Another shared, “I got something like Bactine, with lidocaine in it. My lumpectomy healed faster than the wound from the node removal. The photos below show the breasts of some typical patients who underwent lumpectomy and radiation therapy for treatment at the Comprehensive Breast Program for their breast cancer. There was no lymph node involvement. Caffeine: High levels of caffeine may be linked to breast pain, although more research is needed. trixie1313 | @trixie1313 | Jan 3, 2021. Risk factors for recurrence included higher tumor grade, being younger than 50 years old, having cancer in lymph nodes in the armpit region, and having a hormone receptor–negative breast cancer. Check Cups Support you Correctly. Sensations or Pain After Breast Cancer Surgery. New; Breast cancer forum requires membership for participation - click to join. Usually, some surrounding healthy tissue and lymph nodes also are removed. I had a right breast lumpectomy with radiation treatments almost 20 years ago. ago. Together we will beat cancer. It may: Make the breast smaller or larger. Review: Reconstructive Surgery for Early-Stage Breast Cancer. During this time, it’s very common for people with breast cancer to report concerns with swelling, pain, and asymmetry, which complicate bra shopping. Am using ice packs for pain. A lumpectomy is known as “breast-conserving” surgery. When fat necrosis is symptomatic, 97% of cases manifest as a palpable lump, with a minority of cases associated with pain, tenderness, or skin. Clip displacement from the. Sensations like these are normal. 05), and those who received bilateral mastectomy had worse pain (p < 0. 6. Without it, post-op swelling can linger much longer than. My lumpectomy healed faster than the wound from the node removal. i recovered well but last week it so started to have significant stabbing pains in same breast as operation and now I am worried !Routine follow-up of women after breast conservation therapy (BCT) includes physical examination and regular mammography . I sometimes. is normal for the first 4 to 6 weeks after breast cancer surgery. For the last few days the pain in my breast is awful, but is also radiating down my right side through my ribs, they feel really bruised. having shooting pain in l arm w/numb hand & shoulder pain. Just wondering if this is normal and if anyone else has notice the swollen and tenderness still especially since its been a year. Over the counter medication can help with the pain or your doctor can prescribe a stronger pain killer. Post-mastectomy pain syndrome (PMPS) is a type of chronic pain that occurs after breast cancer surgeries such as mastectomy, lumpectomy and axillary lymph node dissection, which involves removing lymph nodes in the underarm region. I was told to massage the hard area and it is eventually softening. seroma (excessive fluid collection in the lumpectomy cavity), wound healing issues and change in breast size and shape. The breast lump was removed. How long does the pain of the lymph node incision site take to improve/resolve? Pain is making me depressed. Breast pain with no lump. Hi all. I am experiencing a lot of upper arm pain and armpit pain. In 2017, acellular dermal matrix was used in 56% of breast reconstructive procedures, with complication rates similar to operations without AlloDerm. Kanchwala says usually takes about a year and will vary from patient to patient. Lumpectomies are an option for some, but not all, cases of breast cancer, depending on many factors. Pain in breast years After lumpectomy. The pain can feel like a tingling, burning, or shooting sensation. preoperative pain in the area where breast cancer surgery would take place. Knobf T. Summary. Patient age: 37. It's a common phenomenon in at least 25 percent of women. PMPS is often described as a typical neuropathic pain consisting of burning pain, shooting pain, pain evoked by pressure and deep. We are given exercises, remember the. The lumpectomy only took a day or so to heal and no pain but under my left arm pit is really painful. Your surgeon may prescribe you prescription painkillers like Vicodin, or have you take over-the-counter pain medication such as Tylenol to help with pain and. The lump and some of the normal breast tissue around it is. It likely will become tighter and harder, tighter, and lumpier over the next 2-6 weeks. Hello! It is common for the breast to undergo shrinkage from the radiation. I had a lumpectomy for a 4cm tumor rated 4B. Mastectomy Nursing Interventions: 1. shooting or prickling pain. Called postmastectomy reconstruction syndrome. The researchers found that certain factors were linked to continuing pain after surgery: preoperative pain problems. PMPS is often described as a typical neuropathic pain consisting of burning pain, shooting pain, pain evoked by pressure and deep blunt pain. Healthcare providers consider lumpectomy to be breast-conserving surgery because it leaves your natural breast intact, compared to a mastectomy, which is removal of the entire breast. 