Is it typical to have pain after breast surgery? I had a mastectomy two years ago. How can I cope?

Answer From Jeffrey E. Johnson, M.D.

You’re not alone in having pain after breast surgery. As many as half or more of people who have breast cancer surgery report some level of pain after surgery. While pain is common and expected early in the recovery after surgery, some people may have pain that lasts for months or years.

Breast cancer surgery can injure nerves around the breast. It also may cause scar tissue to form. Nerve injury and scarring often can’t be avoided. These may lead to symptoms, including pain.

Breast cancer surgery can lead to:

  • Pain that feels like it’s happening in a breast that’s been removed, also called phantom breast pain.
  • Increased sensitivity to pain.
  • Gentle stimuli, such as clothing touching the area, might feel painful.
  • Movement, straining and stretching may worsen pain.
  • A growth of scar tissue involving nerves, called a neuroma, which may be very sensitive to pain.
  • Sensations of burning, constricting, pulling or stabbing-type pain.
  • Tingling or numbness in the area of the surgery.
  • Limited range of motion in the shoulder.

Treatment for breast pain after surgery depends on the timing, type and severity of your pain. Treatment options might include:

  • Oral medicines. Many different medicines may be used, including pain medicines.
  • Topical medicines for skin. Topical medicines to help with pain may include creams, ointments and gels.
  • Injectable medicines. Injections may help control nerve pain.
  • Surgery. Surgery can remove a neuroma or make changes to a scar that’s causing pain.
  • Physical therapy. Physical therapy may help improve pain, strengthen muscles and improve shoulder mobility.
  • Complementary therapies. Complementary therapies include acupuncture and biofeedback.

Talk with your healthcare professional about what may offer you the most relief.

With

Jeffrey E. Johnson, M.D.