Although most study - authors were positive , we could not draw firm conclusions about any of the pharmaceutical interventions .
Even patients that received placebo intervention showed improvement .
There is weak evidence that reduction mammaplasty may be helpful to treat inframammary intertrigo .
Conclusions There is no evidence at all about the prevention of intertrigo and there is no firm evidence about its treatment .
Background Intertrigo in the large skin folds is a common problem .
There is a plethora of treatments , but a lack of evidence about their efficacy .
A nursing guideline on this matter had to be up date d and broadened in scope to other health care professionals .
Reduction Mammaplasty Improves Symptoms of Macromastia
The condition macromastia has not been defined and characterized precisely by the medical community . Whether the patient with hypertrophic breasts is a c and i date for or can be helped by reduction mammaplasty is unclear to both the medical and the lay community . A prospect i ve study of 39 women undergoing reduction mammaplasty surgery  was initiated to answer these questions . Patients rated the severity of their somatic pain symptoms and discomfort before reduction mammaplasty and again after complete recovery . The severity of their symptoms and complaints was numerically grade d and analyzed . These data were compared with similar data obtained from 40 " small-breasted " women of similar age .  Headache , neck pain , back pain , shoulder pain , and bra strap groove pain were present in 60 to 92 percent of patients , and 97 percent of patients had at least three of these pain symptoms preoperatively . All the patients had reduction of their pain symptomatology postoperative , and 25 percent of the study patients had total elimination of pain symptoms by reduction mammaplasty . The postoperative incidence and severity of pain symptoms and discomfort complaints were statistically equivalent to or less than the levels in the control group
Although most study - authors were positive , we could not draw firm conclusions about any of the pharmaceutical interventions .
Even patients that received placebo intervention showed improvement .
There is weak evidence that reduction mammaplasty may be helpful to treat inframammary intertrigo .
Conclusions There is no evidence at all about the prevention of intertrigo and there is no firm evidence about its treatment .
Background Intertrigo in the large skin folds is a common problem .
There is a plethora of treatments , but a lack of evidence about their efficacy .
A nursing guideline on this matter had to be up date d and broadened in scope to other health care professionals .