bilateral tram internal pain?

[jp94303]

I read what others have written about their pain with bilateral trams. I had mine 11 years ago with reconstruction. I went the tight belly, lack of muscle strength afterwards, tightness like a drum around my chest wall and back, etc. etc!
It is just amazing to me that no doctor talks about taking an mri of the areas that cause chronic pain! I have definitely improved since my operation and I had a very gifted plastic surgeon do my reconstruction, but neither he nor the surgeon walked me through what lay ahead. And, neither recommended physical therapy. I know surgery is now more advanced, but after reading other members, I am going to my primary care and insisting on an mri of the areas near my hips that are so tender and painful.
Also, no one talks about the lower back pain you might develop from the weak stomach muscles....or the tight calves that have to work overtime to hold you upright. Does anyone know any doctors that are addressing this?
Thanks so much,
jcp3474


This discussion is related to Post breast reconstruction problems,exercise?.

[Teia]

I had a bilaterl mastectomy wit immediate tram flap in 2005.  It's been about 2 1/2 years now and fpr the past six months I have been experiencing chronic pain in my lower back and hip area.  I believe it has cause pain into my know as well as cutting off circulation to my leg and foot mostly at night when I'm laying down,

The tissue in one of my breast seems to be pulling away from the chest and remainder of the breast bulk.

Can anyone recomend a top sergeon in miami or fortlanderdale that may be able to reverse or take the flap to alliviate the pain and twisting in my hip?  

Has any one out there actually had a removal of a tram flap?  

[SISSY8151892]

HI TODAY I WENT OUT FOR A WHILE WITHOUT MY BINDER ON ME. WELL LET ME TELL YOU I THOUGHT OF YOU TODAY.  MY STOMACHE FELT LIKE IT WAS GOING TO HIT THE FLOOR.AND MY LOWER BACK THE PAIN WAS SO BAD I HAD TO GO HOME. I REALLY FEEL FOR YOU BECAUSE I FEEL THE SAME WAY AND I REALLY THINK THIS IS HOW IT IS GOING TO BE FOR US AS ALWAYS IF YOU FEEL LIKE CHATTING PLEASE DONT HESITATE GOD BLESS

[SISSY8151892]

hi! i just wanted to tell you i understand what you are going through. i to had the tram flap 8 yrs.ago. it has been nothing but pure hell for me.i`ve had 5 surgeory`s done. i just had my last one on april 10th 2008. my plastic surgeon is the best but i guess i really was not a candidate for this. i`ve had 3 c sections so right there tells me i wasn`t. but was never told. i get the same pain as you and now i got a new surgoen to help with my ps they found a massive infection they removed the middle section of my stomacheand pulled the rest of the mesh together. i`ve had seroma`s, my stomache gets these holes on the side which drains out fluid.i feel alot better than i did with my other surgeory`s. this new surgeon i have is great. if you would like to talk about this more please don`t hesitate to write me SISSY8151892 .GOD BLESS YOU AND TAKE CARE.

[PaulMD]

Good day.

Any form of surgery carries risks and even in the hands of the best and most experienced surgeon, side effects like these cannot be avoided.  The tram flap operation supposedly preserves the neuro-vascular bundle (the nerve and blood supply) of the flap that is to be relocated.  However, the smaller nerves that cannot be seen by the naked eye can still be severed.  This can lead to chronic pain, and the area from which the flap was recovered may experience lack of muscle power and tone.  Undergoing physical therapy is a good move since this can introduce some tone and tension to the muscles in the weakened area.  Alternative treatments can also be undertaken to address the pain such as accupuncture or accupressure.  I suggest you discuss all of these first with your doctors and I hope you are rid of this pain soon.  Regards and God bless...