My Breast Still Hurts After Surgery. Is That Normal?

Breastcancer.org reports that 66% of the women who have undergone breast cancer surgery still experience from mild to severe pain. Even for those who have gone under the knife for reasons other than cancer complain of pain. What could the cause be?

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Chronic Pain and Mental Wellness

 

Pain – physical or mental, is the most dreaded feeling. No one wants to experience it yet it is so prevalent. When pain exists persistently, it negatively impacts our physical and mental state. This article explores how chronic pain affects your mental wellness, what you can do to remove or manage the pain, as well as how to deal with the mental detriments that comes with chronic pain

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Are you in Pain

It has been a long and ardous journey with your chronic pain; you’ve spent a fortune with medical practitioners that tried to help but your condition remains the same. Don’t relent to pain, the solution is out there, simply overlooked by many.

Chronic pain, or persistent pain that carries on beyond 12 weeks even with medication or treatment, is debilitating and depressing. Many of us have even battled the pain for years, only to keep coming back to square one. Our medical practitioners’ means and ways to combat the condition have been futile, and it is apparent that we should live in pain for the rest of our lives.

Thankfully, that is not true.

There has been a huge misunderstanding about the cause of your chronic pain which many doctors have overlooked, and discovering this cause could be the answer to your freedom from pain.

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PIRIFORMIS MUSCLE

Are you experiencing some of these symptoms that trouble you?

  • Pain or cramp in the buttocks
  • Back or buttocks discomfort while sitting
  • Tingling at the back of the legs and lower back
  • Pain which radiates down the back of the leg, usually into the hamstrings or even the calf muscles.

This could be a condition in which the Piriformis Muscle, located in the buttock region spasms, thus causing the pain

Discuss your troubled symptoms with your family doctor for advice and understand the treatment available.

 

OSTEOARTHRITIS

Osteoarthritis is the most common type of joint disease. It can cause pain, loss of mobility, and reduced quality of life.
Knee osteoarthritis is a major form of the condition and the main reason for knee replacement surgery, with excess weight being a key risk factor.

RISK FACTORS 

  • Age
  • Female Gender
  • Obesity resulting from lack of exercise and poor eating habits
  • Having an occupation requiring heavy lifting, kneeling or squatting

SYMPTOMS

  • Knee Pain and Swelling
  • Difficulty walking, squatting, going up and down the stairs
  • Difficulty wearing trousers and getting in and out of car

80% 
Patient with OA knee have some degree of movement limitations

25%
Cannot perform major activities of daily living

Effective management in primary care can reduce the burden of knee osteoarthritis on patients and the healthcare system

Provide a comprehensive clinical assessment

Educate patient and develop a self-management plan

Non-surgical treatment, weight loss, exercise, pain management

Monitor the patient through planned clinical review

Refer the patient to an orthopaedic surgeon or pain specialist if conservative management to longer works

FIBROMYALGIA

Fibromyalgia
Do you experience this symptoms?

Chronic Muscles Aches & Pain
Chronic Fatigue That Affect Daily Activities
Chronic Sleep Disturbance
Increased Sensitivity
Giddiness

You could be experiencing a condition called Fibromyalgia (FM)

A central nervious system hypersensitivity causing muscle spasm, especially around the joint.
A muscle disorder that causes significant pain all over the body.

Patient Responsibility

Stress Management
Sleep Therapy
Exercise Therapy

Doctor's Treatment
Injection Therapy
Medications

SHOULDER PAIN

Shoulder Pain
Are you Experiencing any of these symptoms?

Sharp aching pain, typically associated with movement.
Limited movement of the shoulder (either backward or upwards)
Pain when trying to sleep on affected shoulder
Difficulty with activites such as brushing hair, putting on shirt/bra

Is there treatment available for me?


Self Management
Exercise
Stretching
Physiotherapy
Swimming
Heat Therapy

Doctor's Treatment
Medications
Injections Therapy

Frozen Shoulder known as " 五十肩“ is commonly seen in women more than men between 40 - 60 years of age. The shoulder stiffens causing pain and reducing its mobility.

Workplace Hazards and Ergonomics

Workplace Hazards and Ergonomics

The Straits Times released an article on 28 March 2014 announcing that Workplace health problems cost $3.5 billion a year. These health problems in contention are not fallen from a height or collapsing scaffolding but simply seemingly trivial problems such as back pain, stiff necks or numb wrists from normal office work activities. Since then, the Workplace Safety and Health Council have looked into workplace ergonomics to minimize health problems.
Workplace ergonomics is the science of designing the workplace, which includes the human-machine (tool), human-work environment and human-human interfaces to prevent injury and illness and to improve work performance. Poor worksite design leads to fatigued, frustrated and even end up causing hurt to workers. This naturally leads to lower productivity and frustration in the work environment.

