What is axillary cording/axillary web syndrome? What is the treatment for it?

Axillary web syndrome (AWS), also known as axillary cording, sometimes develops following sentinal lymph node biopsy (SLNB) or axillary lymph node dissection (ALND). Symptoms include a sensation of pain, tightness, or pulling in the armpit that can extend down the inner arm as far as the wrist. The tightness/pulling is usually most noticeable when reaching overhead or reaching out to the side, with your elbow straight. Individuals can often see and/or feel these “cords” that look and feel like guitar strings under the skin. When severe, cording can limit shoulder and/or elbow motion. Cording typically improves with gentle massage and stretching.

What is lymphedema?

Lymphedema is a swelling condition caused by an accumulation of lymph fluid between the skin and the muscles of a body part. Cancer and certain cancer treatments can disrupt the flow of lymph fluid and cause lymphedema. Lymphedema can occur in the arms, legs, pelvic region, chest, and face/neck. The location of lymphedema (and lymphedema risk) depends on which part of your body received certain cancer treatments (for example, the removal of lymph nodes and/or radiation).

Is it safe to exercise if I have lymphedema?

Yes, it is. What’s most important is knowing which exercises and how much exercise to do. Depending on the severity of your lymphedema, your therapist might recommend wearing a compression garment during exercise.

Is it safe to exercise while receiving chemotherapy?

In general, yes. As long as your red blood cell count (especially the platelet count) is in a safe range for exercise. Certain chemotherapy drugs can cause the platelet count to drop very low. Your oncology team and your physical therapist will talk with you about activity and exercise modifications if your blood counts are too low. Otherwise, exercising at the right intensity and amount is beneficial during chemotherapy. It helps improve muscle strength and reduce cancer-related fatigue.