5C or below 36C red or swollen breast your breast feels warm a painful breast fluid seeping from the wound (discharge). It feels like a burning, sharp, sore, inflamed swollen mess. Discussion. Mine is, especially around the areola which is where the tumor was removed from. m. The incidence varies in different studies, ranging from approximately 30% to as high as 80% of patients after mastectomy. This procedure is also called lymph node dissection. , during the weekend, or on a holiday, call 212-639-2000. Due to invasive surgery, tissue and nerve damage, along with slow roast of rads the discomfort continues. You may also hear this procedure called by a few other names, such as: Breast-conserving surgery (BCS) When paired with the right surveillance after treatment, a lumpectomy may also be an option for breast cancer patients who carry genetic mutations like BRCA1 and BRCA2 that put them at a greater risk for cancer. Introduction: Breast surgery is one of the most commonly performed surgical procedures. In a mastectomy, one or both breasts are fully removed. The breast area involved in the surgery may have a spot that's. Side effects: Common side effects after a lumpectomy may include: Pain, tenderness, or swelling of the breast. i recovered well but last week it so started to have significant stabbing pains in same breast as operation and now I am worried !Hi had anyone suffered any new pain several months after lumpectomy? i recovered well but last week it so started to have significant stabbing pains in same breast. “The pain isn’t constant,” a third member shared in regard to post-lumpectomy pain. A number of treatment options are available for treating rib pain that continues after breast cancer surgery. chest pressure uncomfortable squeezing or fullness in the center of the chest that lasts for more than a couple of moments, or that goes away but then comes back trouble. and 4 p. Chemotherapy/Radiation and Tamoxifen for 5 yrs. The same study also showed that removal of just one breast carried a somewhat higher risk of overall mortality than lumpectomy—a finding that. We herein present a very rare case of traumatic breast neuroma in a postmenopausal patient with a history of breast-conserving surgery, who presented with a four-month history of intractable neuropathic breast pain. Tenderness should go away in about 2 or 3. [Epub ahead of print] Five to seven years after breast cancer treatment, over a third of women (37%) report persistent pain. It seriously affects quality of life. Drains are usually required following a mastectomy or reconstructive breast surgery. Lymphedema therapy. If you have any symptoms, tell your health. I don't think the burning is normal. I am unable to take pain medications due to side effects from pain meds. For most people, this pain is temporary and goes away after you heal from the surgery. Breast pain may be described as: sharp, stabbing or shooting pain. Objective To describe surgeons’ approach to surgical margins for invasive breast cancer, and changes in postlumpectomy surgery rates, and final surgical treatment following a 2014 consensus statement endorsing a margin of. Often, breast pain is caused due to hormonal changes but may also arise due to an infection, noncancerous blockages or tissue growths, and injuries to the chest or breast. Yes, random pain in both sites. If your surgeon had to move around some of the tissue under the surface of your skin, the area may feel tender. When paired with the right surveillance after treatment, a lumpectomy may also be an option for breast cancer patients who carry genetic mutations like BRCA1 and BRCA2. My left breast (not site of lumpectomy) but lower turned red, I was swollen and the area was HOT. A review of available studies reported rates of lymphedema after the combined approach that ranged from 0 to 4% and rates of lymphedema after sentinel-node biopsy alone that ranged from 0 to 63%. A Range of Symptoms. Numbness that isn’t limited to the breast has many possible causes, including: abnormal levels of minerals such as calcium, potassium, or sodium. If you have neuropathic pain, you may feel a shooting or burning. Telling someone on your care team if you’re in pain. No bc in muscle and clear margins. Continued numbness, tingling, or shooting pain in your armpit, upper arm, shoulder, or chest wall. This means you’re asleep during the surgery. Additional deep breast pain occurred between the first and second physical therapist visits, after the performance of an exercise that, probably, vigorously stretched the operated. Onc was very concerned, we did biopsy came back neg but due to symptoms there was fear of inflammatory BC. Lumpectomy recovery time is about a month. I keep feeling pain from the scar under my arm pit, every time I touched it it feels very tender and swollen (the arm pit scar). 