Horrible stabbing, burning pain in pubic area below incision, 5 weeks after tummy tuck.

Question

5 weeks post tummy tuck, and having excruciating stabbing, burning pain in my pubic area, on the right side below my incision. The incision looks fine, swelling isn't any worse than it has been, and to look at it, nothing is out of the ordinary. But this pain will come out of nowhere and literally take my breath away. Nurse at my doc's office says it's normal nerve regeneration and function, but OMG it hurts so bad!! Has anyone else had this, and is there anything that makes it better?

Sheila S. Nazarian, MD · Answer

Although it's common to still be sore at 5 weeks, what you are describing isn't normal. Make an appointment to see your surgeon as soon as possible to get this assessed in person. I am so sorry that this is happening to you. My best,
Dr. Sheila Nazarian
@drsheilanazarian on Instagram

Steven J. Rottman, MD, FACS · Answer

Thank you for your question. It is quite unusual to have such sever burning pain five weeks following surgery. It sounds like nerve related pain. I would suggest an in-person follow up examination with your plastic surgeon. Hope this helps.

Vincent N. Zubowicz, MD · Answer

This is an area of tension in many patients after fascial repair. It really shouldn't be severe as far out as you report it to be. I would ask my surgeon to take a look at it.

Luis Emilio Perez Rosario, MD · Answer

hionly  the patient feels the pain,but there may be several reasons irritation , trauma as coughing etc Talk to your doctor to perform The Evaluation and determin why_     that it can happenirritation , trauma as coughing

David Janssen, MD, FACS · Answer

There are three possibilities that come to mind. The first is a nerve that could be captured within a stitch. I would expect that to be a constant pain though, not intermittent.  That would also be significantly worse with motion.The second possibility is ongoing pain from where your muscle tissue was repaired down the midline can have residual pain like this, but I would've expected that since the surgery and this problem sounds new. The third possibility is a small area of dead or necrotic fat which does resultin exquisite tenderness and usually resolves with time.  Your doctor is the best person to answer this question and I believe you need a physical examination and not just a discussion with the nurse .

Horrible stabbing, burning pain in pubic area below incision, 5 weeks after tummy tuck.

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