Axillary Web Syndrome (AWS), also called cording, is a common side effect of breast cancer surgery, particularly when lymph nodes are removed. It happens when connective tissue around the blood and lymph vessels in the underarm area becomes inflamed and hardens, forming tight, rope-like bands under the skin. Symptoms to Show Full Answer
Axillary Web Syndrome (AWS), also called cording, is a common side effect of breast cancer surgery, particularly when lymph nodes are removed. It happens when connective tissue around the blood and lymph vessels in the underarm area becomes inflamed and hardens, forming tight, rope-like bands under the skin. Symptoms to watch for include:
- Pain or tightness in the underarm area
- A cord-like feeling running down the arm
- Numbness or tingling in the arm
- Difficulty lifting your arm above shoulder height
- Tightness extending to the wrist, hand, or thumb
As one MyBCTeam member described it: "The tightness in my arm starts at my wrist and goes right up under my arm to the armpit where it feels like a thick cord sticking out." Who is more at risk? AWS tends to occur more often in people who:
- Have a lower body mass index (BMI)
- Are younger
- Had more lymph nodes removed
- Had more extensive breast surgery
- Have undergone chemotherapy or radiation The good news is that with proper treatment, symptoms usually improve. Treatment options include:
- Physical therapy (highly recommended — the sooner, the better!)
- Stretching exercises
- Massage
- Anti-inflammatory medications
It's important to let your healthcare team know as soon as you notice symptoms, as early treatment can help prevent long-term mobility issues. While AWS can be painful, it is not dangerous.
May 28
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