Treatment FAQ

why do women with breast cancer experience pain after treatment

by Louisa Oberbrunner DDS Published 3 years ago Updated 2 years ago
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Treatment side effects, including pain, are a problem for many women diagnosed with breast cancer. There are a number of reasons why someone might have continuing pain after surgery, including unavoidable tissue and nerve damage when the cancer and any lymph nodes are removed.May 1, 2014

Is breast pain a sign of cancer?

There are a number of reasons why someone might have continuing pain after surgery, including unavoidable tissue and nerve damage when the cancer and any lymph nodes are removed. Lymphedema, a swelling of the arm, hand, or chest wall caused by a build-up of lymph fluid in those tissues after breast cancer surgery, also can be painful.

What are the early symptoms of breast cancer?

 · For many women, pain is a normal part of recovery after breast cancer treatment. But for some women, persistent pain after breast cancer may be due to costocondritis. Costrocondritis can be difficult to diagnose and, because of this, the process is frequently not straight forward. One patient who developed costocondritis had the following experience: “I …

What is the recovery time after breast surgery?

Some breast cancer treatments can cause pain or changes to sensation due to nerve damage. Your doctor can prescribe painkillers to help. They can also refer you to a physiotherapist who can give you advice about exercises that will help. If these problems continue or develop after treatment finishes, they are called late effects.

What were your first signs of inflammatory breast cancer?

“Breast cancer is one of the most prevalent cancers amongst women in the world. Unfortunately, even after adequate treatment, some patients experience severe pain either due to disease progression or due to treatment related side effects. The persistent pain causes a negative physical and psychosocial impact on patients’ lives.

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Is it normal to have breast pain after breast cancer treatment?

Conclusions: Breast pain persisting for at least 5 years after treatment for BC is common. As the pain is largely unexplained by factors associated with the characteristics of the cancer or its treatment, the contribution of patient expectations to persistent breast pain may be considerable.

Is it normal to have pain after cancer treatment?

Survivors sometimes experience ongoing pain after cancer treatment. Chronic (or persistent) pain may be mild or severe, and may affect quality of life. The good news is that there are now many methods of treating pain. Be sure to tell your health care team if you are having pain.

Why do I still have pain after breast cancer?

It can happen after any type of breast surgery, including a lumpectomy (wide local excision), mastectomy, lymph node removal and breast reconstruction. The pain is usually caused by bruising, stretching or damage to nerves during surgery or when scar tissue forms.

How long does pain last after breast cancer treatment?

How long do symptoms last? For many people, pain or numbness goes away after chemotherapy ends. However, it may take weeks or months. Six years after chemotherapy, as many as half of those who developed pain related to the chemotherapy still have symptoms [246].

Will I ever feel normal again after breast cancer?

Many people find they need time to reflect on their cancer experience. With time, they find a new way of living – a "new normal". It's common to have many different feelings after treatment ends. Some of your feelings may be similar to those you experienced when you were first diagnosed with cancer.

Why is cancer so painful at the end?

When cancer grows and harms tissue nearby, it can cause pain in those areas. It releases chemicals that irritate the area around the tumor. As tumors grow, they may put stress on bones, nerves, and organs around them. Cancer-related tests, treatments, and surgery can cause aches and discomfort.

Is it normal to have pain years after lumpectomy?

Treatment side effects, including pain, are a problem for many women diagnosed with breast cancer. There are a number of reasons why someone might have continuing pain after surgery, including unavoidable tissue and nerve damage when the cancer and any lymph nodes are removed.

What type breast cancer has the highest recurrence rate?

Research suggests that estrogen receptor-positive breast cancer is more likely to come back more than five years after diagnosis. In this study, the researchers looked at the risk of late breast cancer recurrence, meaning the breast cancer came back 10 or more years after diagnosis.

Do lymph nodes grow back after removal?

A team including University of Georgia researchers has for the first time documented the regrowth of surgically removed pathways in the lymphatic system, a network of vessels designed to pump away inflammatory fluids and defend the body against infection.

What helps with breast cancer pain?

Fortunately, there are several treatments available that can address these types of cancer pain:Over-the-counter pain relievers: NSAIDs, acetaminophen, Naproxen.Opioid pain medications.Physical therapy and massage.Acupuncture.Steroid injections.Nerve block and ablation.

What are the side effects of having lymph nodes removed?

Other side effects of lymph node removal can include:infection.a build up of fluid at the site you had surgery (seroma)problems with your wound healing.numbness, tingling or pain in the area - this is due to nerve injury.blood clots - more common after removal of lymph nodes in the groin area.scarring.More items...

What causes breast pain after radiation?

Swelling and soreness Symptoms of sore or swollen breasts usually go away several weeks after radiation therapy ends. If you have radiation therapy to the lymph nodes, fluid can sometimes build up and cause swelling in the breast, chest, shoulder, or arm.

Why does my breast hurt after breast cancer?

But for some women, persistent pain after breast cancer may be due to costocondritis. Costrocondritis can be difficult to diagnose and, because of this, the process is frequently not straight forward.

What is the pain in the chest wall?

