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Case Report

Clinical Pain 2021; 20(1): 25-29

Published online June 30, 2021 https://doi.org/10.35827/cp.2021.20.1.25

Copyright © Korean Association of Pain Medicine.

Feasibility of Extracorporeal Shock Wave Therapy for Complex Upper Limb Morbidity in Breast Cancer Patient

유방암 환자의 복합 상지병증에서 체외충격파치료의 유용성

Min Cheol Ha, M.D., Ji Cheol Shin, M.D., Ph.D., Yu Sang Jung, M.D. and Sang Hee Im, M.D., Ph.D.

하민철ㆍ신지철ㆍ정유상ㆍ임상희

Department and Research Institute of Rehabilitation Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea

연세대학교 의과대학 재활의학교실 및 재활의학연구소, 세브란스병원

Received: October 7, 2020; Accepted: October 15, 2020

Abstract

Upper limb morbidity including shoulder pain, lymphedema, adhesive capsulitis, myofascial pain syndrome, and limited range of motions (LROMs) occurs frequently in breast cancer patients. Especially restricted upper limb motion aggravated by chronic lymphedema results in functional limitation and impaired activities of daily living (ADL). However, conventional rehabilitation therapy including complex decongestive therapy and stretching exercise is insufficient for managing advanced breast cancer patients with complex upper limb morbidity. Here, we report a case of breast cancer-related chronic lymphedema in a 62-years old female with severe LROM in all joints of the affected upper extremity that caused severe disability in ADL. Significant improvements in range of motion and upper extremity function were observed after serial extracorporeal shock wave therapy (ESWT), combined with conventional rehabilitation therapy. Therefore, ESWT might be recommended for managing the extensive limited joint motion which causes functional decline in a patient of chronic lymphedema with trophic skin change.

KeywordsBreast cancer-related lymphedema, Joint contracture, Extracorporeal shock wave therapy

Korean Association of Pain Medicine

Vol.23 No.2
December 2024

eISSN: 2765-5156

Frequency: Semi Annual

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