer, I would do it again in a heartbeat.
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Im so glad to have read your comment, specially the part were u said that it willl be all worth it,cause after the implants the breast will feel normal again~< that was a Huge concerned I had~< Do they really feel like regulat breasts? After the implants? And if so, which type of implants you had?
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Hi ddpilar, welcome to Breastcancer.org! Besides the wonderful advice you'll get from members here, we would recommend that you take a look at our Implant Reconstruction section from our main site, where you'll find a helpful saline vs. silicone implants comparison chart and much more about what to expect with implant reconstruction.
Hope this helps!
The Mods
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Thank you for taking the time to read this. I wish I had reached out to a site like this a long time ago. I initially had a BMX w/ immediate recon w/ DIEP flap. on my 1st post op my PS determined that the left breast tissue wasn't working properly and sched surgery the next day to remove tissue and place a tissue expander. With 2 major surgeries under 2 weeks, I was already emotional, but the PAIN that I have experienced with TE since placed has been almost unbearable! I cry all the time and I feel so wimpy and that I am never going to be able to come back physically strong after all of this. I have had 2 fills @ 75cc ea.
After the 2nd fill, I was in bed for a whole week, despite taking pain meds. Short of breath and very stiff on my left side. so swollen under my left arm, I could barely put my arm down along my side. I've tried heating pads, warm cloths, exercises to alleviate the pain. Most recently, I've been experiencing the most EXCRUCIATING burning pain along the breast bone on my left breast. This happens most often after sitting up from laying down or when I first wake up in the morning. I'm trying to convince myself that I will be able to get through all of this, but some days, I just don't know, the pain is so bad. and most of all, I'm in this now, I cannot turn around, I have to get like 4-5 more fills. This has brought on some low feelings. on top of all of this, I am not having regular BM due to the medication, which is making me feel so bloated.
I've read almost every response in this thread and it seems what I am experiencing is 'normal'..this makes me feel a bit better, as if you ladies have gotten through it, I can too! My question is there anything that I am not doing to alleviate this pain? I am due to go back to work in a week and a half and I just cannot see how I will be able to function with this burning in my chest, pain, pressure on pain pills. Have any of you ladies returned to work on pain pills? I've been taking oxycodone/ibuprofen/muscle relaxers on a regular schedule, but I am very concerned about returning to work on this level of pain medication. I am an admin asst, so I don't have to move around or have too strenuous workload. Thank you again for taking the time to read this and thank you for any information in advance! God Bless
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t10,
Welcome to Breastcancer.org! We're so sorry you're dealing with this uncomfortable side effect of tissue expanders. You're definitely not alone, as you can see!
However, this thread has been pretty quiet since November. We'd suggest maybe posting a new thread with your message, to get some responses. Or, the thread TE's: A beginner's primer is a very popular thread with lots of members posting regularly. Someone there should have some insight and advice for you!
(((((Gentle hugs)))))
--The Mods
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