Breast Pain and Fibromyalgia

Gradient hot pink background with white text that says BREAST PAIN AND FIBROMYALGIA at the top of square graphic.  Image of woman clasping her hands about her right breast, looking in pain.  Under the image a teal clipart of a waterlily and white text that says painfullliving.com
Ever-present breast pain isn’t something that should be ignored.
It’s taken me quite a while to even mention it. Partially,
because I’ve always had it and didn’t think it was unusual and partially because,

well, it’s embarrassing to talk about.

Since developing breasts at 13 years old, they have hurt. I’ve mostly ignored it, however, until this past month when this pain became a nagging nuisance.

Breast pain is not something I’ve ever talked about with others except the time I got mastitis when breastfeeding and when I was weaning from breastfeeding. That pain was fevered, swollen, and excruciating.

About 10 years ago, I began to have localized, sharp pain in both of my armpits. This type of pain was new and had me worried. I brought it up to my OBGYN at the time. It was time for my annual physical, so she set me up with a mammography appointment with directions to get close to the chest wall and the armpit.

Up On Tippy Toes

Gradient hot pink background with with text that says Mammograms' are an Uncomfortable Necessary then an image of an women with grey hair, naked back with a blue rubber gloved hand on her back s facing the mammogram machine. White text below that says painfullyliving.com with teal clipart waterlily above it.
Due to having dense breasts, I now need to get a TOMO mammogram
which takes more images to give a clearer image.

As you can imagine, being someone with tender, lumpy breasts makes going to have a mammogram especially daunting. The technician, friendly but fierce, took her job seriously. She had me disrobe to my waste (none of this leaving the hospital green kimono over one shoulder for modesty-sake). She asked for me to raise my right arm up onto the cold metal of the machine while she guided what little breast flesh I have onto the even colder bottom plate of the X-ray machine. To do this, I literally had to stand on my tippy-toes. She bragged, “I’m very good at getting as close to the chest wall as possible.” With an uncomfortable laugh, I leaned in preparing for the paddle to be lowered, smashing my aching breast and pulling in as much of the skin from my underarm as possible. This process, with slightly adjusted angles, was done a few more times on either side.

Gradient bright pink background with white text that says YOGA CAN HEAL OR HURT below it is an image of a woman doing a chaturanga on a grass lawn. Below that is a teal water lily with white text that says painfullyliving.com
When practicing yoga, going out of your comfort limits can cause damage.
I was trying to do a full chaturanga when I just wasn’t strong enough.
I should have been doing it with my knees on the ground (not like the one pictured).


The great news was, my greatest fear was calmed. The specialist my OBGYN had sent me to explained that I had tight muscles (we both surmised from my frequent and probably ill-aligned chaturanga dandasanas as I was heavily into fast-paced yoga at the time). I was given stretches for this area and sent on my way.

No Change

Image of woman with the words breast pain, slight swelling, tenderness and above in black text What is Mastaglia and a description of it.  Under the image is a teal clip art waterlily with the text painfullyliving.com in white.

To this day, the pain has remained, despite the stretching. However, I now didn’t’ worry about it. My mammograms have been normal, so I just assumed this is how I am. Last year, I was told I had dense breasts and would be getting a more detailed mammogram from now on ( Tomosynthesis which takes more images in rapid slices to create a 3-D image).

Why Do I have Sore Breasts?

During perimenopause, I began to use the Estrogen patch and take progesterone each night. I did mention my sore, lumpy breast tissue, but this seemed to be a result of hormone replacement. However, I’ve been off from the patch for six months and am officially in post-menopause and the sore tissue remains. In addition, my ribs and sternum are now sore to the touch.

This Monday, I went for a medical massage (I’m doing this every four weeks or so). Claire did some semi-uncomfortable stretches, massaging the rib area and under my armpit and under my breasts. She also did a bit of a rolling massage (this involves a bit of pulling up of the skin with thumb and pointer finger and rolling it in a direction). It wasn’t pleasant, but it was bearable. She then showed me how to help the lymphatic system drain through gentle self-massage.

 

Pain GONE! (For two days)

I was surprised to realize the next day, that I had absolutely no aching in my breasts and less pain in my ribs. This lasted a couple of days and still is less than last week five days after the massage.

 
Gradient hot pink background with white text that says Comorbid Issues that Exist with FM then a info graphic with a body in the middle and text describing the issues related to Fibromyalgia and lines pointing to where on the body. Underneath, a teal clip art waterlily with white text saying painfullyliving.com.
I have really been surprised finding out that many of the issues I’ve had for many years
(including as a young teen) are connected to Fibromyalgia (FM).

FMS (Fibromyalgia Syndrome) Connection

And so, I’ve gone on a research binge on what might be happening. In a study titled Can mastalgia be another somatic symptom in fibromyalgia syndrome? and published in the journal Clinics found that, “…coexistence of mastalgia and FMS is more frequent than previously estimated, suggesting that these two disorders could share some unknown common mechanisms in their etiopathogenesis. Additionally, mastalgia could be a part of central sensitivity syndrome and could be included among the somatic symptoms in the fibromyalgia criteria based on its high prevalence in patients with FMS. Therefore, patients with FMS should also be asked about the presence of mastalgia during routine examinations.”

