Managing Chest Tightness After Mastectomy

Mastectomy is a surgical procedure involving the removal of one or both breasts, often performed to treat or prevent breast cancer. While life-saving, it can lead to various physical and emotional changes.

Are you concerned about experiencing chest tightness after mastectomy? Please do not worry.

It is common to experience chest and armpit tightness after mastectomy. Additional sensations like numbness, tingling, soreness, or burning in the chest can also be part of the healing process. People typically recover a month after a mastectomy, whilerecovery from chest tightness after breast reconstruction may take longer.

“Chest tightness after mastectomy is common and can be due to several factors,” says Dr. Garvit Chitkara, an eminent breast cancer surgeon in Mumbai. “The removal of breast tissue, lymph nodes, and changes in the chest wall’s structure can cause sensations of tightness, discomfort, or pulling. Scar tissue formation during healing can contribute as well. Emotional stress and anxiety may amplify these sensations.”

If you have chest tightness after mastectomy, please consult cancer expert Dr. Chitkara for post-operative guidelines to help alleviate discomfort and promote healing.

Chest Tightness after Mastectomy – Prevention

Preventing chest tightness after mastectomy involves a combination of self-care practices and medical guidance:

Follow Post-Op Instructions: Adhere to your surgeon’s instructions regarding wound care, movement, and medication.

Pain Management: Follow your prescribed pain management plan to minimize discomfort and muscle tension.

Post-operative Exercises: Engage in gentle exercises recommended by your healthcare team to improve blood circulation, maintain flexibility, prevent muscle stiffness, and prevent scar tissue buildup.

Maintain a Healthy Weight: A balanced diet and maintaining a healthy weight can alleviate pressure on the chest area.

Deep Breathing: Practice breathing techniques to enhance lung function and mobility and prevent chest muscles from becoming tense.

Lymphatic Massage: Learn proper lymphatic massage techniques from a professional to promote fluid drainage and reduce swelling, contributing to overall comfort.

Scar Massage: Gently massaging the surgical site, once your surgeon approves, can prevent scar tissue from tightening.

Maintain Good Posture: Proper posture prevents muscle strain and maintains chest flexibility. Avoid slouching and practice mindful posture.

Stay Hydrated: Drinking adequate fluids helps maintain tissue health, reduces the risk of tightness, and aids healing and tissue repair.

Avoid Heavy Lifting: Refrain from lifting heavy objects to prevent strain on the chest muscles.

Supportive Garments: Wearing supportive bras or compression garments can provide comfort.

Emotional Support: Seek emotional support to manage stress and anxiety, which can impact muscle tension.

Follow Medical Advice: Adhere to your medical team’s guidance for wound care, exercises, and overall recovery.

If you experience persistent or worsening chest tightness, consult a highly-skilled Oncoplastic breast surgeon like Dr. Garvit Chitkara for personalized advice.

When to seek medical help for Chest Tightness after Mastectomy?

Dr. Chitkara advises you to seek medical help for chest tightness after mastectomy if you experience:

• Intense or worsening pain that doesn’t respond to prescribed pain relievers.
• Difficulty breathing or shortness of breath, which could indicate a severe issue.
• Elevated temperature or signs of infection at the surgical site.
• Unusual swelling, redness, or warmth in the chest area.
• Persistent nausea, vomiting, or dizziness accompanied by chest discomfort.
• Feelings of pressure, squeezing, or discomfort similar to a heart attack.
• New, unexpected symptoms that cause concern or interfere with daily activities.

Promptly consult a breast cancer expert if any of these symptoms arise, as they could indicate complications requiring immediate attention.

Chest Tightness after Mastectomy – Treatment Options

Physical activity can aid in alleviating tightness across the chest after mastectomy while restoring arm and shoulder mobility. Tailored exercises are recommended with a physical therapist or at home, guided by a surgeon or healthcare professional.

Exercises can typically commence 5–7 days after surgery. However, it’s crucial to refrain from activity until cleared by a physician. Exercises may include:

• Arm elevation that resembles everyday actions like brushing your hair, bathing, or dressing.
• Gentle arm lifting and lowering at shoulder height, repeated 4-5 times daily.
• Arm elevation combined with hand opening and closing, around 20-25 repetitions.
• Arm elevation with elbow bending, touching each shoulder, alternating sides.
• Incorporating deep breathing exercises about 6 times a day.

“Each individual’s healing process is unique,” says Dr. Chitkara. “In case of scar tissueformation around breast implantsfollowing reconstructive surgery, chest tightness might persist unless corrective surgery eliminates the scar tissue.”

If chest tightness persists despite exercise, please consult an experienced breast oncologist like Dr. Garvit Chitkara for further guidance.

With over 15+ years of expertise, Dr. Chitkara is among the leading surgeons for people seeking breast surgery in Mumbai.

Conclusion

The journey after mastectomy involves various physical sensations, including chest tightness. While this discomfort is a normal part of the healing process, it’s essential to remember that each individual’s experience is unique. You can navigate this phase with resilience by seeking guidance from medical professionals, practising self-care, and staying attuned to your body’s signals.

Remember that support is readily available from healthcare providers, support groups, and your loved ones.

Schedule a consultation with breast cancer specialist Dr. Garvit Chitkara for more information and guidance on managing chest tightness after mastectomy.

FAQs

Is it normal to experience chest tightness years after mastectomy?

Experiencing chest tightness years after mastectomy can be attributed to various factors. While you can expect some residual sensations due to surgical changes and scar tissue, persistent or worsening chest tightness should be evaluated by a healthcare provider. It could be linked to issues like scar tissue contracture or other underlying conditions.

Communicating any persistent or concerning symptoms to a healthcare provider for proper evaluation and guidance is essential. Regular follow-ups and open communication with your medical team can address any discomfort and provide the necessary support.