Does a mastectomy cause shoulder arthritis?
Comments
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Because that is when my pain started there. Why do I suddenly have it?!!?
What do I do to make it feel better?
Love and prayers, Deb
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I do not believe it can cause arthritis, but bursitis and inflamed tendons, muscles, etd.
Arthritis is inflamed joints but the treatment is the same for the other problems except muscle.
Ice and heat are helpful except that ice doesn't help arthritis.
NSAIDS, like naproxen, etc can be tried.
I found that massage and NSAIDS were very helpful. sometimes stress will show up in my shoulder, and my change of posture with mast. was also a factor.
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It's possible you're developing frozen shoulder (technical name is adhesive capsulitis) or are at risk for it. This happened to me two years after lumpectomy, SNB, and radiation. It hurt so I rested it, which turned out to be the wrong thing to do. It's important to keep using your arm as much as possible, but frozen shoulder is a weird ailment--once it sets in, it has to run its course. It gets more and more painful for about four months, then plateaus for about four months, then gradually gets better over about four more months. During the last four months, it can be very helpful to get physical therapy, so that you'll regain your full range of motion.
Whether it's frozen shoulder or bursitis/tendinitis as Dotti suggests (my frozen shoulder started with biceps tendinitis), nsaid therapy can be very helpful. You might want to check with an orthopedist to confirm that it's not arthritis, but don't let him or her talk you into surgery--I went to an orthopod, he diagnosed frozen shoulder, and then offered to operate!! It wasn't necessary. The condition just had to run its course. He also offered cortizone shots, but I didn't want them either, due to risk of lymphedema in that arm. The good news--my shoulder's fine now.
Barbara
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I've wondered about that too. I only had a lumpectomy with SNB and partial breast rads. Three months later I was in a lot of pain and had a big knob where my clavicle had hypertrophied at the junction with the sternum. The surgeon suspects the radiation, the radiologist suspects surgery, and the orthopedist says it's coincidence. A friend who is a rheumatologist, however, says shoulder injuries are common from the positioning for surgery and rads and can lead to arthritis on the affected side.
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I had a mastectomy two years ago and developed frozen shoulder. I went to an orthopod, who diagnosed it, and sent me for some physical therapy. That really seemed to help and mine is totally okay now.
The physical therapist said that it is not an unusual ailment after breast surgery. I think the discomfort lasted for about four to six months and now is gone. Hang in there!
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Well, I had my bilateral on June 15th of 2006, so it has been quite a while. Also, I have had two bone scans in the past year, and it took my own reading of my medical records (since the doctor wouldn't tell me) that I do indeed have arthritis in both shoulders.
It just seems to be a huge co-inkey-dink that I had NO problems with pain until the day I began chemo, and NO problems with feeling like I'm constantly carrying 10 ton weights until I had my bilateral.
And, GRRR!!! Why won't a stinkin' doctor give me something that will make me able to function?!?! I miss my old town. At least the doctors there knew me, and therefore took care of me.
It's the same old story every time here. They say, "You aren't our patient YET so we can't do anything for you....."Ack. What do I do? I'm crawling the walls waiting for the next time to take my wimpy Tylenol.
Love and prayers, Deb
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I developed shoulder pain in my right shoulder right at the time I was diagnosed but a simple xray showed what it was. A huge calcification on my shoulder bone causing me untold pain and stiffness. Amazing coincidence that they found this calc in the same month that microcalcs showed up on my mammo. I'm sure there's a connection somewhere.
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Hey Deb....
I have almost eactly the same problem. My pain is only on the "bad" side, so I often wonder if rads added to the problem. Mine also started right after my lumectomy, got worse while on chemo and got REALLY bad after the mast surgery.
So far I have been told I had frozen shoulder and or arthritis. I also have bad LE in that arm, so I think part of my pain issue is from that. Add on 2 cases of shingles on that 1/4 of my body and I never know which ailment is causing the pain.
I got sick of docs telling me things that we exactly opposite...exercise it vs don't use it....heat vs ice...
About 3 months ago I had a bone scan to rule out mets. Once I knew the pain was not from cancer I decide to take over my "treatment" myself.
