Post Mastectomy Pain Syndrome

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Post-mastectomy pain syndrome (PMPS) is a frequent complication of breast surgery. Between 25% and 60% of women develop chronic neuropathic pain after mastectomy, a condition known as post-mastectomy pain syndrome (PMPS).

PMPS is usually reported as persistent pain after mastectomy  characterized as a dull, burning and aching sensation in the anterior chest, arm and axilla, exacerbated by movement of the shoulder girdle. More recently, chronic pain has been reported after other breast procedures, including lumpectomy, breast reconstruction, augmentation and reduction. The exact cause of PMPS is unclear, but various etiological theories have been postulated, including dissection of the intercostobrachial nerve, intraoperative damage to axillary nerve pathways and pain caused by neuroma; all of which are thought to be a result of the actual mastectomy or surgical procedure.

 

AABCP Webinar:  Post Mastectomy Pain Syndrome: An overview