Health Condition 1: C501- Malignant neoplasm of central portion of breast Health Condition 2: C502- Malignant neoplasm of upper-innerquadrant of breast Health Condition 3: C503- Malignant neoplasm of lower-innerquadrant of breast Health Condition 4: C504- Malignant neoplasm of upper-outerquadrant of breast Health Condition 5: C505- Malignant neoplasm of lower-outerquadrant of breast Health Condition 6: C506- Malignant neoplasm of axillary tail of breast Health Condition 7: C509- Malignant neopla
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients Diagnosed with any myofascial pain syndrome Those with a history of breast conservation or simple mastectomy within last six months. First time primary diagnosis of breast cancer (grades I to IIIA), Neck and shoulder/axillary pain that began after the breast cancer surgery. Asymmetric shoulder pain (NRS on painful side : NRS on non painful side > 2:1) Acute or Chronic myofascial pain syndrome with severe intensity i.e NRS > 4/10. Patients with pain at least 4 days in a week. Patients without neurological pain, as in DN4 score less than 4. Patients with stable drug treatment over at least 15 days, without any acute pharmacological changes during the study. Patients who read, understood and signed the Free and Clarified Consent Term
Exclusion criteria
Exclusion criteria: Other medical conditions (i.e, arthritis) like periarthritis of shoulder joint,frozen shoulder, cervical disc herniation etc. Recurrent cancer Previous diagnosis of fibromyalgia syndrome. Patients with major depression, according to DSM-IV criteria. History of bipolar mood disorder, panic syndrome or psychosis. Intermittent pain history. Patients with another pain syndrome in shoulders. Patients who had contraindications (for example, symptoms consistent with severe disk disease) or autoimmune disorders.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Intensity of Pain by neumarical rating scale (NRS) 2. Shoulder Pain and Disability Index (SPADI) 3. Pressure Pain threshold by algometer Timepoint: Baseline on Day 1, 1 week, on the day of suture removal, after 4 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Resting Heart rate variability (HRV): 2.National Comprehensive Cancer Network-Functional Assessment of Cancer Therapy-Breast Cancer Symptom Index (NCCN-FACT FBSI-16) Questionnaire 3.Neutrophil lymphocyte ratio Timepoint: Baseline on Day 1, 1 week, on the day of suture removal, after 4 weeks | — |
Countries
India
Contacts
All India Institute of Medical Sciences, Raipur