Breast pain is also known as mastalgia which means pain in the breast along with feeling discomfort or uneasiness. There are two main types of breast pain one is cyclic breast pain which is often associated with hormonal changes during the time of menstruation and another type is noncyclic breast pain which does not associate with any kind of menstrual disorder. Brest pain can caused due to various medical conditions.
Common causes of breast pain
- Injury or trauma – to the breast or surrounding tissue can cause breast pain.
- Breast cyst – usually causes unilateral pain.
- Acute breast abscess – local abscess along with marked tenderness.
- Mastitis – it is an infection of the breast tissue causes pain, swelling and redness.
- Pregnancy – causes tenderness along with pain.
- Lactation – breast pain my occur during the time of lactation while breast feeding.
- Breast cancer – common cause of breast pain. Lump in the breast is the most common presentation of ca breast.
- Premenstrual syndrome – breast pain along with tenderness and feeling of heaviness with other constitutional changes.
- Costochondritis – There is inflammation at the junction of ribs and sternum.
- Angina pectoris – It is a discomfort resulting from acute myocardial ischemia which, occurs when myocardial oxygen demand exceeds supply. Pain is usually retrosternal for a short time period.
- Engorgement – can cause enlargement of the milk producing cells produces pain.
Diagnosis of Pain in Breast
- Clinical examination – include examination of nipples, discharge from nipple, areola, examination of surrounding lymph nodes, swelling, tenderness, degree of pain, intrinsic mobility, any kind of changes in the breast etc.
· Complete blood count
- Pregnancy test – to rule out pregnancy.
- Chest x-ray – to detect pulmonary metastasis.
- Ultrasound – of the breast to diagnose solid cystic lesion.
- FNAC – to make cytological diagnosis.
- Biopsy – if FNAC is negative it can be done.
- Mammography – it should always be combined with clinical examination.
Treatment of Breast Pain
The treatment of breast pain depends upon the underlying cause.
Homeopathic treatment of breast pain – Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat pain but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several well-proved medicines are available for breast pain treatment that can be selected on the basis of cause, location, sensation, modalities and extension of the pain. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. There are following medicines which cover breast pain:
- Heper Sulph – inflammation with intense pain and throbbing pain.
- Belladonna – in early stage of inflammation when the parts are red and hard.
- Phytolacca – excellent remedy for hard cracks in mammae which may be due to .
- Kreosote – dwindling of mammae with small hard painful lumps.
- Bryonia – inflammation of the breast with pain due to consolidation of milk or any other reason.
- Conium – excellent remedy for breast pain due to indurations. Stitches of needles in left mammae with swelling and hardness.
- Bellis P. – inflammation with pain due to blow.
Allopathic treatment of pain in breast – entirely depend upon cause and medical condition. .
Other methods of treatments include – Ayurveda, Relaxation therapy, Massage therapy, Acupressure, Acupuncture, Physiotherapy, Psycho therapy etc.