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Is there any swelling in the arms?
Alright, did you also have an axillary clearance with the mastectomies?
Okay, did you have the mastectomy as a prophylactic measure or did you have breast cancer diagnosed>
Okay. Did you receive radiation and chemotherapy and when did that end?
Alright, when one has bilateral mastectomies, the surgeon also clears the axillary lymph nodes leaving very little lymph tissue behind. This causes swelling of the upper limbs and pain and a feeling of weakness.
Okay, so they were not removed on the left side?
So, the left breast did not have cancer?
Which means the left breast was taken out as a prophylactic measure.
Okay, do you experience any numbness, tingling or pins and needles in the arms or hands?
Okay, any pain at the back of the neck or the head?
Okay, was the rectus abdomins flap (TRAM) used to reconstruct the breasts or was it the Latissimus Dorsi with an implant?
Okay, well this doesn't seem related to the mastectomy, reconstruction or the PICC line.
Since, that will not cause simultaneous weakness, paraesthesias and swelling of both the upper limb.
However, this does sound like cervical spondylosis.
It means that there is some compression in your cervical vertebra which is causing impingement of your brachial plexus (nerves that supply the upper limbs).
Pins and needles, numbness (paraesthesias), swelling, back of the neck pain and weakness are all the signs that one can expect with this.
And it is more common in the female gender and in your age group.
Yes, this is a condition with a good prognosis. But an evaluation is the first step.
I would advise you to visit your PCP, get x rays of the cervical spine (two views) done and nerve conduction studies and electromyogram done on both the upper limbs.
The mainstay of treatment will be conservative and some physiotherapy with anti inflammatory medication and postural changes.
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