Webbing?
Hi all...
I had a large lumpectomy just before Thanksgivng with a sentinel node biopsy. The surgeon said he "checked a couple other nodes" as well but all was clear (I'm assuming he meant that he removed them? Ignorance is truly bliss in my case!). Anyway, I had the initial numbness in the armpit and upper arm post surgery along with that tendon condition that I believe has been referred to as "webbing." But my range of motion has been good until just recently. Although I've regained feeling in the armpit and upper arm, this tendon problem has moved below the elbow and into my wrist. Cannot straighten the arm without awful pain! I'm concerned about getting lymphedema of course. Has anyone had this happen two or three months post op? Did it turn into lymphedema? And what did you do to relieve the pain? Exercises that helped?
Thank you for any advice you may have...
rose.
Comments
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Steelrose and hillck, hello!
Here's information about this condition, which is "officially" known as Axillary Web Syndrome (AWS).
http://www.stepup-speakout.org/Cording_and_Axillary_Web_Syndrome.htm
It is not lymphedema, but some experts feel that it's a risk factor for lymphedema, so knowing the lymphedema risk reduction practices would be a good step toward avoiding it. Here are two sites with risk reduction information:
http://www.stepup-speakout.org/riskreduction_for_lymphedema.htm
http://www.lymphnet.org (See their Position Papers on Risk Reduction, Exercise, and Air Travel)
I sure hope you get quick relief for the AWS, and never have to join our Sorority of Swell!
Be well,
Binney -
Cindy and Binney...
Thank you both for replying. And thank you Binney for the helpful links. I have very slight swelling in my lower arm, so am going to consult a PT that worked with me following another surgery. Don't want to join the Swell Club!
All the best,
Rose.
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Rose, make sure the PT you see is fully-qualified to treat lymphedema (they all aren't). That way they'll do a full evaluation for you and give you personalized risk reduction tips. Here's information about qualifications for LE therapists:
http://www.stepup-speakout.org/Finding_a_Qualified_Lymphedema_Therapist.htm
http://www.lymphnet.org/pdfDocs/nlntraining.pdf
All the best to you too, Rose!
Keep us posted,
Binney -
Hey ladies,
I have developed what looks like a cord from just below my breast downward. I had bilateral masectomy with TEs Dec 2, and axillary node disection on Dec 28, I do not have any swelling and minimal discomfort. I showed my plastic surgeon today and he was not sure what this was, any ideas??
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I have cording/web syndrome in both my arms. It's worse on the 4 node side. The 10 node side where I do have LE the cording isn't as bad go figure.
I was told it will never go away. I do have stretch exercises given to me by my LE therapist.
My first PE was not an LE therapist and didn't know what it was.
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Chrisitne, cords are clotted off lymphatic vessels, share this link with your plastic surgeon--cording is very common, but is a risk factor for LE. A good LE PT will know how to stretch the cords, or sometimes they will resolve on their own--but can linger.
http://www.stepup-speakout.org/Cording_and_Axillary_Web_Syndrome.htm
http://www.stepup-speakout.org/Finding_a_Qualified_Lymphedema_Therapist.htm
Let us know how it goes.
Kira
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I had a bilat mast in Jan 09 with 12 nodes removed on my cancer side. After a couple of months I had several cords in my armpit preventing me from being able to lift my arm and in my arm holding it bent. I went to occupational therapy. They would massage - basically yank and pull on the cords - and one actually "POPPED" giving instant increased range of motion. It was actually really loud but was such a relief. Over the summer I had a lot of pain and redness in my forearm at the "top" of my cord near the crook of my arm (it extended down towards my wrist and attached on the inside of my arm above the wrist). By the time I made it to the doc my pain and infection was resolving itself and soon the cord was gone and my arm was able to straighten. Even with therapy the cords stuck around for several months. In Nov of 09 I was doing a lot of walking while preparing for the 3 day and one day realized that my cords were gone. I think the exercise got things moving in my arm. Most of 09 was spent with my arm not able to even reach out straight in front of me. Thankfully my range of motion has slowly gotten to almost normal. I do have swelling on the bottom of my upper arm and it got worse after surgeries but over time it has gotten better - very subtle but there. My wrist would occasionally swell too. I went to the hyperbaric chamber for healing - kept getting infections on my reconstructed cancer side and I think the HBO therapy actually helped my arm. My wrist doesn't swell anymore and my upper arm is still slightly thicker but it is better than it was. The year of my mast was just miserable. Thankfully I have healed up pretty good. Webbing can go away though!!!!!!!!!!! - mine are gone thank goodness!!!!! Just takes time. Definitely massage them. It DOES NOT feel good but it works. And it really wasn't a massage as much as pushing and pulling at them. Good luck.
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