OUR SURGICAL TREATMENT FOR POST MASTECTOMY PAIN SYNDROME

Breast cancer is a journey. From diagnosis and treatment, to breast reconstruction and long term side effects, a breast cancer patient faces a number of physical and psychological challenges.

Following breast cancer surgery, some women may experience persistent pain in the chest wall, armpit, arm and/or shoulder. During surgery, the nerves in the breast and underarm area may become damaged, causing persistent nerve pain known as Post-Mastectomy Pain Syndrome (PMPS). It is estimated that anywhere between 20-60% of women experience symptoms of PMPS after breast cancer surgery. PMPS may occur in both patients who have undergone a mastectomy, as well as those who have had breast-conserving surgery.

At The Institute for Advanced Reconstruction, we perform nerve surgery to provide long term treatment for Post Mastectomy Pain Syndrome. Prior to surgery, we perform a diagnostic nerve block to identify the affected nerve. This nerve is then surgically cut above the injury site, removing the damaged nerve tissue. 

The end of the nerve is then placed into a nearby muscle, decreasing and potentially preventing misdirected nerve growth, which can contribute to pain.

We can also move soft tissue from a nearby area into the affected area to help pain and sensitivity, as well as minimize tissue deformities that may be present due to breast cancer surgery.

A nerve block may also be performed to temporarily alleviate pain. During this procedure, a small amount of numbing medication is injected into the nerve that is believed to be injured. Pain relief from a nerve block confirms that the injected nerve is causing the pain. Patients who experience pain relief following a nerve block may be candidates for surgical intervention.

Patients that are also interested in breast reconstruction may be able to undergo a procedure to restore their breast shape and volume at the same time as Post Mastectomy Pain Syndrome surgery. We also offer advanced surgical treatment options for a number of cancer treatment side effect conditions including: lymphedema, chemotherapy-induced neuropathy and radiation induced brachial plexopathy.

Our Mission Is To Improve The Quality Of Our Patients’ Lives

Our cutting-edge procedures have helped transform the lives of thousands of patients. Hear their stories and more about the procedure here: 

After battling breast cancer and a mastectomy, Dr. Kari Colen provided breast reconstruction for Delia. However, following a mastectomy some patients may experience chronic pain known as post-mastectomy pain syndrome or PMPS. Watch as Delia shares her story about her experience with Dr. Colen.

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32 CONVENIENTLY LOCATED OFFICES ACROSS NEW YORK, NEW JERSEY, PENNSYLVANIA, AND OHIO

