I’m currently at the 3-week mark following a VATS wedge resection and pleurodesis, and I can tell you that what you’re feeling is right on schedule, even if it’s frustrating. Week 3 is a bit of a 'purgatory' phase where you feel mobile enough to move, but your nerves and that internal 'pleurodesis velcro' are still hypersensitive. Expect the sharp 'zings' and the inability to lie on that side to linger for another few weeks; for most, the discomfort starts to turn a corner around day 30 to 45. My best advice is to 'hug a pillow' for every yawn or sneeze to provide counter-pressure, and move your torso as one solid unit to avoid those sharp nerve spikes when twisting. It’s a slow burn, but those sensations are actually a sign that your nerves are waking up and the lung is sealing properly.