1 to 13% in breast cancer after. When I had my lumpectomy on Nov. 30 views 0 replies Started 34 minutes ago by Jax007. It is often used when the lump is small and remains confined to the breast. Some women say they have trouble taking a deep breath, comparing the sensation to wearing an “iron bra,” Dr. A chronic neuropathic pain that affects the axilla, medial arm, breast, and chest wall following breast cancer surgery Pain is not caused by an infection According to Caviggioli, Maione, Klinger et al. Introduction. I’m going to share my patient experience with you so that you can better understand this procedure. April 2011 #12. Brachial. Do not lift anything heavy. Use an ice pack, or put crushed ice in a plastic bag. I am 49. After left breast lumpectomy due to invasive ductal carcinoma, a 65-year-old female patient underwent intraoperative radiation therapy and whole breast radiation. (the incision was made along the nipple). Skin inflammation or area of redness. I was unaware of any problems. I have read estimates that up to 60% of women with breast cancer experience some degree of shoulder discomfort. Visit the peripheral nerve surgery page or contact our clinic at 734-998-6022 to learn more about. I still have shooting pains in breast and under arm. Pain in breast years After lumpectomy. In women 70 years of age or older who have early breast cancer, it is unclear whether lumpectomy plus tamoxifen is as. 3% in 2011. Fig. There are no major systemic symptoms or laboratory findings; mild symptoms, if present, most. itchiness. You will be given general anesthesia (you will be asleep, but pain free) or local anesthesia (you are lightly sedated and pain free). Breast pain when there’s no visible or physical lump may still cause concerns about breast cancer. Here are some solutions to help you find the. Laura Esserman, the director of the Carol Franc Buck Breast Care Center in San Francisco, said she was shocked to learn of the prevalence of the problem when one of the speakers at a 2011 symposium she led on the management of breast cancer symptoms said that 20 to 40 percent of women complained of persistent pain after breast surgery. The outside part of the chest wall. Treatment for breast pain after surgery depends on the type and severity of pain you're experiencing. It is important to recognize the signs and symptoms of potentially life-threatening conditions, such as a pulmonary embolism (sudden blockage in your. The old term, Post-Mastectomy (after breast. Brachial. The pain comes and goes. Had lumpectomy about exactly same time. Almost a year ago I had a lumpectomy in my right breast followed by radiotherapy and I now take tamoxifen. Rest, fluids, and proper nutrition can help speed up healing. , 1989, de Vries et al. I had chemo and radiation. British Journal of Cancer (2008) 99, 604 – 610. 3 months later my breast still gets shooting pains & the nipple is hyper sensitive so I wear a comfort bra to keep my clothes from brushing up against it. The mean age of patients with breast cancer who underwent breast reconstruction after partial or total mastectomy was 45. I was 58 then. It is important that the cups properly support your boobs, if there is gaping in the cup, then try going down a size to get a better fit. but chose to stop taking med. Learn more at Mount Elizabeth Hospitals. No bc in muscle and clear margins. I guess I should start with a little history. There were 43 patients (11. Offline Lindylum over 5 years ago. Next week I start 5 days of radiation seeds and I'll have 5 tubes inserted because I have breast implants which makes it more complicated. , exact pathogenesis of PMPS remain unclear; Affects 25%-60% of patients Prevalence is higher after lumpectomy than after mastectomyA lumpectomy (also called a partial mastectomy) is a breast cancer surgery that removes a tumor plus a normal margin of surrounding healthy breast tissue. 1 Post-mastectomy pain syndrome (PMPS) is a neuropathic condition defined as pain located in the anterior surface of the chest axilla, shoulder or upper half. For 1 or 2 days after the surgery, you will probably feel tired and have some pain. Many patients with breast cancer are candidates for breast conservation therapy. My pet scans are clear in my breast. December 2016 edited December 2016. Hi all. Previous studies have suggested that lumpectomy is an option after local recurrence if irradiation was not used in the initial therapy. Our experience indicates that post-mastectomy. A lumpectomy is surgery to remove a breast cancer tumor or lump of breast tissue. This can include not only pain, but non-painful sensations such as itching, heaviness, and more. Symptoms of PMPS. The goal of this. 2r3b | @2r3b | Nov 7, 2022. The skin around the cut (incision) may feel firm, swollen, and tender, and be bruised. This procedure is also called lymph node dissection. Breast conservation surgery removes the breast tumor and a margin of surrounding normal tissues. Longer than 10 minutes can cause nerve and skin damage. As of 2018, 1 in 8 women in the U. Lumpectomy is a surgical procedure to remove a tumor (benign or malignant). Yesterday