Sharp shooting pains also occur. Early on it usually feels like it is coming from the nipple area even though the nipple is no longer present. Usually it occurs spontaneously, but may be triggered. Similar sensations may occur simultaneously in the non-operated breast, or on both sides at the time of a second mastectomy. Usually phantom pain decreases in intensity and frequency over weeks to months.
Some women only have phantom sensation, never phantom pain.
Phantom pain can be treated with capsaicin, a non-prescription cream found in the arthritis section of the drug store. Initially it will give a burning feeling and may cause a transient rash with the first few applications. It may make the phantom pain more frequent for the first few days. It takes 2-4 weeks to get maximal effect. Check with your doctor to be sure your incision is healing adequately before starting.