Dynamic Angular Petrissage as Treatment for Axillary Web Syndrome Occurring after Surgery for Breast Cancer: a Case...

Area of Science:

• Oncology
• Physical Therapy
• Lymphedema Management

Background:

• Axillary web syndrome (AWS), or lymphatic cording, is a painful complication post-breast cancer surgery, impacting upper extremity mobility.
• Current treatments for AWS offer variable efficacy, highlighting the need for effective interventions.
• This case study focuses on a patient with AWS following mastectomy and axillary dissection.

Purpose of the Study:

• To describe the treatment of axillary web syndrome (AWS) using a novel therapeutic massage and movement protocol.
• To evaluate the efficacy of dynamic angular petrissage in alleviating AWS symptoms, including pain and restricted range of motion.

Main Methods:

• A female patient with AWS underwent two sessions of dynamic angular petrissage, a technique combining Swedish massage with passive range of motion exercises.
• The protocol involved controlled stretching and tension application to soft tissues while preserving the lymphatic cords.
• Home exercises were prescribed for continued patient management.

Main Results:

• Significant pain reduction (0/10) and improved glenohumeral joint range of motion (170° flexion) were observed after the first session.
• Residual cording diminished, with full range of motion and absence of pain reported at three-month follow-up.
• The treatment demonstrated rapid and complete elimination of AWS signs and symptoms.

Conclusions:

• Dynamic angular petrissage offers a safe and efficient method for treating axillary web syndrome (AWS).
• This approach effectively reduces pain, restores mobility, and resolves the characteristic cording of AWS.
• Further research into dynamic angular petrissage for AWS management is warranted.