Forearm pain and compression garment (Photo)

Question

Hi, my surgery was 7 weeks ago. My right forearm hurts, I can stretch my arm completely but it hurts when I do.. like it is pulling from the wrist to the elbow (inner part). Also, I bought a compression garment and it feels comfortable on the upper and lower side of arm but in the middle seems to press and it makes this pain worse. Do you think maybe it is too tight? or should I just wear it until I get used to it? Thanks.

Samuel Shatkin, Jr., MD · Answer

Typically by 2 months the discomfort should be resolving.  If you still have pain it may be due to uneven compression with pressure points where it is bothering you.I would suggest showing your plastic surgeon or his staff the garment you are wearing and see if they feel the fit is good.  By 2 months, I normally will have my patients switch to a spandex type garment or even an UnderArmour shirt with firm support, as a stepdown forom the surgical garment.

J. Timothy Katzen, MD, FACS · Answer

Hello CARMS1 in Sterling, Virginia,
Thank you for your question about experiencing forearm pain and concerns regarding the compression garment following an arm lift (brachioplasty). Your focus on postoperative care is key to a successful recovery.
Following Surgeon's Instructions: Adhering to your plastic surgeon’s postoperative guidelines is vital. Every surgeon may have slightly different protocols based on their experience and your specific procedure.
Compression Garments: Medical-grade compression garments play a significant role in recovery after an arm lift. They help reduce swelling, support the healing tissues, and can aid in scar flattening. It’s crucial that these garments fit correctly – they should provide even compression without being overly tight or causing discomfort.
Concerns with Non-Medical Garments: Caution is advised when using non-medical compression garments purchased online. These may not provide the appropriate level of compression and could potentially cause issues if they are too tight or poorly fitted.
Duration of Garment Use: Typically, surgeons recommend wearing compression garments for about 6 to 8 weeks post-surgery. If swelling persists beyond this period, continued use of the garment may be necessary.
Dealing with Tight Garments: If your current garment feels too tight or is causing discomfort, it's important not to wear it, as it could impair circulation or interfere with wound healing. You might need a larger size that provides comfortable compression without undue pressure.
Avoiding Ace Bandages: It's generally advisable to use medical compression garments rather than Ace bandages, which can create uneven pressure and potentially lead to indentations in the healing tissues.
Communication with Your Surgeon: Make sure to communicate with your plastic surgeon regarding the pain in your forearm and any concerns about the compression garment. They can provide specific advice, potentially recommend a different garment, and ensure that your recovery is on track.
Your well-being and the success of your healing process depend on following these guidelines and maintaining open communication with your healthcare providers.
I hope this response addresses your concerns and guides you towards a smooth and comfortable recovery following your brachioplasty.
Good luck, and take care.
Sincerely,
Dr. Katzen

Paul W. Papillion, MD · Answer

Hello, this could be related to abnormal compression from your garment. Nerves and muscles do not like compression...and since you said its worse with compression...this may be likely. I would bring your garment into your surgeons office so that they can examine you arm and take a look at the garment and how it fits. Good Luck.

Amy Simon, MD, FACS · Answer

Although many patients are beginning to feel back to normal by 7 or 8
week postop, everyone is different.  Keep in mind that as your body is
healing, your body is forming scar tissue, which can feel like an itching,
burning, or pulling sensation.  Generally speaking, if things are healing
well by this point, it is perfectly safe to stretch and massage the area. 
I would discuss this in detail with your board-certified plastic surgeon,
including your concerns about the garments.  I hope this is helpful to you. 
Best of luck!

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