Also known as anterior chest wall pain, it causes discomfort in the chest wall around the breastbone or sternum and pain can range from mild to severe.

Can breast cancer cause flare ups?

Costochondritis is a common problem in women who have been affected by breast cancer. Costrochondritis pain acts up in a way similar to arthritis and, likewise, can range from mild to severe. There may be tenderness over the anterior chest and pain may radiate to the back, shoulders, stomach or arms. Flare ups can be triggered by over-working your ...

What to wear for aching breasts?

If you have an aching pain in the breast, wearing a supportive sports bra during the day and a soft bra with no underwire at night may help. You may find that bras with adjustable straps, soft seams and full cups are more comfortable.

What is it called when a patient's symptoms continue after treatment?

If these problems continue or develop after treatment finishes, they are called late effects .

What are the symptoms of a swollen armpit?

sharp, shooting or burning pain. aching pain. sensitivity to touch or to the cold. numbness or pins and needles. These symptoms happen because the nerves in the chest area or armpit are cut or injured during surgery. These symptoms are common, particularly after surgery to remove all the lymph nodes in the armpit.

What is cancer network?

An anonymous network of people affected by cancer which is free to join. Share experiences, ask questions and talk to people who understand.

Can radiotherapy cause shoulder pain?

Very rarely, radiotherapy to treat breast cancer can damage the nerves in the shoulder. This is called brachial plexus neuropathy. It can cause problems with pain and numbness. In extreme cases it can cause loss of movement. As radiotherapy techniques have improved, this problem is now very rare.

Can breast cancer cause pain?

Some breast cancer treatments can cause pain or changes to sensation due to nerve damage. Your doctor can prescribe painkillers to help. They can also refer you to a physiotherapist who can give you advice about exercises that will help. If these problems continue or develop after treatment finishes, they are called late effects.

Why is breast cancer so painful?

Emotional issues surrounding breast cancer or treatment may worsen pain and cause distress. Changes in family, community, social or work roles also cause distress and make pain harder to bear. Some people find talking to a counselor or joining a support group is helpful in coping with pain and distress.

How to relieve pain after breast surgery?

Blocking the nerves with a local anesthetic injection can ease nerve pain after breast surgery .

What causes pain in the arm?

Lymphedema occurs when lymph fluid collects in the arm (or other area such as the hand, chest/breast or back), causing it to swell (edema). In severe cases, lymphedema can cause pain and limit movement. Treatment for lymphedema can reduce pain and swelling and improve movement in the affected arm.

What is the goal of pain management?

The goal of pain management is to decrease pain to a level that’s tolerable for you. Everyone experiences pain differently. Treatment for pain tries to give the most pain control with the least amount of medication (to limit side effects).

How long does it take for breast pain to go away after a breast augmentation?

Skin irritation and breast pain usually begin within a few weeks of starting treatment and go away on their own within 6 months after treatment ends.

What happens to the nerves after a mastectomy?

Nerve pain after mastectomy or lumpectomy. In about 25-45 percent of women, the nerves in the surrounding tissues are injured during breast surgery [ 241-242 ]. The more extensive the surgery (for example, mastectomy is more extensive than lumpectomy), the higher the chance of injury tends to be. This nerve damage can lead to a persistent burning ...

What is it called when your breasts peel?

Sometimes the skin peels further and the area may become tender and sensitive. This is called a moist reaction . This is most common in the skin folds and the underside of the breast.

What causes pain in the breast?

Many breast conditions which cause pain confer only a minimally increased risk of breast cancer, such as ductal ectasia, fat necrosis, a breast abscess, simple fibroadenomas, 16  and others.

How to tell if breast pain is serious?

Your doctor will perform a clinical breast exam, order imaging tests, if necessary , and determine what may be causing the pain. Breast pain can have lots of different causes, many of them being benign and temporary.

How big is a breast tumor?

A breast tumor —a hard clump of breast cancer cells—usually doesn't usually cause breast pain unless it reaches the size of two centimeters (almost 0.8 inches) in diameter or greater. But a tumor can be larger than two centimeters and still not cause pain.

What are the symptoms of breast cancer?

If you have other symptoms of breast cancer, such as nipple retraction, sudden swelling of your breast, or sudden skin changes, consult your doctor for a clinical breast exam .

What to do if you have a breast change?

If you have concern over a change in your breast, don't rely on information that may be inaccurate or that may not take into account that there are exceptions to almost every rule in medicine. Listen to your body. Find a physician who carefully listens to your concerns, if you are not heard, find another.

Can breast pain be cancerous?

While many types of breast pain are not cancerous, pain in only one breast may be cause for calling your doctor. 4 Benign breast pain is often on both sides. (An exception is nonhormonally related breast pain, which is usually on one side.)

Is breast pain a sign of cancer?

Breast pain is usually not a sign of breast cancer. 3  In fact, many people who are diagnosed with breast cancer after a suspicious mammogram are shocked — they no breast pain, so how could something be wrong?

How many women have pain after breast cancer surgery?

Surprisingly, only about 25% of the women with chronic pain after breast cancer surgery talked to a doctor about treating the pain or tried to treat it on their own: 20% talked to a doctor about pain within 3 months before completing the questionnaire. 28% had taken pain medicines.