Within the article explaining the study, the researchers state, “While mastalgia is a sign of an organic breast disease, it also has a possible psychological background that is not fully understood. In addition, mastalgia is known to be strongly associated with high-stress levels.”

Related Posts:

Shouldn’t Be Surprised

I’m finding that the more I learn about FMS, the more I find that the issues I’ve been dealing with for most of my life are connected. And in some ways, this brings me peace and hope. I feel that I am working on ONE thing (calming my nervous system through brain retraining) rather than putting out several different fires.

The massage included in this video is close to the one my medical massage therapist suggested, although she told me to do it in the shower with a washcloth. I’ve read using oils like the one suggested here or even coconut or olive oil is good.

Lymphatic Breast Massage

Taking Care of the Girls

Because I am post-menopausal, have dense, lumpy breast tissues with non-cyclic breast pain, I need to take extra care of my breasts. To do this, first, I’m going to talk about it with my doctors more regularly and share what I have learned. I will have the 3-D Mammogram done, yearly and continue to do self-breast exams. To help with the pain, I will do the lymphatic breast massage, breathwork, and continue to get medical-massage.

Here are a few helpful resources I found as I did my research:

80% of all women experience some sort of breast pain. However, if you have fibromyalgia, the odds are that you have the non-cyclic breast pain that is present all the time.


Do you experience mastalgia? I’d love to hear from others that deal with this and what you have learned works for you.




13 thoughts on “Breast Pain and Fibromyalgia

  • March 8, 2020 at 7:01 am
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    Thank you for this article. I too have breast pain but my mammograms are all clear. I think it may be fibro for me too as it is worse during a flare.

    Reply
  • March 10, 2020 at 5:43 am
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    Thank you so much for this. I have been wanting to write about this from the perspective of endometriosis because I have always had severe non-cyclic breast pain whenever my estrogen is high or I am on medication that increases it. I have never known of the lymphatic drainage technique – I am so excited to give it a go! Thank you!!

    Reply
  • March 11, 2020 at 11:17 am
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    I'm finding some relief it seems. Let me know if you notice a difference.

    Reply
  • March 11, 2020 at 11:18 am
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    Yes, me too. Let me know if you try the lymphatic drainage technique. I think it's helping.

    Reply
  • March 19, 2020 at 4:19 pm
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    Thank you for the video, it has been very helpful. I never associated ongoing breast pain with fibromyalgia. Living with fibromyalgia now for 15 plus years, and for the first time I am experiencing less breast pain with this massage.

    Reply
  • March 19, 2020 at 7:55 pm
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    Wow! That's so wonderful to hear. This is why I'm sharing my journey. Fibromyalgia is a slippery thing and has so many facets. I'm finding so many missed connections that I had FMS long before I even knew something was up. Doctors just treat each thing separately rather than looking at ALL the issues.

    Reply
  • April 17, 2020 at 3:40 pm
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    Thank you for the article! As someone with fibro, it's interesting to hear about this form of management.

    Reply
  • May 4, 2020 at 9:35 pm
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    Very interesting read. I have fibromyalgia and breast pain, and never knew there was a connection. I'm also post-menopausal.

    Reply
  • May 5, 2020 at 3:54 pm
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    I was surprised, too! I've come to understand that much of the pain and other issues I've had years and years before my actual diagnosis of Fibromyalgia are linked to it. Wish the research was more known (and more thoroughly done), however.

    Reply
  • June 18, 2020 at 7:06 am
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    Same! And I haven't worn a bra or anything constrictive since 2015. (Fine by me.) Great write-up, Katie. It's good for women to know we are not alone!

    Reply
  • June 18, 2020 at 4:04 pm
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    I never even thought about the pain that I've had all these years until the past few months when obvious rib pain has become a part of my life (before it was always my sternum.) I'm glad to hear someone else just can't have constriction of a bra or even a shelf insert on their clothing. Being I'm not big chested, it's not too much of a problem. Just put a couple of Band-aids on and I'm good;)

    Reply
  • May 10, 2021 at 9:52 am
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    I also have this pain, normally it gets better. My plan is to talk with my doc and my gyn about it. i have appointments with both the next time. I think maybe it got worse on my left side (right is not so bad) because i always sleep on my left side. And i slept on a thai mat for some weeks, guess this made it worse. My left shoulder and back got worse too. Not easy to find an almost pain free sleeping position. I know pain, but this makes me nervous right now, but your article helps me to calm down a lil bit. Thanks Katie.

    Reply
    • May 10, 2021 at 10:07 am
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      Yes, it’s good to bring it up and not ignore. This fall, I had a bit of a scare in that I had to get my mammogram redone due to some concern. I have dense breasts so I already do the TOMO mammogram. Luckily, after the second test, they had the radiologist right there to read it. I waited maybe 10 minutes to get the results that I didn’t need to get an ultrasound and all was okay.

      Reply

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