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PLANTAR FASCIITIS

Heel Pain

Do you experience heel pain especially with the first step off the bed?
Do you experience stabbing pain at the bottom of your foot near the heels?
Do you experience heel pain especially at the start and after a long walk/exercise?

You could have heel condition call Plantar Fasciitis

It involves inflammation of a thick band of tissue, in your sole that connects your heel pain to your toes.
Check with your pain doctor or specialist to find out more on the treatment of this pain condition.

疼痛专家李文鉴:病患疼痛不是幻想出来的

本文摘录、整理自最新出版的《健康No.1》,疼痛专家李文鉴医生在专访中分享本身的医疗经验,并提供疼痛治理建议。

麻醉专科出身的李文鉴医生(52岁)之所以会转攻疼痛科,全因他患癌的已故父亲。李医生透露:“我父亲在我念医科时,肺癌转移到骨头,即使用了最强剂量的吗啡,每晚还是呻吟着无法入眠。当时,我眼巴巴看着父亲受痛楚折腾,却无法为他缓解疼痛,那种无助感,让我在考获麻醉专科资格后,决定继续钻研疼痛科。”

当年,新加坡医院里还没有疼痛科,对疼痛治疗也不太重视,一些病人在手术或治疗成功后若还是感到疼痛,医生除了开止痛药外也无可奈何,甚至认为他们的疼痛是心理病,把他们转给精神科医生治疗。

李医生说:“慢性疼痛病人通常能忍就忍,不能忍就吃止痛药,要不然就是开刀。有时投诉疼痛多了,身边的人甚至会怀疑疼痛是他们幻想出来的,或是心理作用。”可是,疼痛是很实在的感觉,不但会影响身体功能、心理健康,生活素质也会下降。

李医生指出,急性疼痛会导致血压急升、心跳加速、血糖失调,甚至引发心脏病、昏厥、中风。慢性疼痛则会影响睡眠、情绪,导致抑郁和焦虑症。其他疾病,如癌症引起的疼痛,也会让病情加剧,影响整体治疗。他说:“过去我帮不了自己的父亲,现在我要帮助病人消除疼痛。我认为疼痛是可以消除、疗愈的;即使是老了身体退化,也未必要痛着过活。

“况且,在学医过程中,我发现其实有很多种管道是可以医治、管理疼痛的,甚至可以根治疼痛。”

李医生说:“我的理想,就是迈进无疼痛的新世界。”

本文摘录自最新第43期《健康No.1》保健季刊的封面医生专访内容,疼痛专家李文鉴医生在专访中分享了本身的医疗经验,并提供疼痛管理建议。

厘清三大常见误区

今天,不管是私人或公共医院都有了自己的疼痛科。然而,人们对于疼痛还是存有些误解,李医生因而针对一般人持有的三大普遍错误想法,加以澄清:

①人老未必就会痛

身体老化自然有退化和磨损的过程,这个过程无法逆转。但李文鉴医生说,随身体退化而来的炎症和疼痛,例如关节炎、风湿、骨刺、椎间盘突出,是可以治疗、消解疼痛的。他说:“我们可以优雅、无痛地老去,积极治理身体退化的过程,缓解疼痛和发炎。所以,不要以为老了身体就一定会痛。有痛一定要找医生,找出疼痛的根源,对症下药。”

②有疼痛就不能运动?

李文鉴医生说,如果是急性创伤,受伤的部位要暂时避免运动,但过后适量的活动反而能帮助伤口复原。如果是慢性疼痛,有时缺乏运动反而会让疼痛恶化。李医生说:“活,就一定要动。一些疼痛,例如五十肩、背部肌肉扭伤,不能害怕疼痛而避免运动,也不是要等到无痛的情况下才能利用运动来化解疼痛。”李医生说,如果因为一些病情无法运动,就应该和医生沟通,先找出症结。

③开刀是唯一治疗疼痛方法?

李文鉴医生指出,如果器官或神经线在退化中有所损伤,有时动手术是无法避免的,但开刀并不是唯一解除疼痛的方法。

“我们可以通过微创手术、激光、药物、物理治疗、运动、认知行为治疗、针灸来治疗疼痛,或结合各方案来达到最好的效果。”李医生就建议免开刀手术,用特定的激光、气球注射来治疗疼痛病症,如椎间盘突出、神经受压、神经痛、膝盖关节炎和肩周炎。

Ask a Question

Singapore Paincare Center
Paragon Medical Centre
290 Orchard Road #18-03
Singapore 238859


Tel
+65 6235 6697


Fax
+65 6235 6846


Email Address
enquiries@paincarecenter.com.sg


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Singapore Paincare Center @ Novena
Mount Elizabeth Novena Specialist Centre
38 Irrawaddy Road #07-33
Singapore 329563


Tel
+65 6734 4500


Fax
+65 6684 0773


Email Address
enquiriesnovena@paincarecenter.com.sg


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