A Targeted Approach to Post-Mastectomy Pain and Persistent Pain following Breast Cancer Treatment
Open Access
- 16 October 2021
- Vol. 13 (20), 5191
- https://doi.org/10.3390/cancers13205191
Abstract
Persistent pain following treatment for breast cancer is common and often imprecisely labeled as post-mastectomy pain syndrome (PMPS). PMPS is a disorder with multiple potential underlying causes including intercostobrachial nerve injury, intercostal neuromas, phantom breast pain, and pectoralis minor syndrome. Adding further complexity to the issue are various musculoskeletal pain syndromes including cervical radiculopathy, shoulder impingement syndrome, frozen shoulder, and myofascial pain that may occur concurrently and at times overlap with PMPS. These overlapping pain syndromes may be difficult to separate from one another, but precise diagnosis is essential, as treatment for each pain generator may be distinct. The purpose of this review is to clearly outline different pain sources based on anatomic location that commonly occur following treatment for breast cancer, and to provide tailored and evidence-based recommendations for the evaluation and treatment of each disorder.Keywords
This publication has 144 references indexed in Scilit:
- The effectiveness of injections of hyaluronic acid or corticosteroid in patients with subacromial impingementThe Journal of Bone and Joint Surgery. British volume, 2012
- Scapulothoracic Bursitis as a Significant Cause of Breast and Chest Wall Pain: Underrecognized and UndertreatedAnnals of Surgical Oncology, 2010
- Incidence of Myofascial Pain Syndrome in Breast Cancer Surgery: A Prospective StudyThe Clinical Journal of Pain, 2010
- Clinical Management of Scapulothoracic Bursitis and the Snapping ScapulaSports Health: a Multidisciplinary Approach, 2010
- Complementary and alternative therapy use before and after breast cancer diagnosis: the Pathways StudyBreast Cancer Research and Treatment, 2009
- The postmastectomy pain syndrome: an epidemiological study on the prevalence of chronic pain after surgery for breast cancerBritish Journal of Cancer, 2008
- Barriers to rehabilitation following surgery for primary breast cancerJournal of Surgical Oncology, 2007
- Changes in shoulder muscle size and activity following treatment for breast cancerBreast Cancer Research and Treatment, 2007
- A systematic review of the diagnostic accuracy of provocative tests of the neck for diagnosing cervical radiculopathyEuropean Spine Journal, 2006
- Comparison of three stretches for the pectoralis minor muscleJournal of Shoulder and Elbow Surgery, 2006