I had thoracic surgery 3 years ago. i am still having severe pain at night in shoulder and hand still swells. i use ice packs at night to help reduce ?

Shoulder & hand pain: Believe it or not, this used to be called "shoulder-hand syndrome". It is now called Complex Regional Pain Syndrome type II. It is challenging to treat and I recommend seeing a Board Certified pain specialist. Drugs such as Neurontin and Cymbalta (duloxetine) can be helpful as well as physical therapy and other modalities as well.

When was the last: You went in for follow up? Having severe pain on the shoulder and swelling of the hand warrants a visit to your doctor. Something may have developed . This may not be related to your thoracic surgery three years ago.

Not primary therapy: If the swelling and pain are related to the surgery, three years is a long time to still have symptoms. Concentrating only on the hand swelling and shoulder pain, you should have an x-ray of the shoulder (if not already done), as well as arm elevation and forearm and hand compression during the day. Otherwise, a pain specialist may be of benefit.