If you don’t have a local oncology team, ask your primary care doctor to refer you to an OT/PT lymphedema specialist. They work wonders!
June 17
Yes, you may need a new referral- good luck!
June 17
I don't have an oncologist here
June 16
It's surprising but not unheard of — cording (also called axillary web syndrome or AWS) can actually develop years after breast cancer surgery, so what you're experiencing is a known possibility even 13 years later.
The most important first step is to let your doctor or oncologist know right away. Early treatment helps Show Full Answer
It's surprising but not unheard of — cording (also called axillary web syndrome or AWS) can actually develop years after breast cancer surgery, so what you're experiencing is a known possibility even 13 years later.
The most important first step is to let your doctor or oncologist know right away. Early treatment helps prevent long-term problems with arm and shoulder movement. Here are the main treatment options that can help:
- Physical therapy (PT) — This is the most recommended approach. A therapist can massage and stretch the cords, and while it can be uncomfortable, many people feel significant relief afterward
- Manual therapy — This includes techniques like myofascial release, soft tissue mobilization, lymphatic drainage, and cord manipulation
- Moist heat — Applying a warm, moist pad to the area can ease pain, though use heat cautiously as it may increase lymph fluid production
- NSAIDs — Over-the-counter anti-inflammatories like ibuprofen can help manage pain, especially after exercises (check with your doctor first)
- Low-level laser therapy — A therapist may use this to help break down hardened scar tissue
- Swimming — Gentle movement in water can improve range of motion, but get clearance from your care team first
The good news is that cording, while painful, is not dangerous and often improves with treatment. A MyBCTeam member shared that after about three months of PT, their cording fully resolved.
June 16