I asked for and got a script for Celebrex from my PCP. I take it twice a day. I know about the possible heart problems with this drug, but I have also read about ongoing studies of this family of drugs having a possible side effect of reducing reocurrance of cancer. Weighing all the pros and cons, I am comfortable on the drug.
I also just started lifting weights...something that my PT had a cow about because of the LE. So far, my swelling is NOT getting worse with the weight lifting. In the end I hope getting strong and loosing weight will help all of the things that are causing me pain.
All I can say is that you may need to get firm with your docs to get them to take you seriously. Don't give up. Make them listen to you.
Hugs
Deb C
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Deb, I ((((heart)))))) you. Thanks again for the pointers.
Thank you all. What would I do without my sisters?!?!
Love and prayers, Deb -
Deb, didn't you mention that you have MS? I have no idea what kind of pain one has with MS, or what pain meds they use to treat MS. I'm not even saying that your shoulder pain is due to MS because I don't know enough about the disease. I wonder if the chemo could have made your MS worse (if indeed you said you had it...LOL).
One day we're ALL going to be a doctor...YEP, we'll certainly have enough experience.
Shirley
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Shirley,
Yes, I do have MS, but the pain I struggle with allegedly is not associated with the MS.
There is some odd data that says that the chemo cocktail I was on actually helps MS. Interestingly enough, when I had my MRI last month, it showed LESS progression than I had previously had from the disease.
How weird. So, the chemo really may have actually helped my MS.
Yes, we are all going to be given honorary doctor titles some day.
I have an appointment this coming Wednesday at the pain clinic. I plan on going in armed with EVERYTHING to be sure that I leave with SOMETHING to make me feel better.
I have to. I can't stand it anymore.
I am due for a Tylenol in 18 minutes. I am practically salivating at the thought of it.Love and prayers, Deb
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I can only repeat four words over and over and over:
"A good physical therapist, a good physical therapist, a good physical therapist..."
Also "Do your exercises, do your exercises, do your exercises". There have been two times that I've slacked off on doing my resistance exercises since my exchange surgery a year ago and boy have I paid for it! I'm doing it now - I didn't do them from mid-Dec to mid-Jan when I was on vacation, plus I was carrying a big bag around and my mid-back is killing me. the muscles pull on the spine in a strange way if I don't keep up with it and it causes a kyphosis. Hurts a lot. I'm back in the gym and have a chiro appointment Friday.
Of course it could be mets... (if only I could stop my brain from going there!!!)
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My favorite reference for things to help with shoulder motion:
My husband had a biopsy under his arm, and I've got him doing them too!
Click on "programs" they help.
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I had a cancer-related mastectomy and a prophylactic mastectomy and I currently have 2 very sore, chronically hurting shoulders. They hurt when I pick things up, when I turn them inward, turn them outward, and sometimes when I elevate them. I'm also on Arimidex.
I don't know if mastectomy causes arthritis, but it sure does cause some type of shoulder related problems.
You ladies are right, it's time I get with the program... the exercise and physical therapy program.
I feel for you Deb, and all,
Tender -
I really can't tell you guys how much you mean to me. Thank you, all of you!
The support and the references are great.
I go to the pain clinic on Wednesday, and I can't WAIT. I've never been so excited for a doctor appointment.
I have a new pain, and I have no idea what it is. I did my MS shot two days ago using a new method (it's called an autoject), and I can't tell if it is a skin reaction, or if it is an internal pain-right around where I have my ovarian cyst pain. The thing is that as of last week, the right cyst is supposed to be gone.
Ack. Does it ever end?!?!
I really need a therapist. Not just a physical one, either!!!Love and prayers, Deb
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Hey Tender, do you have a medical background? You are always a great medical reference for stuff......just curious.....
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Duh, I just read your bio......are you a doc or nurse?
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Deb, it's almost Tuesday....11:34 here. So Wednesday is not far away.
Hey, that's great if the chemo helped the MS. Wierd. LOL
About Tender. One thing I do know about Tender is she's a sweetheart. And a darned smart one at that. Hi, Tender! <waving>
Good luck, Deb, on Wednesday. I can't wait to hear what the pain docs say.
Shirley
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