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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Reason For Pain When Sitting In Certain Positions After VATS Procedure?

Hello Dr. Grief- I am looking for a doctor who might be able to assess what has been happening to a very specific area in my right front rib cage. I had a VATS procedure 4 years ago and a partial lobectomy. Then 2 years ago I had my gallbladder removed but had complications that then led to a sphincter of odi ?? procedure within 2 months of the gallbladder removal. Since then I keep having this excrutiating pain that does NOT occur everyday, only when I sit in a certain position. It gets stuck and I cannot catch my breathe. I physically need to be stood up and extend my arms up in the air to aliviate the pain. After, I swell for about 2 days. I think it might be adhesions but the doctor says its a pain management problem. I really could use any thoughts you might have. Thank you
Wed, 8 Oct 2014
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General Surgeon 's  Response
Its possible your pain may be related to an intercostal nerve in the rib space where the ports for the VATS were placed. I would recommend seeing a pain specialist, as they can often perform a nerve block which usually works quite well.
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What Is The Reason For Pain When Sitting In Certain Positions After VATS Procedure?

Its possible your pain may be related to an intercostal nerve in the rib space where the ports for the VATS were placed. I would recommend seeing a pain specialist, as they can often perform a nerve block which usually works quite well.