Shrewsbury
Shrewsbury
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535 Sycamore Ave
Shrewsbury, New Jersey 07702
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Phone: 855-980-6981
Flemington
Flemington
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194 NJ-31
Pavilion 2, Suite 102
Flemington, New Jersey 08822
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Phone: 855-980-6981
Hackettstown
Hackettstown
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57 Route 46E
Suite 201
Hackettstown, New Jersey 07840
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Phone: 855-980-6981
Lehigh Valley
Lehigh Valley
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1401 Fairmont Street
Whitehall, Pennsylvania 18052
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Phone: 855-980-6981
Montclair
Montclair
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Mountainside Medical Center (Inside Harries Pavilion) 1 Bay Avenue
Suite 4
Glen Ridge, New Jersey 07028
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Phone: 855-980-6981
Phoenixville
Phoenixville
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826 Main Street
Suite 203
Phoenixville, Pennsylvania 19460
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Phone: 855-980-6981
Brick
Brick
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74 Brick Boulevard
Building 4, Suite 205
Brick, New Jersey 08723
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Phone: 855-980-6981
East Brunswick
East Brunswick
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192 Summer Hill Rd
Suite 201
East Brunswick, New Jersey 08816
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Phone: 855-980-6981
Florham Park
Florham Park
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83 Hanover Road
Suite 260
Florham Park, New Jersey 07932
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Phone: 855-980-6981
Hopewell
Hopewell
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1 Capital Way
Suite 390, 3rd Floor
Pennington, New Jersey 08534
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Phone: 855-980-6981
New York City
New York City
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635 Madison Ave
14th Floor
New York City , New York 10022
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Phone: 855-980-6981
Rockland County
Rockland County
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257 Lafayette Ave
Suite 200
Suffern, New York 10901
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Phone: 855-980-6981
Bridgewater-Greymark
Bridgewater-Greymark
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1200 US Route 22 East
Suite 19
Bridgewater, New Jersey 08807
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Phone: 855-980-6981
Edison
Edison
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102 James Street
Suite 202
Edison, New Jersey 08820
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Phone: 855-980-6981
Freehold
Freehold
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3499 Route 9 North, Building 2
Suite 2C-2
Freehold, New Jersey 07728
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Phone: 855-980-6981
Egg Harbor Township
Egg Harbor Township
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4096 English Creek Ave
Egg Harbor Township, New Jersey 08234
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Phone: 855-980-6981
Hackensack
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20 Prospect Ave
Suite 903, 9th Floor
Hackensack, New Jersey 07601
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Phone: 855-980-6981
Jersey City
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377 Jersey Avenue
Suite 220
Jersey City, New Jersey 07302
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Montgomery
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700 W Germantown Pike
Suite 200
East Norriton, Pennsylvania 19403
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Phone: 855-980-6981
Union
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950 West Chestnut St
Suite 102
Union, New Jersey 07083
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Phone: 855-980-6981
Marlton
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11 Eves Drive
Suite 170
Marlton, New Jersey 08053
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Phone: 908-751-1071
Gahanna
Gahanna
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1080 Beecher Crossing N
Suite A
Gahanna, Ohio 43230
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Phone: 614-686-4083
Springfield
Springfield
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100 West Main St
Springfield, Ohio 45502
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Phone: 937-521-3900
San Francisco
San Francisco
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45 Castro Street
Suite 121
San Francisco, California 94114
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Phone: 415-565-6136
New Orleans
New Orleans
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1717 St. Charles Avenue
Rear Entrance
New Orleans , Louisiana 70130
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Phone: 504.608.7499
San Antonio
San Antonio
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9635 Huebner Rd.
San Antonio, Texas 78240
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Phone: 210-692-1181
San Antonio
San Antonio
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502 Madison Oak Dr.
Suite 220
San Antonio, Texas 78258
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Phone: 210-558-7012
Linwood
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222 New Road
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Linwood, New Jersey 08221
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Maywood
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113 W. Essex Street
Suite 204
Maywood, New Jersey 07607
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Phone: 201-289-5551
Ridgewood
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1124 East Ridgewood Ave
Suite 201
Ridgewood, New Jersey 07450
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Phone: 201-289-5551
Jersey Shore University Medical Center
Jersey Shore University Medical Center
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19 Davis Avenue
7th Floor
Neptune City, New Jersey 07753
Livingston
Livingston
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22 Old Short Hills Road
Suite 202
Livingston, New Jersey 07039
Somerset
Somerset
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35 Clyde Road
#104
Somerset, New Jersey 08873
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Phone: 609-608-0142
Paramus
Paramus
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305 Rt 17 South
Suite 3-100A
Paramus, New Jersey 07652
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Phone: 855-980-6981
South Miami
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6200 Sunset Drive
Suite 402
South Miami, Florida 33143
Los Angeles
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200 Medical Plaza
Suite 460
Los Angeles, California 90095
West Orange
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161 Main St
Suite 150
West Orange, New Jersey 07052
Woodbridge
Woodbridge
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34 Main St
Woodbridge, New Jersey 07095
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Phone: 201-289-5551
McKinney
McKinney
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4510 Medical Center Dr
Suite 202
McKinney, Texas 75069
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Phone: 945-224-0926
Plano
Plano
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1600 Coit Rd
Suite 210
Plano, Texas 75075
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Phone: 972-954-9532
Manahawkin 517
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517 Route 72 West
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Manahawkin, New Jersey 08050
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Phone: 609-363-2944
Cape May Courthouse
Cape May Courthouse
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106 Court House South Dennis Road
Building 200, Suite 200
Cape May Courthouse, New Jersey 08210
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Phone: 609-363-1174
Hammonton
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219 N White Horse Pike
Suite 104
Hammonton, New Jersey 08037
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Phone: 609-363-2694
North Bergen
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7650 River Road
Suite 240
North Bergen, New Jersey 07047
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Phone: 201-778-9181
Abington
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2701 Blair Mill Road
Suite 10
Willow Grove, Pennsylvania 19090
Manahawkin 1100
Manahawkin 1100
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1100 Route 72 West
Third Floor, Suite 306A
Manahawkin, New Jersey 08050
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Phone: 855-980-6981
Westwood
Westwood
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260 Old Hook Rd
Suite 304
Westwood, New Jersey 07675
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Phone: 833-539-4071

