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1 results

  • Chapter 29 - Breast Pain

  • from Part VI - Misc
  • Edited by Omar Viswanath, Creighton University, Omaha, Ivan Urits, Southcoast Brain & Spine Center, Wareham
  • Book:
    Cambridge Handbook of Pain Medicine
    Published online:
    01 December 2023
    Print publication:
    14 December 2023, pp 234-239

  • 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.