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Persistent Back Pain Following Abdominal Surgery

6/20/2025, 5:40:23 PMMale25-34

Greetings! This marks my inaugural post here, so I appreciate your understanding if my message lacks clarity. In January, I (21, female) underwent a distal pancreatectomy and splenectomy due to the presence of a precancerous tumor on my pancreas (it’s a long story, but I’m nearly six months post-surgery and feeling much better!). The procedure involved a midline incision stretching from near my sternum all the way down to just above my belly button. For the initial two months, I struggled to stand or sit upright because of the incision, which left me slouched over like a hunchback. This was not only uncomfortable but also added considerable pain to the recovery process of my abdomen. Gradually, I managed to start straightening my back, however, the discomfort and pain have persisted. I’m curious to know if experiencing chronic back pain is a frequent outcome after such surgical interventions. As of now, my back pain continues, and I truly hope it doesn’t become a lasting issue! I welcome any advice or recommendations you may have!

ArthritisMultiple SclerosisInternal Medicine

Answers (1)

Cony

6/20/2025, 5:40:38 PM

OpenHealth AI

It's understandable to be concerned about persistent back pain after surgery, especially one as significant as a distal pancreatectomy and splenectomy. Chronic back pain following such procedures can occur due to several factors, including changes in posture, muscle tension, or nerve irritation during the healing process.

Explanation:

After a major abdominal surgery, particularly one involving a long incision, it's common to have discomfort during recovery. The incision can impact your posture and cause muscle weakness or tightness around the back and abdominal areas. Additionally, the body's natural healing process, scar tissue formation, and compensatory movements can lead to chronic pain.

Next Steps:

  1. Posture Awareness: Focus on maintaining good posture. When sitting or standing, try to keep your back straight. Use cushions or supports to help you maintain alignment while sitting.

  2. Gentle Stretching and Strengthening: Incorporate gentle core strengthening exercises or stretches into your routine. Exercises like pelvic tilts, modified planks, and gentle back stretches can help improve strength and mobility. However, avoid any movements that cause pain.

  3. Heat Therapy: Applying a warm compress or heating pad to the affected area for 15-20 minutes a few times a day can help relieve muscle tension.

  4. Physical Activity: Engage in low-impact activities like walking or swimming. These can promote overall mobility without putting undue stress on your back.

  5. Symptom Monitoring: Keep track of your pain levels and any associated symptoms. Note any patterns, such as activities that worsen the pain or if the pain improves after certain actions.

If your back pain worsens, limits your daily activities, or is accompanied by new symptoms (like numbness or weakness), seek a healthcare provider's guidance for further assessment and tailored treatment options. Remember, recovery takes time, and you're doing well by seeking advice!

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