Syndrome
|
Characteristics
|
Post-mastectomy pain syndrome
|
Dull, burning, and aching pain experienced over the axilla, anterior chest wall and medial upper arm, associated with sensory loss and sometimes phantom sensations |
May be accompanied by dysesthesia, allodynia, and scar sensitivity |
Pain can start acutely post-surgery and persist, or onset may occur many months or years after surgery |
Post-radical neck dissection pain
|
Often neuropathic and described as a burning or lancinating dysesthesias in the anterolateral neck extending to the shoulder; reflects injury to the cervical plexus |
Often accompanied by sensory loss |
May experience neck and shoulder pain weeks to months after surgery |
Post-thoracotomy pain
|
Neuropathic pain localized to the region of the thoracotomy scar, experienced months post-surgery; when recurrent rather than persistent, high suspicion for tumor regrowth |
Pain described as aching or burning; potentially associated with sensory and autonomic changes; may be accompanied by ipsilateral arm disability |
Postoperative frozen shoulder |
Limited shoulder range of motion usually caused by untreated thoracotomy pain and inadequate rehabilitation |
Post-surgery pelvic floor pain |
Resembles the idiopathic syndrome of tension myalgia of the pelvic floor, with pain that occurs on standing |
Stump pain
|
Neuropathic pain, described as burning, experienced at the site of a surgical scar several months to years post-amputation |
Pain may be exacerbated by movement and is secondary to neuroma formation in the region of amputation |
May be improved or exacerbated by wearing of a prosthesis |
Phantom limb pain
|
Site of pain is away from amputation scar and appears to be where the absent limb was located |
Pain is dysesthetic, often fluctuating |
May or may not be associated with phantom sensations, including nonspecific paresthesia and specific sensations of the limb, with or without distortions |
Phantom pain
|
Phantom breast pain following mastectomy |
Phantom pelvic pain following hemipelvectomy |
Phantom rectal pain following rectal cancer surgery |
Phantom eye pain in patients with eye enucleation |