Adults only (18+)

How to Relieve Nerve Pain After Mastectomy

Undergoing a mastectomy, the surgical removal of one or both breasts usually as part of breast cancer treatment, can be a life-changing event. While it aims to remove cancerous tissue, the surgery can sometimes lead to nerve pain or neuropathy in the chest, shoulder or arm. This nerve pain can be persistent, uncomfortable and affect your daily life. Understanding why nerve pain happens after mastectomy and how to manage it can help you regain comfort and confidence during recovery.

What Causes Nerve Pain After Mastectomy?

During a mastectomy, nerves in the chest and surrounding tissues may be stretched, cut or damaged. This can lead to what is called post-mastectomy pain syndrome (PMPS), a type of chronic nerve pain affecting the area of surgery. It may feel like burning, shooting, stabbing sensations or numbness and tingling.

Nerve pain may also arise from scar tissue forming around the nerves, or from changes in posture and muscle use as your body adapts after surgery. Sometimes lymph node removal, which can accompany mastectomy, may contribute to nerve discomfort.

What Does Nerve Pain After Mastectomy Feel Like?

The pain can vary greatly. Some people describe a constant burning or aching feeling, others experience sharp, electric-like shocks or stabbing pain. The area may feel numb or hypersensitive, where even light touch causes discomfort. Pain may extend to the shoulder, arm or back.

It can be persistent or come and go. The sensation can sometimes be worsened by movement, clothing rubbing on the skin or changes in temperature.

How to Relieve Nerve Pain After Mastectomy

Managing nerve pain after mastectomy usually involves a combination of treatments tailored to your individual needs.

Medications prescribed by your doctor might include pain relief specifically for nerve pain, such as certain antidepressants or anticonvulsants. Topical treatments, like lidocaine patches or capsaicin cream, may also help reduce discomfort.

Physical therapy is important to improve movement, posture and strength. A physiotherapist experienced in post-mastectomy care can guide you through gentle exercises and stretches that prevent stiffness and reduce pain.

Techniques such as massage or desensitisation therapy, which involves gradually exposing the affected area to different textures, may decrease hypersensitivity.

Complementary therapies like acupuncture, relaxation techniques and mindfulness meditation have helped some people manage chronic pain and improve emotional wellbeing.

Good posture and ergonomic adjustments during daily activities can reduce strain on nerves and muscles, helping ease symptoms.

If you experience swelling or lymphoedema (fluid build-up in the arm), specialist treatment is essential, as this can worsen nerve pain.

When to Seek Help

If nerve pain after mastectomy is severe, persistent or worsening, speak to your GP or specialist nurse. Early intervention can improve outcomes. If you notice new symptoms such as weakness, severe swelling, or changes in skin colour, seek medical advice promptly.

Pain management clinics and breast cancer rehabilitation services may offer additional support.

Emotional Impact

Living with nerve pain after mastectomy can be challenging emotionally as well as physically. It’s natural to feel frustrated, anxious or down. Support groups, counselling and talking openly with your healthcare team can provide reassurance and help you cope.

Final Thoughts

Nerve pain after mastectomy is a common but manageable condition. With the right combination of medication, physical therapy and self-care, many people find significant relief and improved quality of life. Remember to communicate openly with your healthcare team about your symptoms and progress. Recovery is a journey, and support is available every step of the way.