Pain on one side almost a year after tummy tuck. What tests can I ask for?

Thank you for sharing your concerns about the ongoing pain nearly a year after your tummy tuck. It’s not uncommon to have some residual numbness and sensitivity after abdominoplasty, but significant, localized pain is worth further evaluation, especially if it worsens with activity or pressure from clothing.

There are several tests you might consider discussing with a specialist to get a clearer view of what might be causing the pain:

Ultrasound or MRI: These imaging tests can help identify any lingering issues like a small fluid collection, scar tissue formation, or suture reactions. An MRI, in particular, provides a detailed view of soft tissue and could reveal any underlying inflammation.

Nerve Block Test: A nerve block can help determine if a specific nerve is causing the pain. If this provides temporary relief, it may point to a nerve-related issue (like a trapped or irritated nerve) as the source of your discomfort.

Exploratory Exam: In some cases, surgeons perform a minimally invasive exploratory procedure to inspect internal stitches and assess any tissue abnormalities around the painful area.

Persistent pain is not typically expected at this stage of recovery, so these evaluations could help uncover potential causes and inform a treatment plan.

If your current surgeon is not responsive to your concerns, seeking a second opinion from a board-certified plastic surgeon or pain specialist may be helpful. A fresh perspective could provide new insights into managing or resolving your symptoms.

Sincerely,
Dr. Katzen

Persistent pain and numbness almost a year after a tummy tuck can be concerning. These symptoms may be due to various factors, including issues with internal stitches, nerve damage, or scar tissue. Given your situation, it might be helpful to seek a second opinion from another surgeon or a specialist in post-surgical pain management. Here are some tests and evaluations you might consider discussing with a healthcare professional:
Ultrasound: This imaging test can help visualize the internal structures of your abdomen and check for any issues with the internal stitches, such as inflammation or incomplete healing.
MRI or CT Scan: These imaging techniques can provide a more detailed view of the abdominal tissues and may help identify any abnormalities, such as nerve entrapment or hernias.
Nerve Conduction Study: This test evaluates the function of your nerves and can help determine if there is any nerve damage or entrapment contributing to your pain and numbness.
Pain Specialist Consultation: A specialist in pain management can assess your symptoms and may recommend treatments such as nerve blocks, physical therapy, or other interventions to alleviate pain.
Physical Examination: A thorough examination by a different surgeon or a specialist in abdominal surgery can provide a fresh perspective on your symptoms and potential causes.

Numbness, pain, paresthesia are all common after abdominoplasty surgery because of the injury to sensory nerves that run through the area. If you are having persistent pain, you may find working with a pain care specialist is in your best interest as they would be able to diagnose this and target the most appropriate, focused treatment for it.

Dear Good855753,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Different stitches can be used when tightening the abdominal muscles. If this is believed to be the cause, stitches could be removed. You could start by obtaining imaging of the area to see if there are any abnormal findings. If this is nerve related, injection of lidocaine could be used to diagnose nerve related injury. Depending on the findings, surgical exploration may be indicated to remove any scar tissue of the stitches or nerve. A physical exam and work up should help guide the treatment. Good luck with your recovery and hopefully this will resolve.

I'm sorry to hear of the issues you are experiencing. You may want to seek a second opinion if you aren't satisfied with your surgeon. You may need studies such an ultrasound or MRI to determine what may be causing your discomfort.

I highly suggest to do a consultation first or a second opinion in other hospital so this can be checked and treated immediately