Comments for Tietzes syndrome after radical mastectomy & reconstruction?

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Jun 04, 2014
by: Erika M Vandiver

I appreciate the answer you gave me. I was fired from my job for missing too much time due to flare-ups of this. Since then I've noticed that the symptoms get worse with an increase in barometric pressure as well as over-use. I get severe migraines in addition to the nerve pain and numbness down both arms. I take amitriptyline to control the nerve pain (I'm allergic to Neurontin) and also cyclobenzeprene for muscle spasm issues. I also use hydrocodone to control the overall pain. However, even with those drugs and Imitrex for the migraines there are days when I cannot get out of bed at all.

I am taking the time to smell the roses though when I can. My 4 year old daughter (the one I was pregnant with at my breast cancer diagnosis) and her 6 year old brother are enjoying their mommy time. I homeschool them and even play around with some miniature horses to relax.

Hello Erika,
Good to hear from you again. Tough being fired on top of everything you've been through, but probablyh a blessing in disguise. One wishes all young mums could stay with their children as you are being forced to.

Research in Holland indicates that too much animal protein in the diet is the cause of them having the highest breast CA rate in the world. Move slowly over to more legumes in the diet; vegetable protein.

Making your own hummus for example from chickpeas is one great way. Type "quick hummus" into the Search at Chiropractic Help. I make it in four minutes flat.

Good luck, and thanks again for responding to the other lady's comment on your page.

Dr B

Dr B

Jun 02, 2014
Additional Comment
by: Donna B

I should have mentioned I had existing scoliosis.

Jun 02, 2014
Breast reconstruction and Tietzes
by: Donna B

Two years ago I had XX mastectomies followed with immediate breast reconstruction using the LD procedure. Prior to surgery I had 18 rounds of chemo.

Until today I've had no explanation for the spasms in my breasts, the tingling of my fingers, the diagnosis of bi-lateral carpal tunnel syndrome, limited mobility and debilitating pain. I have practically every symptom of Tietzes I read on this site.

For one and a half years I was on a quest for a diagnosis or reason. Doctors involved with my treatment act as if it's all in my head. Other doctors have shook their head in amazement and told me they have never seen a patient like me.

I've been told I could have the thorodasical nerves clipped and the problem would be alleviated. Honestly, I cannot mentally handle another procedure right now, especially one that may or may not work.

Where do I go from here?

Hello Donna,
Yours is a heart breaking story; keep in mind that the mastectomies have kept you alive. Or, in other words, despite these awful symptoms, that it was nevertheless the right thing to do.

You've written on someone else's page, and there is limited space and I've been unable to post my lengthy reply.

Could you please go the Tietzes syndrome page at C-H and copy and paste your question into a new blog.

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?

Interesting questions from visitors

CLS writes:

Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

Your own unresolved problem. Pose a question

Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.

You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.

The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.