I had my first mammogram around a year after surgery. A 2019 study notes that once the surgeons have removed the breast, the muscles in the front of the chest can tighten. The stinging and shooting pains from my lumpectomy went on for months. Most of the time this occurs because of injury to a nerve. Women with PMRS may experience weakness, tightness, or pain in the shoulder; muscle loss in the chest wall; or muscle spasms and pain. Katrina, this could be from radiation after effects where the radiation can cause a "ridge" in the breast tissue. This swelling is called a seroma. It eventually will soften and melt away. Hi all. tightness. I don't think the burning is. Self-Advocacy. Most women can return to normal activities within a few weeks of surgery. Some women have reported. It can also happen after radiotherapy. Researchers have reported that physical function and the ability to deal with daily tasks greatly. The procedure preserves the rest of the breast as well as sensation in the breast. Sensitivity and Nerve Pain. Nerve damage. I'm sure its scar tissue since its so close to the scar, right under it. The mainstay of treatment involves exercises and massage techniques to stretch and soften the cord. If this happens, talk to your treatment team. Many women describe it as feeling like the vibration of a muted cell phone. Medically Reviewed by Brunilda Nazario, MD on October 24, 2023. with lumpectomy and then re-excision). After the lumpectomy I had a spot near the incision site that was numb, which I understand can be normal. I have had the stabbing pains since my stitches were taken out. Lumpectomy in combination with axillary lymph node removal;. However, you may lose some hair in the underarm area or on the breast or chest area getting radiation (this may be a concern for some men with breast cancer). It also helps to hear that the massaging and manipulation of the tissue will help long term. In fact, this pain may persist for several years 5,20 and has detrimental effects. Quality of Life After Breast Cancer Treatment . Some common causes of sharp pain in breast. As I described my pain, the doctor listened carefully. While radiation therapy itself isn’t painful, there are side effects that can feel uncomfortable. Over the years my breast implants had encapsulated to the point where it was painful just to hug people. Radiation therapy, also called radiotherapy, is a very effective treatment for lowering the risk of recurrence in early-stage breast cancer and for managing pain or complications of metastatic breast cancer. It will subside but people do say that it's not unusual to experience some aches and stabbing pains for up. I was on Tamoxifen for 5 years. A lot of work was done in there -. Dr. Arm pain after breast surgery can be due to lymphedema. Some people experience burning. Lumpectomy is a surgical procedure that involves removing a suspected malignant (cancerous) tumor or other abnormal tissue and a small portion of the surrounding breast tissue. . The trial included 2,262 women with early-stage breast cancer who had a lumpectomy and an elevated risk of recurrence in the same breast. Now having pain and my nipple is sinking in. lilianahomes over 2 years ago. I had a lumpectomy and lymph node biopsy 13 days ago as they had found cancer in my breast. The management of breast cancer is in constant evolution. This is called peripheral neuropathy or chemotherapy-induced peripheral neuropathy (CIPN), and it can cause weakness, numbness, pins and needles and, occasionally, burning or shooting pain. If this happens, talk to your treatment team. Pain after lumpectomy on breast. I hopped in, screamed when the water hit my breast and I was right back out. The pain can last for some time. However, long term shooting pain may be due to Post Mastectomy Pain Syndrome. The two types of breast cancer most likely to recur are inflammatory breast cancer (IBC) and triple-negative breast cancer (TNBC). Introduction. Damage to the ICBN can also happen during other surgeries and radiation therapy in the axillary area. Chest tightness after a mastectomy is normal. The pain is cording and also a stabbing pain in my armpit. Six factors in particular emerged as the most significant indicators, with risk for invasive breast cancer after DCIS diagnosis ranging from 36% to 84%. Your tendency after surgery is to slump. This is because while radiation destroys cancer cells, it also. Charlotteanne over 2 years ago. A lumpectomy also includes removing a small amount of healthy breast tissue around a cancerous tumor. This means that about 66% of the women had mild to severe pain 1 year after breast cancer surgery. PAIN AFTER LUMPECTOMY. You may have only one drain, or you may have five or more if you have a bilateral mastectomy with immediate reconstruction. I have moderate to severe pain in my lumpectomy site, my SBX site and in my arm pit. Eric. Hope this helps - please, please don't go away and worry about a recurrence as I'm sure you are still