New Breast Pain 5 Years After Mastectomy
Experiencing new breast pain five years after a mastectomy? Understand potential causes like Post-Mastectomy Pain Syndrome (PMPS), scar tissue, or other factors. Learn when to consult your doctor for proper diagnosis and management.
Written by Dr. Dhankecha Mayank Dineshbhai
Reviewed by Dr. D Bhanu Prakash MBBS, AFIH, Advanced certificate in critical care medicine, Fellowship in critical care medicine
Last updated on 9th Oct, 2025
Introduction
If you’ve had a mastectomy (surgical removal of one or both breasts) and are experiencing new breast pain years later, it’s natural to feel concerned. While some discomfort is common after surgery, persistent or new pain after several years may need medical attention. This article will help you understand possible causes, when to seek help, and how to manage the pain effectively.
Why Am I Experiencing New Breast Pain After Mastectomy?
Pain years after a mastectomy can arise due to various reasons, including:
1. Nerve Damage or Phantom Pain
After breast removal, some nerves may remain sensitive or damaged, leading to phantom breast pain—a sensation of pain in a breast that is no longer there.
This can happen months or even years later due to nerve regeneration or scar tissue changes.
2. Scar Tissue Formation (Fibrosis)
Over time, scar tissue from surgery can harden or tighten, causing discomfort or pain.
This is called fibrosis and may worsen with movement or pressure.
3. Recurrence or New Growth
Though rare, new pain could indicate local recurrence (cancer returning near the surgical site) or a new tumor.
Always consult your doctor if you notice persistent pain, lumps, or skin changes.
4. Muscle or Joint Strain
Changes in posture or muscle use after mastectomy can lead to shoulder, neck, or chest muscle strain.
Physical therapy and gentle exercises can help.
5. Hormonal Changes
If you’ve had hormone therapy (like tamoxifen), it may cause bone or joint pain, which can sometimes feel like breast pain.
6. Lymphedema (Swelling Due to Lymph Node Removal)
If lymph nodes were removed, fluid buildup (lymphedema) can cause heaviness, tightness, or pain in the chest or arm.
When Should You See a Doctor?
While some pain may be harmless, certain signs need immediate medical attention:
New lump or thickening near the mastectomy site.
Persistent pain that doesn’t improve with rest or pain relievers.
Skin changes (redness, dimpling, or ulceration).
Swelling or warmth in the chest or arm.
If you notice any of these, consult your oncologist or surgeon for further evaluation.
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How Can You Manage the Pain?
The ways to manage pain are:
1. Pain Relief Medications
Over the counter pain relievers (like acetaminophen or ibuprofen) may help.
For nerverelated pain, your doctor may prescribe gabapentin or amitriptyline.
2. Physical Therapy & Stretching
Gentle exercises can improve flexibility and reduce muscle tension.
A physiotherapist can guide you on safe movements postmastectomy.
3. Scar Massage & Moisturizing
Massaging the scar area with lotion or silicone gel can soften tight tissue.
Avoid deep pressure if it causes pain.
4. Wear a Supportive Bra or Prosthesis
A wellfitted bra or breast prosthesis can reduce strain on chest muscles.
5. Stress Management & Relaxation
Chronic pain can worsen with stress. Techniques like deep breathing, yoga, or meditation may help.
6. Lymphedema Care
If swelling is present, compression garments or manual lymphatic drainage (a special massage technique) can help.
When to Consider Further Tests?
If your pain is unexplained or worsening, your doctor may recommend:
Ultrasound or Mammogram (if breast tissue remains).
MRI or PET Scan (to check for recurrence).
Biopsy (if a new lump is found).
Final Thoughts
New breast pain years after a mastectomy can be unsettling, but it’s not always a sign of something serious. However, it’s important to listen to your body and seek medical advice if the pain persists or is accompanied by other symptoms. Early evaluation ensures peace of mind and timely treatment if needed.
