Improvement of physical and psychological symptoms after breast reduction

Rogliani, M.; Gentile, Pietro; Labardi, Lara; Donfrancesco, Alberto; Cervelli, Valerio

doi:10.1016/j.bjps.2008.06.067

Cited by 67 publications

(56 citation statements)

References 5 publications

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“…Plausible mechanisms for pain exist for the independent and combined effect of increasing breast size and thoracic kyphosis. Breast hypertrophy (macromastia) and associated symptomatology for example, have been well-evidenced [11]. Back pain, neck pain and discomfort during physical activity exist as predominant symptoms causing women to seek help in the form of reduction mammoplasty surgery [11].…”

Section: Introductionmentioning

confidence: 99%

“…Breast hypertrophy (macromastia) and associated symptomatology for example, have been well-evidenced [11]. Back pain, neck pain and discomfort during physical activity exist as predominant symptoms causing women to seek help in the form of reduction mammoplasty surgery [11]. Significant reduction of shoulder grooving, back and neck pain have been reported with a mean reduction of 2.6 cup sizes in symptomatic women post reduction mammoplasty [12].…”

Section: Introductionmentioning

confidence: 99%

“…These findings suggest that larger breast sizes do indeed equate with a greater health burden, which is amenable to change. These studies also highlight that a greater proportion of older women (menopausal age and above) undergo such surgery [11,13]. While a number of psychosocial factors might contribute to decisions by older women to have reduction surgery this might also be interpreted as a greater desire for symptomatic relief from large breasts amongst this population.…”

Section: Introductionmentioning

confidence: 99%

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Breast size, thoracic kyphosis & thoracic spine pain - association & relevance of bra fitting in post-menopausal women: a correlational study

Spencer

Briffa

2013

Chiropr Man Therap

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BackgroundMenopause would seem to exist as a period of accelerated changes for women and their upper torso mechanics. Whether these anthropometric changes reflect changes in pain states remains unclear. Plausible mechanisms of pain exist for the independent and combined effect of increasing breast size and thoracic kyphosis. Bra fit has the potential to change when the anthropometric measures (chest circumference and bust circumference) used to determine bra size change, such as postmenopausally.Identifying an association between breast size, thoracic kyphosis and thoracic spine pain in postmenopausal women and identifying the relevance of bra fit to this association may be of importance to the future management and education of post-menopausal women presenting clinically with thoracic spine pain.MethodsA cross-sectional study design. Fifty-one postmenopausal bra-wearing women were recruited. Measures included breast size (Triumph International), thoracic kyphosis (flexible curve), bra fitted (Y/N) and pain (Short Form McGill Pain Questionnaire) and tenderness on palpation (posteroanterior pressure testing). These measures were collected in one session at a physiotherapy clinic.ResultsThe majority of the women in this study were overweight or obese and wearing an incorrect sized bra. Pain was significantly related to breast size, body weight and BMI at mid thoracic levels (T7-8). In contrast self-reported thoracic pain was not correlated with age or index of kyphosis (thoracic kyphosis). Women with thoracic pain were no more likely to have their bra professionally fitted whereas women with a higher BMI and larger breasts were more likely to have their bra professionally fitted.ConclusionThe findings of this study show that larger breasts and increased BMI are associated with thoracic pain in postmenopausal women. This is unrelated to thoracic kyphosis. Increasing breast size and how a bra is worn may have biomechanical implications for the loaded thoracic spine and surrounding musculature. Post-menopause women present with a spectrum of anthropometrical changes that have the potential to contribute to altered biomechanics and affect pain states in the thoracic spine.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Breast size, thoracic kyphosis & thoracic spine pain - association & relevance of bra fitting in post-menopausal women: a correlational study

Spencer

Briffa

2013

Chiropr Man Therap

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“…Çeşitli retrospektif ve prospektif çalışmalar makromastili kadınlarda redüksiyon mammoplastiden sonra bu semptomlarda önemli iyileş-meler ve yüksek hasta memnuniyetinin olduğunu bildirmiştir [16][17][18][19] .…”

Section: Discussionunclassified

May a correlation exist between preoperative depression and anxiety levels and wound healing complications following reduction mammoplasty in the overweight female?

Ceber¹

2016

MMJ

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“…There are several associated symptoms in the breast and musculoskeletal system (back, shoulder and cervical spine) 1,2 . Several retrospective and prospective studies have documented statistically significant improvement in symptoms and quality of life of patients who underwent reduction mammaplasty [3][4][5][6] . Despite this documentation, it has been considered a more aesthetic than strictly medical procedure.…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

Avaliação da função pulmonar em pacientes submetidas à mastoplastia redutora

Cunha

Santos

Viana

et al. 2011

Rev. Col. Bras. Cir.

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OBJETIVO: Avaliar prospectivamente a função pulmonar de pacientes submetidas à mastoplastia redutora. MÉTODOS: Doze pacientes femininas portadoras de gigantomastia e sem antecedentes médicos, realizaram mastoplastia redutora no Hospital das Clínicas da UFBA. As pacientes foram submetidas ao teste de função pulmonar e medidas de gases sanguíneos arteriais nos períodos pré-operatório e pós-operatório (três a seis meses). Os dados obtidos foram analisados por meio do teste de Wilcoxon e o nível de significância estatística foi p< 0,05. RESULTADOS: Nos dados obtidos por intermédio dos testes de função pulmonar, a capacidade pulmonar total e o volume residual foram maiores no pós-operatório (p < 0,05). Quanto aos dados de gases arteriais, não houve variações estatisticamente significantes. CONCLUSÃO: O aumento da capacidade pulmonar total e volume residual podem sugerir uma melhor função pulmonar após mastoplastia redutora em gigantomastia, apesar de não alterarem os gases arteriais das pacientes saudáveis.

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Improvement of physical and psychological symptoms after breast reduction

Cited by 67 publications

References 5 publications

Breast size, thoracic kyphosis & thoracic spine pain - association & relevance of bra fitting in post-menopausal women: a correlational study

Breast size, thoracic kyphosis & thoracic spine pain - association & relevance of bra fitting in post-menopausal women: a correlational study

May a correlation exist between preoperative depression and anxiety levels and wound healing complications following reduction mammoplasty in the overweight female?

Avaliação da função pulmonar em pacientes submetidas à mastoplastia redutora

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