DIAGNOSING POST MASTECTOMY PAIN SYNDROME

Post Mastectomy Pain Syndrome is a neuropathic (nerve) pain affecting the area of a previous breast surgery, persisting for more than 3 months.

Pain associated with this condition is most commonly experienced in the chest wall and/or nerve pain in the armpit. Nerve pain after surgery may also be experienced in the arm and/or shoulder. 

The following symptoms are most often experienced by individuals suffering from Post Mastectomy Pain Syndrome:

  • Stinging, Burning or Tingling in chest, armpit, arm and/or shoulder
  • Numbness in chest, armpit, arm and/or shoulder
  • Dull or Aching Pain in chest, armpit, arm and/or shoulder
  • Stabbing Pain or Shooting Pain in armpit, chest, arm and/or shoulder

 

These symptoms may be exacerbated by movement, making it difficult to complete everyday tasks. The physical limitations and chronic pain associated with this condition can significantly impact a patient’s quality of life.

FIND OUT IF OUR PROCEDURE FOR POST MASTECTOMY PAIN IS RIGHT FOR YOU.

About
The Institute for
Advanced Reconstruction

The Institute for Advanced Reconstruction is uniquely positioned as the ‘go-to’ center for revolutionary nerve procedures, as well as world-class reconstructive treatments.

These include cutting-edge procedures such as nerve transplantation that may restore a significant degree of function for those who have suffered from stroke and other forms of paralysis. Patients who at one time believed they had exhausted their paralysis treatment options come from around the country and the globe to our practice in New York City and Shrewsbury, New Jersey.

The Institute for Advanced Reconstruction is also composed of the Axon Advance Foundation, a non-profit organization focused on new horizons in research, innovation and surgical treatments for peripheral nerve damage and spinal cord injury.

Frequently
Asked
Questions

What is PMPS?

After mastectomy or a large lumpectomy  patients can develop pain around the lateral chest wall. Most of the time this is due to the  nerves that were cut during the mastectomy. After these nerves are cut they start to regrow,  but they regrow sometimes in odd ways, sending out little nerve shoots that don't make it to the place they're supposed to go. This is what causes pain. 

How is PMPS diagnosed?
When someone who has had surgery begins experiencing pain and sensitivity at least 3 months post surgery, it needs to be evaluated. During the evaluation, the doctor will perform a physical exam and then usually will inject a local anesthetic  (something like novocaine that a dentist uses); if the anesthetic helps ease the pain, then it's nerve-related. 
What are the treatment options for PMPS?
Once PMPS is confirmed, the first step in the treatment plan is physical therapy and occupational therapy. If this step is unsuccessful, nerve blocks will be administered. Finally,
if these steps don't help relieve  the pain and discomfort, the last step would be surgery. In surgery, we open up the area and locate the nerves that are causing the problem. The doctors will then either bury them and remove any scar  tissue or wrap them so that they are protected  from the environment and no longer contribute to  the pain and discomfort that you're feeling. 
 
Often we can remove implants and perform breast reconstruction at the same time.
What are the benefits of surgical treatment for PMPS?

Anyone that lives with pain  understands that it takes a toll. It’s not just physical pain that one t you become emotionally tired from living with that discomfort and pain. So, the benefit of seeking out help are tremendous as it will increase the quality  of your life in every way possible.

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