Understanding Axillary Web Syndrome

Introduction

Axillary web syndrome (AWS), also known as lymphatic cording, can develop after breast surgery. This syndrome is the formation of tight cords of tissue that extend from the middle of the arm pit (axilla) downward on the upper surface of the affected arm to the antecubital fossa, which is the triangular area where the elbow bends.

The Cause and Symptoms

Although the cause of this condition is not fully understood, a commonly accepted theory is that the condition is caused by inflammation after surgery or an injury to the lymphatics that causes clotting and scarring in these vessels.[1]

AWS is a painful condition in which these cords tighten and limit the mobility of the affected shoulder. Some cases develop soon after surgery and then resolve on their own, but then recur years later. 

Treatment

The condition usually requires treatment by a physical or lymphedema therapist with specialized training in its treatment. This treatment often involves myofascial release, stretching of the webs, and teaching the patient a specific home care program for stretching and releasing the arms.

Reference

 [1] A Tilley, R. Thomas-MacLean et al “Lymphatic cording or axillary web syndrome after breast cancer surgery.” Can J Surg. 2009, © 2009

Additional Information

http://www.stepup-speakout.org/Cording_and_Axillary_Web_Syndrome.htm

© LymphNotes 2010. This information does not replace the advice of a qualified health care professional.

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Category: What is Lymphedema? Updated: 2011-09-04