If you're experiencing discomfort, consult a specialist on Apollo 24|7 for personalized care. You can book an appointment easily online and get expert guidance tailored to your needs.
Consult Top Surgeon
Consult Top Specialists for Personalised Tips
Dr Sunita Samleti
Oncologist
18 Years • M.D. (Pathology)- TN Medical College, Mumbai University, Mumbai, Mar 2005 M.B.B.S. Grant Medical College, Mumbai University, Mumbai, Oct 1999
Chinagadila
Apollo Hospitals Health City Unit, Chinagadila
Dr. Amit Choraria
Surgical Oncologist
18 Years • MBBS, MS (Surgery) Fellow, Surgical Oncology, Tata Medical Center (FSO) Fellow, European Board of Surgery (Surgical Oncology) (FEBS) Fellow, Minimal Access Surgery (FMAS) Fellow, Indian Association of Gastrointestinal Endosurgeons (FIAGES) UICC Fellow, Royal Marsden NHS, London, UK Visiting Scholar, Plastic Reconstructive Surgery, CGMH, Taiwan Fellow, Robotic Surgical Oncology, Vattikuti Foundation, USA
Kolkata
Apollo Multispeciality Hospitals , Kolkata, Kolkata
(50+ Patients)
Dr. Sanchayan Mandal
Medical Oncologist
17 Years • MBBS, DrNB( MEDICAL ONCOLOGY), DNB (RADIOTHERAPY),ECMO. PDCR. ASCO
Kolkata
MCR SUPER SPECIALITY POLY CLINIC & PATHOLOGY, Kolkata
Dr.sanchayan Mandal
Medical Oncologist
17 Years • MBBS, DrNB( MEDICAL ONCOLOGY), DNB (RADIOTHERAPY),ECMO. PDCR. ASCO
Kolkata
Dr. Sanchayan Mandal Oncology Clinic, Kolkata
Dr. Rupam Manna
Radiation Specialist Oncologist
4 Years • MBBS MD(RADIO THERAPY)
Barasat
Diab-Eat-Ease, Barasat
Consult Top Surgeon
Dr Sunita Samleti
Oncologist
18 Years • M.D. (Pathology)- TN Medical College, Mumbai University, Mumbai, Mar 2005 M.B.B.S. Grant Medical College, Mumbai University, Mumbai, Oct 1999
Chinagadila
Apollo Hospitals Health City Unit, Chinagadila
Dr. Amit Choraria
Surgical Oncologist
18 Years • MBBS, MS (Surgery) Fellow, Surgical Oncology, Tata Medical Center (FSO) Fellow, European Board of Surgery (Surgical Oncology) (FEBS) Fellow, Minimal Access Surgery (FMAS) Fellow, Indian Association of Gastrointestinal Endosurgeons (FIAGES) UICC Fellow, Royal Marsden NHS, London, UK Visiting Scholar, Plastic Reconstructive Surgery, CGMH, Taiwan Fellow, Robotic Surgical Oncology, Vattikuti Foundation, USA
Kolkata
Apollo Multispeciality Hospitals , Kolkata, Kolkata
(50+ Patients)
Dr. Sanchayan Mandal
Medical Oncologist
17 Years • MBBS, DrNB( MEDICAL ONCOLOGY), DNB (RADIOTHERAPY),ECMO. PDCR. ASCO
Kolkata
MCR SUPER SPECIALITY POLY CLINIC & PATHOLOGY, Kolkata
Dr.sanchayan Mandal
Medical Oncologist
17 Years • MBBS, DrNB( MEDICAL ONCOLOGY), DNB (RADIOTHERAPY),ECMO. PDCR. ASCO
Kolkata
Dr. Sanchayan Mandal Oncology Clinic, Kolkata
Dr. Rupam Manna
Radiation Specialist Oncologist
4 Years • MBBS MD(RADIO THERAPY)
Barasat
Diab-Eat-Ease, Barasat