having. After a breast biopsy, a person should receive emergency medical care if they experience any concerning symptoms, such as shortness of breath, chest pain, or signs of a blood clot in the leg. They have increased with the radiation treatments. I had a lumpectomy in 2008 for stage 1 breast cancer in my left breast. I had my chemo before surgery and have just finished rads. Menstrual cycle. Breast-conserving surgery (BCS) removes the cancer while leaving as much normal breast as possible. Although it was present in only 37% (82/221) of MRI studies performed in the first 12 months after treatment, lumpectomy site enhancement was still seen in 15% of cases 5 or more years after treatment. About cancerFor enquiries, please call. It also affects the normal cells of the breast as well. It is considered "breast-conserving" surgery because only the malignant tumor and a surrounding margin of normal breast tissue are removed. weakness, difficulty using your arm. Purpose: The aim of our study was to establish the prevalence of breast pain persisting 5 years after the initial treatment of breast cancer (BC) and the relationship between those persistent symptoms and general well-being. Sunday, March 12, 2023. the shooting pain in my breast finally went away 2 weeks ago and now after just one treatment of radiation I can feel the pain coming bacj and a tearing feeling under my arm. Appointments: You can expect to have a follow-up appointment with your breast cancer surgeon or oncologist (specialist who diagnoses and treats cancer) one to two weeks after your surgery. Public Archive. But it is agony when I lie down, sometimes I wear a bra at night to support my breast. Phantom breast syndrome refers to sensations women may "feel" in their breast after a mastectomy or other breast surgery for breast cancer. It is considered "breast-conserving" surgery because only the malignant tumor and a surrounding margin of normal breast tissue are removed. Your doctor may also refer to it as a wide local excision, segmental resection, or partial mastectomy. It can take six months to two years for all of the healing changes to completely resolve. It may also be felt in the upper arm or armpit. This article will focus on ICBN damage after axillary lymph node surgery. Back pain can be a sign that the cancer has spread to the bones. 01) and fatigue (p = 0. I was getting worried but have been reading many women do feel the pain and stabbing sensations a long time after surgery. pain in the surgical scar. My lumpectomy was a year ago April. Specializing in reconstructive surgery and pain relief in the Greater Baltimore area. The reported prevalence of post-mastectomy pain syndrome (PMPS) ranges from less than 10% to more than 50% of patients after mastectomy. It should ease and become less frequent. m. trouble using hands to pick up objects or fasten clothing. These can include: sharp, shooting or burning pain. You will have some pain after breast surgery (lumpectomy, mastectomy or breast reconstruction). with lumpectomy and then re-excision). Laura Esserman, the director of the Carol Franc Buck Breast Care Center in San Francisco, said she was shocked to learn of the prevalence of the problem when one of the speakers at a 2011 symposium she led on the management of breast cancer symptoms said that 20 to 40 percent of women complained of persistent pain after. Although neuropathic pain is the most common type of pain reported after breast cancer surgery, some women also experience phantom breast pain. Believe it was a fairly large lumpectomy because it was coded partial mastectomy -- definitely within 3 weeks I had no pain, but the scar line/node area still causes discomfort from time to time and that's been 3 months. It's a common phenomenon in at least 25 percent of women. It is also called breast-conserving surgery or partial mastectomy since it leaves most of the breast tissue untouched. This is called a breast seroma. 9D. Interesting, I was just searching for the possible reasons for sharp shooting pain at the site of my right mastectomy. Another type of swelling called lymphedema is more common, and is a result of either lymph node removal surgery (which has nothing to do with radiation), or radiation that has damaged nearby lymph nodes. For the last few days the pain in my breast is awful, but is also radiating down my right side through my ribs, they feel really bruised. With a lumpectomy, it’s not so much the outer scars which feel like an issue right now as the stitches inside my body. Lumpectomy recovery goes smoothly for most people. 