wrong exercise caused the pacemaker to dislocate

I did a wrong exercise and stretched the musculature where the pacemaker is implanted.
Now I feel discomfort like prickling on the skin and I feel that the pacemaker is loose. When I move my arm, I feel it compress the skin. Doctors say that the pacemaker is working normally and the electrodes too, but they don't pay attention to these discomforts I'm feeling, much less give a solution.
I would like to know if anyone has experienced this and if there was a solution.



by Good Dog - 2022-05-15 21:30:46

I am unsure if I have a full understanding of your problem. It seems to me that really the only problem is the discomfort after you exercised. I do not think that discomfort (pinching against your skin) is unusual after stretching or exercising. I had experienced that at times, especially within the first year or two after a generator change and/or the original implant. However, if the discomfort is so severe that it becomes intolerable, then you must see the surgeon or cardiologist that did the implant and ask what can be done. However, if it is not too severe, perhaps it is best to wait for a week or two to see if the pain subsides. As I said, I had experienced pain and prickling skin at the PM site that eventually subsided. Sometimes the skin is stretched a little too tight around the generator especially after exercise. So it is a judgement call on your part. You can see a different doctor if you feel that you need immediate relief and you cannot get it from your original doctor or you can just wait to see if it subsides. In any case, it does not sound like a serious problem which is likely why your doctor did not address it. So it is up to you now.

I am sorry that I cannot be more helpful, but this is a difficult problem to assess from afar.



I'm not having quality of life

by antonio miranda - 2022-05-15 22:22:55

The problem is clinically not serious.  Everything is working normally both the pacemaker and the cables.  The problem is that with this discomfort I'm losing my quality of life.  It's not easy to feel it moving inside the chest and digging into the skin when I move my arm.  I work a lot with my arms (I'm a janitor) and this discomfort has been continuous.  And this has been going on for 1 month now.

Quality of life

by Good Dog - 2022-05-16 07:41:33

I have no idea what your healthcare system and insurance allows in your country. However, if it is impacting you quality of life you must either see the original doctor that performed the surgery or find a new doctor that can help you. I doubt that there is much that can be done without additional surgery. At the very least, you must see another doctor in an attempt to either revise the pocket, relocate the PM, or offer some other solution to relieve the pain.

Again, I'd like to offer more, but I am at a loss to be able to do so.


Pacemaker positioning and discomfort

by Selwyn - 2022-05-16 16:45:07

It does take some time for connective tissue to contract down after surgery - some months ( perhaps up to 24)  so there is hope that this may stabilise with time. 

A lot depends on where the pacemaker was placed. I found that bending my upper body caused the edge of the pacemaker to impact on my collar bone, this does not happen now that time has gone on and the pacemaker is more fixed in its pocket. 

I would try to avoid the movement that brings on the problem as really you want the pacemaker to settle into its own little pocket of scar tissue and then be clamped by the contracting scar tissue.

You certainly should not fiddle with the pacemaker as 'Twiddlers Syndrome' ( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4721019/ ) is well known and is brought on before the scar tissue has tightened. 

It is early days yet. You should mention this at your next check up and see what the professional advice is. 

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