Interventional Treatment Options for Post-mastectomy Pain

Murugappan, Aarthi; Khanna, Ashish

doi:10.1007/s11912-023-01435-z

Cited by 5 publications

(2 citation statements)

References 25 publications

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“…Myofascial release to reduce mechanical traction on neuromas can be extremely helpful [90]. Other treatment options include mindfulness-based cognitive therapy, oral analgesics, antidepressants, capsaicin, laser therapy, botulinum toxin injections, nerve blocks, fat grafting, and neuroma surgery [87,92].…”

Section: Post-breast Surgery Pain Syndrome (Pbsps)mentioning

confidence: 99%

Evaluation and Management of Shoulder Dysfunction in Cancer Survivors

Lee,

Stubblefield

2024

Curr Phys Med Rehabil Rep

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Purpose of Review Shoulder dysfunction widely affects function and quality of life of cancer survivors. This paper discusses the etiology, identification, evaluation, and management of the common shoulder impairments seen in cancer survivors, particularly those with breast cancer, head and neck cancer, and Hodgkin lymphoma. Recent Findings Shoulder dysfunction can be caused by a wide range of sources, often as a sequelae of cancer treatments including surgery, systemic therapy, and radiation therapy. These can change the shoulder biomechanics leading to musculoskeletal disorders such as rotator cuff disease and adhesive capsulitis. Other etiologies include neuromuscular complications, such as post-breast surgery pain syndrome and radiation fibrosis syndrome, and lymphovascular disorders such as lymphedema and axillary web syndrome. Metastatic bone disease and primary bone cancer should be considered for those with intense shoulder pain. Detailed history and physical exam, and in some cases, imaging can assist with evaluation of shoulder issues. Exercise, physical and occupation therapy are essential in managing shoulder dysfunction. Summary Shoulder dysfunction can limit function and quality of life for cancer survivors. It is important to consider the possible etiologies as accurate diagnosis is critical for optimal treatment.

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Section: Post-breast Surgery Pain Syndrome (Pbsps)mentioning

confidence: 99%

Evaluation and Management of Shoulder Dysfunction in Cancer Survivors

Lee,

Stubblefield

2024

Curr Phys Med Rehabil Rep

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“…According to the treatment guidelines on NP, pharmacological treatment is the most commonly employed therapeutic approach and nerve blocks or surgical procedures, neural blockade, and spinal cord stimulation are important and popular research directions at present. Although generally safe, these approaches still have some problems, such as biological complications, infection risk, and programming-related or treatment-related adverse effects (including painful Paresthesia) (Murugappan & Khanna, 2023). Therefore, it is crucial to seek a more safe and effective therapeutic strategy for NP.…”

mentioning

confidence: 99%

Treatment of neuropathic pain by traditional Chinese medicine: An updated review on their effect and putative mechanisms of action

Guo,

Zhang,

Feng

2024

Phytotherapy Research

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Neuropathic pain (NP) is a common chronic pain with heterogeneous clinical features, and consequent lowering of quality of life. Currently, although conventional chemical drugs can effectively manage NP symptoms in the short term, their long‐term efficacy is limited, and they come with significant side effects. In this regard, traditional Chinese medicine (TCM) provides a promising avenue for treating NP. Numerous pharmacological and clinical studies have substantiated the effectiveness of TCM with multiple targets and mechanisms. We aimed to outline the characteristics of TCM, including compound prescriptions, single Chinese herbs, active ingredients, and TCM physical therapy, for NP treatment and discussed their efficacy by analyzing the pathogenesis of NP. Various databases, such as PubMed, Web of Science, China National Knowledge Infrastructure, and Wanfang database, were searched. We focused on recent research progress in NP treatment by TCM. Finally, we proposed the future challenges and emerging trends in the treatment of NP. TCM demonstrates significant clinical efficacy in NP treatment, employing multi‐mechanisms. Drawing from the theory of syndrome differentiation, four types of dialectical treatments for NP by compound TCM prescriptions were introduced: promoting blood circulation and removing blood stasis; promoting blood circulation and promote Qi flow; warming Yang and benefiting Qi; soothing the liver and regulating Qi. Meanwhile, 33 single Chinese herbs and 25 active ingredients were included. In addition, TCM physical therapy (e.g., acupuncture, massage, acupoint injection, and fumigation) also showed good efficacy in NP treatment. TCM, particularly through the use of compound prescriptions and acupuncture, holds bright prospects in treating NP owing to its diverse holistic effects. Nonetheless, the multi‐targets of TCM may result in possible disadvantages to NP treatment, and the pharmacological mechanisms of TCM need further evaluation. Here, we provide an overview of NP treatment via TCM, based on the pathogenesis and the potential therapeutic mechanisms, thus providing a reference for further studies.

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Identification, Evaluation, and Management of Post-breast Surgery Pain Syndrome

Chang,

Wu,

Emos

2024

Curr Phys Med Rehabil Rep

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Purpose of Review The purpose of this review is to provide a practical framework for the diagnosis and treatment of post-breast surgery pain syndrome. Recent Findings There has been increasing evidence that nerve blocks, regional anesthetic blocks, and surgeries including fat grafting and targeted muscle reinnervation may be effective in treating post-breast surgery pain syndrome. Summary Post-breast surgery pain syndrome is identified as clinically affecting the upper extremity and chest wall on the post-surgical side. There are several treatment options including topicals, oral medications, therapeutic interventions, and surgeries which may be discussed and explored with affected patients.

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Interventional Treatment Options for Post-mastectomy Pain

Cited by 5 publications

References 25 publications

Evaluation and Management of Shoulder Dysfunction in Cancer Survivors

Evaluation and Management of Shoulder Dysfunction in Cancer Survivors

Treatment of neuropathic pain by traditional Chinese medicine: An updated review on their effect and putative mechanisms of action

Identification, Evaluation, and Management of Post-breast Surgery Pain Syndrome

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