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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes pain at operated site of CABG?

Patient details: Name: Shivlal Chakradhari Address: Durg , Chhattisgarh. A diabetic , hypertensive patient since last 10 year. A CABG operated heart patient from ?Usha Mullapudi Cardiac Hospital Hyderabad in Aug 2007(almost 3 year past ) Later on PTCA stenting (angioplasty)in Aug 2008. Patient problem: An unknown continuous pain near operated chest and suture area of chest bone since after operation. Patient has conveyed the problem to the cardiologists/cardio surgeons but they say that for few persons after operation it takes longer time to calm down the pain, and suggest to take pain killer if pain continues. Patient has been checked up by various tests depicted below for any heart problem regularly after heart operation. Doctors say it?s not heart pain but may be a muscular pain or stitch pain. Medical checkup: Patient has been checked up by: 1.Angiography 2.ECG (electro cardio graph) 3. TMT(tread Mill test) 4.Radiology 5.X-ray 6.Stress eco test. And the results/reports are all positive/ok But still a ? for pain reason. He has shown to many 1.Cardiologist MDDM 2.Orthologist 3.Neurologist/neuro surgeons But no one is able to pick up his problem. The patient walks freely. Looks after his Buisness,visits the sites but carries a unknown pain with him where ever he visits. Request: Sir can you please suggest the pain reason. And give your valuable opinion for the cause of pain to patient. My email : YYYY@YYYY
Tue, 29 Jan 2019
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Cardiologist 's  Response
Hi,

Such type of pain which you are telling is generally a neurological pain & is called a post-sternotomy pain syndrome.

During the opening of the chest for CABG, some nerves get cut which causes such type of sharp shooting pain.

The treatment is basically painkillers, anti-inflammatory agents and vitamin B12. Heat fomentation has also been found to be of some help.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Sameer Maheshwari, Cardiologist
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