Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-25T23:59:17.215Z Has data issue: false hasContentIssue false

Chapter 29 - Breast Pain

from Part VI - Misc

Published online by Cambridge University Press:  01 December 2023

Omar Viswanath
Affiliation:
Creighton University, Omaha
Ivan Urits
Affiliation:
Southcoast Brain & Spine Center, Wareham
Get access

Summary

Breast cancer is the second most common cancer in males and females and the most common overall in the female population. Cosmetic breast surgery is commonly performed in the United States with 520,000 procedures of the total 1.8 million cosmetic procedures in 2018 being related to the breast. Post-mastectomy pain syndrome is a specific etiology following cosmetic breast surgery. Where patients feel their chronic pain is dependent on the incision site for the procedure and the type of procedure performed. Initially, each patient following a cosmetic breast procedure experiences some level of acute pain. The nerve injuries that are associated with chronic pain can be masked by this initial presentation. Initial management includes a trial of medical management (NSAIDs, neuropathic pain medication) for at least three months.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Urits, I, Lavin, C, Patel, M et al. Chronic pain following cosmetic breast surgery: A comprehensive review. Pain Ther. 2020;9:7182. https://doi.org/10.1007/s40122-020-00150-.CrossRefGoogle ScholarPubMed
van Elk, N, Steegers, MA, van der Weij, LP et al. Chronic pain in women after breast augmentation: Prevalence, predictive factors and quality of life. Eur J Pain. 2009;13(6):660661.CrossRefGoogle ScholarPubMed
Monib, S, Abdelaziz, MI. Epidemiology and predictive factors for persistent breast pain following breast-conserving surgery. Cureus. 2021;13(3):e14063. https://doi.org/10.7759/cureus.14063.Google ScholarPubMed
Wang, L, Cohen, JC, Devasenapathy, N et al. Prevalence and intensity of persistent post-surgical pain following breast cancer surgery: A systematic review and meta-analysis of observational studies. Br J Anaesth. 2020;125(3):346357. https://doi.org/10.1016/j.bja.2020.04.088.CrossRefGoogle ScholarPubMed
Miaskowski, C, Cooper, B, Paul, SM et al. Identification of patient subgroups and risk factors for persistent breast pain following breast cancer surgery. J Pain. 2012;13(12):11721187. https://doi.org/10.1016/j.jpain.2012.09.013.CrossRefGoogle ScholarPubMed
Langford, DJ, Schmidt, B, Levine, JD et al. Preoperative breast pain predicts persistent breast pain and disability after breast cancer surgery. J Pain Symptom Manage. 2015;49(6):981994. https://doi.org/10.1016/j.jpainsymman.2014.11.292.CrossRefGoogle ScholarPubMed
Fecho, K, Miller, NR, Merritt, SA et al. Acute and persistent postoperative pain after breast surgery. Pain Med. 2009;10(4):708715. https://doi.org/10.1111/j.1526-4637.2009.00611.x.CrossRefGoogle ScholarPubMed
Ducic, I, Seiboth, LA, Iorio, ML. Chronic postoperative breast pain: Danger zones for nerve injuries. Plast Reconstr Surg. 2011;127(1):4146. https://doi.org/10.1097/PRS.0b013e3181f9587f.CrossRefGoogle ScholarPubMed
Fregoso, G, Wang, A, Tseng, K, Wang, J. Transition from acute to chronic pain: Evaluating risk for chronic postsurgical pain. Pain Physician. 2019;22(5):479488.Google ScholarPubMed
Kokosis, G, Chopra, K, Darrach, H, Dellon, AL, Williams, EH. Re-visiting post-breast surgery pain syndrome: Risk factors, peripheral nerve associations and clinical implications. Gland Surg. 2019;8(4):407415. https://doi.org/10.21037/gs.2019.07.05.CrossRefGoogle ScholarPubMed
Von Sperling, ML, Høimyr, H, Finnerup, K, Jensen, TS, Finnerup, NB. Persistent pain and sensory changes following cosmetic breast augmentation. Eur J Pain. 2011;15(3):328332.CrossRefGoogle ScholarPubMed
Ducic, I, Zakaria, HM, Felder, JM, Fantus, S. Nerve injuries in aesthetic breast surgery: Systematic review and treatment options. Aesthetic Surg J. 2014;34(6):841856.CrossRefGoogle ScholarPubMed
Waltho, D, Rockwell, G. Post-breast surgery pain syndrome: Establishing a consensus for the definition of post-mastectomy pain syndrome to provide a standardized clinical and research approach: A review of the literature and discussion. Can J Surg. 2016;59(5):342350.CrossRefGoogle ScholarPubMed
Classification of Chronic Pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy. Pain Suppl. 1986;3:S1S226.Google Scholar
Couceiro, TC, Valença, MM, Raposo, MC, Orange, FA, Amorim, MM. Prevalence of post-mastectomy pain syndrome and associated risk factors: A cross-sectional cohort study. Pain Manag Nurs. 2014;15(4):731737. https://doi.org/10.1016/j.pmn.2013.07.011.CrossRefGoogle ScholarPubMed
Chopra, K, Kokosis, G, Slavin, B, Williams, E, Dellon, AL. Painful complications after cosmetic surgery: Management of peripheral nerve injury. Aesthet Surg J. 2019;39(12):14271435. https://doi.org/10.1093/asj/sjy284.CrossRefGoogle ScholarPubMed
Massingill, J, Jorgensen, C, Dolata, J, Sehgal, AR. Myofascial massage for chronic pain and decreased upper extremity mobility after breast cancer surgery. Int J Ther Massage Bodyw Res Educ Pract. 2018;11(3):49.Google ScholarPubMed
Dowell, D, Haegerich, TM, Chou, R. CDC guideline for prescribing opioids for chronic pain – United States, 2016. JAMA. 2016;315(15):16241645.CrossRefGoogle Scholar
Kulhari, S, Bharti, N, Bala, I, Arora, S, Singh, G. Efficacy of pectoral nerve block versus thoracic paravertebral block for postoperative analgesia after radical mastectomy: A randomized controlled trial. Br J Anaesth. 2016;117(3):382386.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×