Arm pain

I had a PM inserion (left side) just a little over a year ago for complete heart block.  After 6 weeks of limited range of motion (ROM) for the  arm (per drs. orders), I develped frozen shoulder syndrome.  I went to a massage therapist and she helped me with the majority of the pain and ROM.  I still have pain in my arm and now  I believe that this is due to the PM hitting up against nerve/nerves.  The PM is underneath the skin.  Has anyone else experienced this?  I have consulted my Cardiologist that inserted the PM and he indicated that the PM should be moved to go under the mucle.


4 Comments

Frozen shoulder

by AgentX86 - 2022-01-24 22:50:31

Frozen shoulder would explain a lot. It's an ugly thing and something we warn about here constantly.  I have a similar thing going on in my hand (not PM related).  It's no fun at all and I may need more surgery to free my fingers.

If your surgeon thinks it may be a nerve problem, perhaps a second opinion from a neurologist is in order.

Pacer Pain

by Julros - 2022-01-25 10:47:42

I had what seemed to be more than usual pain and swelling after insertion. The nurse practicioner I saw for pacer follow up pretty much blew me off. 

 I saw a physical therapist who agreed with my guess that nerves were involved. He had me doing exercises similiar to what women do after mastectomy, lots of stretches, and later strengthing around the shoulder. It took some time, but after a year I was finally pain free. 

Arm pain

by Manson - 2022-01-26 11:10:52

I went and saw the cardio/thoracic surgeon and in a nut shell, he wants me to do pain management to see how that will do and if no improvement then I go back to see him.  I am not at all happy and have a request for a 2nd opinion with another healthcare system.

Frozen shoulder

by Gotrhythm - 2022-01-27 13:28:26

Frozen shoulder is an all too frequent complication of pacemaker surgery. Too frequent because it is absolutely preventable. My cardiologist had me begin doing shoulder stretching exercises 5 days post surgery.  Because I had it years before due to an accidental injury, you can be sure I did the exercises faithfully.

But here you are, still in pain after massage therapy. So sorry. The shoulder is a complicated joint. Muscles that are far away from the shoulder are involved. Deep tissue work might still be needed on the sheath running down over the ribs under the arm, as well as the back, pectorals and neck. What I'm saying is that there may be more massage work to be done.

For another opinion I would suggest an orthopedist. Lets get real. Cardiologists are only paid to know about the heart. Orthopedists know shoulders and would have a clearer idea of which nerves, where, could be involved.  Maybe physical therapy could help. If an orthopedist ordered it, insurance would be more likely to cover it.

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