Abstract
Post-mastectomy pain syndrome (PMPS) is a common complication of surgical procedures for the treatment of breast cancer, particularly in procedures involving the axilla. It is a chronic neuropathic pain syndrome typically attributed to direct nerve injury, often lateral cutaneous branches of intercostal nerves T3-6. Erector spinae plane blocks (ESPB) appear to provide long-term analgesia, beyond the local anesthetic duration of action. This intervention is well-documented for the management of pain due to rib fractures, but it is also a relatively safe and quick treatment option for the treatment of PMPS.
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