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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sore Glands And Chest Pain Post A Breast Reduction Surgery?

I just had my first mammo today 2 1/2 years post breast reduction. I was very scared, because frankly I have neuropathy from my breast reduction surgery. My glands are sore and I get transient chest pain that I really cannot differentiate from what other issues it could be. I have had the nerve pain since the surgery, but of course it has diminished some but still makes surprise appearances. I do not do breast exams or let anyone else for that matter touch my breasts...to much pain memory from the surgery has eliminated that. Since I didn t take pain meds from the surgery it has left them that way. So I asked the Doc if I could get an ultra sound rather than a pinch. He said insurance companies are hard to convince, so I went for the pinch today but warned the technician I may not be able to tolerate it. I made it through but now my glands are tender...probably from mashing what ever was in my system into them. I am sore to the touch under my armpits, but I am also that way normally, just more so today after the mashing Anyway, that s my story..... Question, what can be done for neuropathy or pain in the breast, and what topicals do you suggest? I don t take opioids and only take IB. But they dont seem to touch the neuropathy. I also use topical analgesics, which ones would work the best for the nerve pain?
Thu, 5 Mar 2020
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General Surgeon 's  Response
Hello,

The sore glands and chest pain might be related to residual lymphocele of the draining lymph nodes compressing certain axillary nerve roots or else of the brachial plexus. Though the ultrasound is the best needed test for the final diagnosis and comments, primary relief with:
- Cold compression
- Ointment with content of diclofenac, Linseed oil, Capsaicin
- Medications as pregabaline, zinc, B 12 and folic acid, propranolol

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Sore Glands And Chest Pain Post A Breast Reduction Surgery?

Hello, The sore glands and chest pain might be related to residual lymphocele of the draining lymph nodes compressing certain axillary nerve roots or else of the brachial plexus. Though the ultrasound is the best needed test for the final diagnosis and comments, primary relief with: - Cold compression - Ointment with content of diclofenac, Linseed oil, Capsaicin - Medications as pregabaline, zinc, B 12 and folic acid, propranolol Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon