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Breast Cancer  (Expert Forum)
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Lymph node dissection/shoulder drop
Questions posted in the Breast Cancer Forum are answered by medical professionals from The Cleveland Clinic. Topics include Breast Biopsy, Chemotherapy, Hormone Therapy, Lumps, Lumpectomy, Lymph node dissection, Lymphedema, Mammograms, Mastectomy, Radiation Therapy, Reconstruction, Self Breast Exam, and Surgery.

Lymph node dissection/shoulder drop

by Osteoradionecrosis, Jan 19, 2007 12:00AM
I had a lumpectomy (2cm) and lymph node dissection. The surgery caused my shoulder to drop.  My arm is uncomfortably close to my body, and my spine has curved causing neck and upper back pain.  How common is this complication?  Can anything (physical therapy) help?  I have asked my surgeon and he would not comment. And, I haven't been able to find any info on the web.

Any information would be appreciated.  Thank you.

by CCF-RN,MSN-rf, Jan 19, 2007 12:00AM
Dear osteoradionecrosis:  I’m not certain why you signed your post osteoradionecrosis but this is a condition that is uncommon and caused by high doses of radiation involving bone.  It is most common in areas of the head and neck.  Regarding your surgical question, shoulder drop is a very uncommon complication of lumpectomy and lymph node dissection.  You should discuss this with your surgeon.  If you are not getting answers, you might want to seek an opinion from an orthopedic specialist  or a neurologist who would be able to evaluate your situation and make recommendations for evaluation and treatment, if necessary.

Member Comments (3)

by Osteoradionecrosis, Jan 19, 2007 12:00AM
I had set up the nickname "osteoradionecrosis" when I posted a previous question, (regarding yet another uncommon complication I've experienced).  Apparently I keep drawing the short straw.  And, getting answers to the uncommon has been difficult.  Thank you for yours.

by auctionmama, Jan 21, 2007 12:00AM
To: osteoradionecrosis
Hi - You don't mention when your surgery was, so this may or may not help. I experienced the same type of thing post-surgery, but it went away after about 6 weeks. My surgeon had me doing the "hand walk up the wall" exercises, and that really helped get it back to normal. My natural arm swing didn't return for at least 2 months.



Best wishes,

Verna
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