• A&A practice · Sep 2020

    Case Reports

    Pecs Blocks for Chronic Pain: A Case Report of Successful Postmastectomy Pain Syndrome Management.

    • Mohammad H Bawany and Jessica Oswald.
    • From the School of Medicine and Dentistry, University of Rochester, Rochester, New York.
    • A A Pract. 2020 Sep 1; 14 (11): e01299.

    AbstractMastectomies can be complicated by difficult-to-treat postmastectomy pain syndrome (PMPS) and axillary web syndrome (AWS). We present a case of PMPS and AWS successfully treated with Pecs I and II blocks and trigger point injections. At follow-up after 4 months, our patient reported 70% improvement in pain, movement, function, and discontinuation of opioids. This case presents the utility of a multimodal approach for a patient with pain after mastectomy. This case report is the first-time demonstration of Pecs blocks to treat chronic PMPS.

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