Post-sternotomy pain syndrome following cardiac surgery: case report

Over 2 million people undergo sternotomy worldwide for heart surgery each year, and many develop post-sternotomy pain syndrome (PSPS) which persists in the anterior thorax. In some patients, PSPS lasts for many years or suddenly reappears a long time after the sternotomy. The exact etiology of PSPS...

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Bibliographic Details
Published in:Journal of pain research 2017-01, Vol.10, p.1163-1169
Main Authors: Bordoni, Bruno, Marelli, Fabiola, Morabito, Bruno, Sacconi, Beatrice, Severino, Paolo
Format: Article
Language:English
Subjects:
Back pain
Cardiac surgery
Cardiology
Care and treatment
Case Report
Chest pain
Chronic Pain
Clinical trials
Complications and side effects
Coronary vessels
Development and progression
Fascia
Heart surgery
Osteopathic
Osteopathic medicine
Patients
Post-sternotomy pain syndrome
Studies
Thoracic surgery
Veins & arteries
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Summary:Over 2 million people undergo sternotomy worldwide for heart surgery each year, and many develop post-sternotomy pain syndrome (PSPS) which persists in the anterior thorax. In some patients, PSPS lasts for many years or suddenly reappears a long time after the sternotomy. The exact etiology of PSPS is unknown. This article presents a case report of a patient with a diagnosis of PSPS (after cardiac surgery 4 years prior) for whom an osteopathic approach was used, which successfully eliminated the pain. In a previous study, we demonstrated that this osteopathic procedure could reduce sternal pain associated with a recent surgical wound. Further efforts are needed to understand the reasons for PSPS. In light of new scientific data, these osteopathic techniques could contribute to a multidisciplinary approach to solve the problem.
ISSN:1178-7090
1178-7090
DOI:10.2147/JPR.S129394