Saturday, January 3, 2015

BREAST CANCER RESEARCH RIGHT NOW! #28: Implant Pressure…



From the first moment my wife discovered she had breast cancer, there was a deafening silence from the men I know. Even ones whose wives, mothers or girlfriends had breast cancer seemed to have received a gag order from some Central Cancer Command and did little more than mumble about the experience. Not one to shut up for any known reason, I started this blog…

Every month, I’ll be highlighting breast cancer research that is going on RIGHT NOW! Harvested from different websites, journals and podcasts, I’ll translate them into understandable English and share them with you.

My wife wanted  me to find out the answer to this question: “Why do the implants make it feel like I’m in a C-clamp all the time?”

I found out that she’s not alone. In addition to covering other issues with breast reconstruction, the BREASTCANCER.ORG website has this to say: “Some women feel pain or discomfort from the tissue expander, the implant, or scar tissue putting pressure on a nerve or other sensitive area.”; also “A breast reconstructed with an implant may move in unnatural ways as you flex your chest muscle (pectoralis muscle).

In both cases, the solutions while not “simple”, suggest that exercise and massage may help alleviate the discomfort. Some suggested exercises are: shoulder “shrugs”; should rolls; shoulder raise; arm swings; body turns; lifting your arms above your head (while laying down!); “walking your fingers up the wall”; same as the previous one, but “sideways”; “beach pose”; and finally, the chest stretch.

The Breast Cancer UK site article “Exercises after breast reconstruction surgery using implants” will give you specific details and directions of how to do each one I mentioned as well as a time frame. They start with immediately after the surgery and proceed to weeks and months later.

This doesn’t completely answer however, the concerns of Roseanne Valletti (54) “...she is uncomfortable. All the time. ‘It feels like I’m wrapped up in duct tape,’ [she] said of the persistent tightness in her chest that many women describe after breast reconstruction.”

It appears that this kind of feeling is both common and unavoidable: “...it is major surgery. Even with the best plastic surgeon, breast reconstruction carries the risks of infection, bleeding, anesthesia complications, scarring and persistent pain in the back and shoulder.”
“A syndrome called upper quarter dysfunction — its symptoms include pain, restricted immobility and impaired sensation and strength — has been reported in over half of breast cancer survivors and may be more frequent in those who undergo breast reconstruction, according to a 2012 study in the journal Cancer.” As usual, when you’re talking about pain, there are a million voices all clamoring for your attention. This site written by a chiropractor makes the startling claim that everything from butt pain to deafness can be cured by breaking up something he calls “fascial adhesions” with some sort of bruising method...he does, of course, rail against the medical establishment because they don’t acknowledge his methodology as effective. (http://www.doctorschierling.com/fascia.html)There are claims that shots work (usual hydrocortisone) as well as surgical removal of scar tissue all the way up to and including the removal of the implants altogether.

What works will likely be what you decide works. All of these methods are available and you will find a physician somewhere who will agree to treat you with whatever method you find online or through conversing with doctors.
I myself don’t know WHAT to think.
Resources: http://www.breastcancer.org/treatment/surgery/reconstruction/types/implants/risks, http://www.cancerresearchuk.org/about-cancer/type/breast-cancer/treatment/surgery/reconstruction/exercises-after-breast-reconstruction-using-simple-implant, http://well.blogs.nytimes.com/2013/05/20/no-easy-choices-on-breast-reconstruction/?_r=0

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