Why does my arm hurt after breast cancer surgery?

Lymphedema, a swelling of the arm, hand, or chest wall caused by a build-up of lymph fluid in those tissues after breast cancer surgery, also can be painful.

How long after breast cancer surgery do women complete the questionnaire?

The women completed the questionnaire about 2 years after surgery, on average.

What are the symptoms of breast cancer?

many women had sensory problems along with pain: numbness, tingling, or burning. Pain was more likely in women who: were young (under 40) when they had surgery. had axillary lymph node dissection (lymph nodes under the arm removed) had radiation therapy after surgery. Surprisingly, only about 25% of the women with chronic pain after breast cancer ...

Do you have to suffer from pain medication?

But you don't have to suffer. With proper treatment, most people can get relief from most, if not all, of their pain. Pain medications have become increasingly sophisticated and effective. There are more ways for you to take them, new knowledge of how to use them, and fewer side effects.

Does massage help with breast cancer?

Today, we also understand more about how complementary and holistic therapies, such as acupuncture, Reiki, and massage -- which don't use medication -- may help reduce or end pain. If you're worried about pain during and after breast cancer treatment or have pain months after treatment, don't suffer in silence. Talk to your doctor.

How long does it take for breast cancer to hurt?

Persistent Pain Common For Many Women 2 To 3 Years After Breast Cancer Treatment. Nearly 50 percent of women surveyed indicate they experience pain symptoms 2 to 3 years after breast cancer treatment, with women who were younger or who received supplemental radiation therapy more likely to have pain, according to a new study. ...

Can breast cancer cause pain?

Different types of sensory disturbances (e.g., aftersensations, burning, or sensory loss) can occur after other surg ical procedures and may be an important part of the pain characteristics in breast cancer. "Pain has also been reported to be associated with adjuvant [supplemental] therapy, such as chemotherapy and radiotherapy," the authors write.

Is post surgery pain associated with breast cancer?

Persistent postsurgical pain has been shown to be clinically relevant in many patients undergoing various common operations, including breast cancer surgery. With breast cancer, the pathogenic mechanisms are multiple, including nerve damage related to surgical technique, according to background information in the article. Different types of sensory disturbances (e.g., aftersensations, burning, or sensory loss) can occur after other surgical procedures and may be an important part of the pain characteristics in breast cancer. "Pain has also been reported to be associated with adjuvant [supplemental] therapy, such as chemotherapy and radiotherapy," the authors write.

What is the name of the hormone that is used to treat breast cancer?

This is a particular concern for postmenopausal women with breast cancer who take hormone therapy drugs called aromatase inhibitors. Aromatase inhibitors, which include letrozole (Femara®), anastrozole (Arimidex®) and exemestane (Aromasin®), are a standard treatment for what is called hormone-receptor positive breast cancer.

Is breast cancer a hormone receptor?

Most, but not all , breast cancer tumors are hormone-receptor positive. This means that the cancer cells have receptors that recognize the hormones estrogen or progesterone. These hormones can attach to the receptors, which allow them to enter the cell. Once inside the cell, estrogen and progesterone can fuel cancer growth.

Can aromatase inhibitors be given to women with breast cancer?

LeGrand says. “It’s given for prevention.”. Second, a woman who has hormone-positive breast cancer that has spread (metastasized) can be given an aromatase inhibitor as the first therapy .

What are the side effects of cancer treatment?

Childhood cancer survivors experience some of these late side effects: Heart problems, including an increased risk of heart attacks. Blood vessel problems, including an increased risk of stroke.

What happens if you have cancer years ago?

Increased risk of other types of cancers. Nerve damage. If you were treated for cancer many years ago, you may assume any health problems you have are related to aging, not past cancer treatments. Tell your doctor what you know about your childhood cancer treatments.

What to do if you have cancer and no longer seeing a doctor?

If you were treated for cancer many years ago or are no longer seeing a cancer specialist for checkups, talk to your primary care doctor about late effects . If you think you might be experiencing late effects or your doctor isn't sure what late effects to watch for, ask for a referral to a cancer specialist.

How to get rid of cancer?

Exercising and eating a healthy diet with lots of fruits and vegetables can help make you stronger and healthier. Avoiding tobacco, excessive alcohol use and prolonged sun exposure also are very helpful. Long-term side effects of cancer treatment.

Can cancer affect children?

If you underwent cancer treatment as a child, you may be at risk of many of the same late side effects of treatment as people who were adults during their cancer treatments. But you may also be at risk of additional late side effects. That's because children's bones, tissues and organs are growing rapidly during treatment, ...

Can chemotherapy cause infertility?

Different chemotherapy drugs cause different late effects. So if you didn't take the chemotherapy drugs that can cause infertility, then you aren't believed to be at risk of that particular late effect. Late effects of radiation and surgery will affect only the area of the body exposed to them.

Can radiation affect your body?

Late effects of radiation and surgery will affect only the area of the body exposed to them. So, for example, if you had radiation to a part of your body other than your head or neck, then you won't be at risk of cavities and tooth decay as a result of your radiation therapy.

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