8%) with hypertension and 39 patients (10. S. Shooting pains and itching are also normal. What does ongoing pain feel like? The pain may be in your scar, breast, armpit, arm or shoulder. Others will have a milder form of edema with the affected arm. Pain from surgery (breast, lymph node or reconstruction), radiation, rotator cuff tendonitis, nerve damage, cording, or other side effects of breast cancer treatment including lymphedema can lead to shoulder underuse, either consciously or subconsciously. I went through chemo from January through April and finished radiation in mid June. Finally got my smx i wanted from the get go. I have difficulty squeezing a lemon, grating food, or the hand over hand action. Just over. Over an average follow-up of five years, the study revealed that the rate of breast cancer recurrence in the same breast was 2. shooting, stabbing, pulling, tightness, heaviness sensation or aching pain in. I hope the lumps go away, I hate. The researchers found that certain factors were linked to continuing pain after surgery: preoperative pain problems. New breast pain 20 years post lumpectomy. Patient age: 45. Late toxicity was defined as adverse reactions occurring after three months. Radiation therapy usually follows lumpectomy to eliminate any microscopic cancer cells in the remaining breast tissue. normal? 1 doctor answer • 3 doctors weighed inAlmost a year ago I had a lumpectomy in my right breast followed by radiotherapy and I now take tamoxifen. I had a right breast lumpectomy with radiation treatments almost 20 years ago. They were…. This pain comes less often than it used to, but it still pops up. , 1995, Tasmuth et al. If I do my exercis… Hi, I wondered if anyone has any advice for me. This will usually go away in 2-3 weeks. Chronic post-mastectomy pain (cPMP) is defined as “chronic pain in the anterior aspect of the thorax, axilla, and/or upper half of the arm beginning after mastectomy or quadrantectomy and persisting for more than three months after the surgery” [1-2]. [] The treatment of this condition depends on its staging, and surgical resection constituting an important step in an attempt to cure the disease. my wife is still in excessive pain 3. Tightness in the surgical site can make moving difficult and painful. 6. Swelling can also affect the breast, chest, shoulder or the area on the back behind the armpit. Breast pain years after lumpectomy, nipple inverting. The tube was pulled early due to a nurses incompetence as I was admitted. 1. Rest as directed. A lot of the tightness and pain is the result of scar tissue. Apparently this is quite normal and can go on for 5 years. by Eric H. For example, wound infection is a possible complication after any surgery. I'm sure it's just healing but I take norco for back pain and it worries me that. Apparently this is quite normal and can go on for 5 years. Believe it was a fairly large lumpectomy because it was coded partial mastectomy -- definitely within 3 weeks I had no pain, but the scar line/node area still causes discomfort from time to time and that's been 3 months. This year in the U. i recovered well but last week it so started to have significant stabbing pains in same breast as operation and now I am worried !Answer: Breast shrinkage 10 years after radiation for breast cancer. Remember: you may not see this until 18-24 months after your operation. Symptoms can include a tingling sensation, pain, and weakness in the shoulder, arm, and hand. Tiredness and fatigue. Treatment options might include: Medications, including over-the-counter or prescription pain medications, such as painkillers, drugs used to treat depression and drugs used to prevent seizures A lumpectomy is a surgical procedure that’s performed when you have cancer and need to have some of the cancerous tissue and nearby areas removed. , 1999. I have been standing in the shower for about 10-15 minutes each morning and just letting the warmer than warm but not hot, water just pour over my breast, shoulder and area. Hello, After a few very anxious weeks I have been diagnosed with a 6-8cm Radial Scar in my right breast. I had breast implants 17 years ago. Wounds can weep a little and the dressing may need to be changed. My whole breast aches and the pain goes through to my back. I also had 2 Sentinel Lymph Nodes removed, in 2008, and that was clear. It was horrible. At first I had pain along my arm but now it has moved to my breast. Of course, I will not be needing those now since I have had a double mastectomy. They only warn about the burns and the redness and then use words such as discomfort when the reality is that the tissues are damaged and the pain will persist for some time. 1 to 13% in breast cancer after. You will not usually need a drainage tube if you are. You won’t lose the hair on your head. 9 causes of breast pain. I have been really well throughout and feel fortunate that I’ve healed well and my treatment has been straight forward. 1 – 4 This chronic pain is believed to be related to injury of the sensory nerves to the breast, chest, and upper arm/axilla. Regaining sensation in your breasts, which Dr. lumpectomy was done July 6, reexicion for margians on July 27th and was reopened on August 17th due to an infection. certain medications such as birth control or antidepressants. Wide under breast panel to provide softness, comfort and support – good design for a surgical bra. Burning or shooting pain;.