HomeAnswersInternal MedicinegynecomastiaWhy do I feel sensitivity in my right chest post gynecomastia surgery?

I feel sensitivity in my chest after gynecomastia surgery. Is this a result of internal scar tissue?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At July 11, 2020
Reviewed AtJuly 11, 2020

Patient's Query

Hello doctor,

I have had gynecomastia surgery two years ago. Since then the right side of the chest is stiff and hypersensitive. It becomes sensitive upon contact with whatever I am wearing and it is persistent all day. Is this a result of internal scar tissue?

Hello,

Welcome to icliniq.com.

I can understand your concern. Yes, it is mostly due to the trapped nerve. I can guide you better about medicines and physiotherapy. I will be happy to help you further with medicines.

Patient's Query

Thank you doctor,

I would be happy if you can guide me through the treatment process. It has been a while and still did not recover on its own. Note that my chest appearance looks normal and does not show any scarring or an abnormality, it is just an internal issue and I can only feel it. Just to let you know that the slightest touch from my cloths triggers a sensation. Imagine feeling one side of the chest contacting what I am wearing all day long, while the other side is perfectly normal.

Hello,

Welcome back to icliniq.com.

I can understand your concern. This is nerve related pain for sure. I want to know a few more things to guide you further.

Please let me know, after how many days of surgery you started this kind of sensations? Are these sensations static over a period of time or increasing? Are these sensations disturb your night sleep? Or you are comfortable in sleep? Please reply.

Patient's Query

Thank you doctor,

I got this sensation around two weeks after surgery when the bruising was minimal and the major pain was gone. First, it was a small tickling sensation around the areola only, but now especially when sitting, I can feel the hypersensitivity on the upper chest size as well as the areola. So I think it has increased slightly from the day of the surgery.

I can feel the sensation in bed before I sleep. Every couple of minutes I have to switch sides so that the sensation goes away. Once I sleep the sensation is gone. Even when I wake up the sensation is minimal but after like 30 minutes as the body warms up the sensitivity is back. The sensation is maximum while sitting or bending down where the shirt rubs all over my chest.

Hello,

Welcome back to icliniq.com.

Now I can understand. You have both nerve and muscle related pain and sensations. Your discomfort is not there when you wake up because your nerves and muscles are relaxed because of sleep. When you wake up, do routine things, nerves, and muscles start paining.

Sitting and bending forward need effort from chest muscles. So these actions give you more discomfort. You need to take a muscle relaxant and neural painkiller medicines. Please let me know if you are taking any painkillers or other medicines.

Patient's Query

Thank you doctor,

I am experiencing exactly what you have mentioned. Please let me know what I can take so the issue is treated and cured. I am afraid those painkillers are temporary solutions and are not permanent treatments. So please if you can mention some effective medical treatments that would be great.

Hello,

Welcome back to icliniq.com.

I can understand your concern and fear for long term painkiller use. Well, my personal experience is in favor of starting Pregabalin (neural painkiller) and vitamin B12 combination once a day at night before going to sleep. Diclofenac (painkiller) and Chlorzoxazone (muscle relaxant) once a day at morning after breakfast. Take all these for the first seven days.

Start physiotherapy modalities like ultrasound, shock wave therapy, etc., after seven days along with both the above medicines. After three weeks, we can stop one painkiller and continue with physiotherapy and one painkiller. After three weeks, only physiotherapy.

What are your thoughts one this management? Have you met any doctor about this problem? What was their advice?

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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