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Axillary Web Syndrome (aka Cording) after SLNB

Forums General Melanoma Community Axillary Web Syndrome (aka Cording) after SLNB

  • Post
    MindyD
    Participant

      Has anyone developed this condition after axillary (arm pit) lymph node surgery?  I don't see my surgeon for my next follow up until next Tuesday, and have not confirmed that I have it… But based on what I've read, it sure does look and feel like exactly that.  2 visible "tendon like" cords that run from the incision down the back & front of my arm, into the elbow.  It's extremely tight and painful when raising my arm or stretching to reach something. My range of motion is more limited now than the day after surgery. Any suggestions for pain relief?  

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    • Replies
        Linny
        Participant

          You will need to get that looked at by a physical therapist who specializes is lymphedema. They will massage it and work it out. I would try an OTC pain reliever like Advil or Alleve. 

          Linny
          Participant

            You will need to get that looked at by a physical therapist who specializes is lymphedema. They will massage it and work it out. I would try an OTC pain reliever like Advil or Alleve. 

            Linny
            Participant

              You will need to get that looked at by a physical therapist who specializes is lymphedema. They will massage it and work it out. I would try an OTC pain reliever like Advil or Alleve. 

              washoegal
              Participant

                This is not at all unusual.  What you can do is stand next to a wall and slowly walk you hand up the wall.  Only stretch your arm to the point where it starts to pull then stop.  Repeat two or three times.  Do this several times a day, you will find you will start to strech a little more each time.  Remember don't push beyound your limits, you want to do very slow stretching.

                washoegal
                Participant

                  This is not at all unusual.  What you can do is stand next to a wall and slowly walk you hand up the wall.  Only stretch your arm to the point where it starts to pull then stop.  Repeat two or three times.  Do this several times a day, you will find you will start to strech a little more each time.  Remember don't push beyound your limits, you want to do very slow stretching.

                  washoegal
                  Participant

                    This is not at all unusual.  What you can do is stand next to a wall and slowly walk you hand up the wall.  Only stretch your arm to the point where it starts to pull then stop.  Repeat two or three times.  Do this several times a day, you will find you will start to strech a little more each time.  Remember don't push beyound your limits, you want to do very slow stretching.

                    MindyD
                    Participant

                      Thank you both for your feedback!  This has really thrown me for a loop, as I expected to be somewhat back to normal ROM by now.  I just wish they would've informed me of this as a possible complication.  I hate surprises! Lol.   Thanks again, much appreciated!

                      MindyD
                      Participant

                        Thank you both for your feedback!  This has really thrown me for a loop, as I expected to be somewhat back to normal ROM by now.  I just wish they would've informed me of this as a possible complication.  I hate surprises! Lol.   Thanks again, much appreciated!

                        MindyD
                        Participant

                          Thank you both for your feedback!  This has really thrown me for a loop, as I expected to be somewhat back to normal ROM by now.  I just wish they would've informed me of this as a possible complication.  I hate surprises! Lol.   Thanks again, much appreciated!

                          BrianP
                          Participant

                            Mindy,

                            I had my axillary disection in 2011 and I still have some range of motion issues due to the "cording".  I had radiation to the armpit following the lymph node removal which probably complicated the problem.  I could not believe how tight that tendon was.  It reminded me of a guitar string and you could clearly see it in my armpit when I raised my arm above my head.  It felt like it ran from my pinky to my armpit.  I did physical therapy off and on for about 6 months which helped.  The exercise mentioned about where you walk your arm up the wall is a good one.  I never really had any pain associated with mine, just range of motion issues.  One thing that has developed within the last year which I also attribute to the axillary disection is I get muscle spasms in my trapezoid.  It's really a pain when I'm driving and I have to try to stretch my arm over my head to get rid of the spasm without driving off the road.  I think it will get better for you over time but it does take work.

                            Brian

                            BrianP
                            Participant

                              Mindy,

                              I had my axillary disection in 2011 and I still have some range of motion issues due to the "cording".  I had radiation to the armpit following the lymph node removal which probably complicated the problem.  I could not believe how tight that tendon was.  It reminded me of a guitar string and you could clearly see it in my armpit when I raised my arm above my head.  It felt like it ran from my pinky to my armpit.  I did physical therapy off and on for about 6 months which helped.  The exercise mentioned about where you walk your arm up the wall is a good one.  I never really had any pain associated with mine, just range of motion issues.  One thing that has developed within the last year which I also attribute to the axillary disection is I get muscle spasms in my trapezoid.  It's really a pain when I'm driving and I have to try to stretch my arm over my head to get rid of the spasm without driving off the road.  I think it will get better for you over time but it does take work.

                              Brian

                              BrianP
                              Participant

                                Mindy,

                                I had my axillary disection in 2011 and I still have some range of motion issues due to the "cording".  I had radiation to the armpit following the lymph node removal which probably complicated the problem.  I could not believe how tight that tendon was.  It reminded me of a guitar string and you could clearly see it in my armpit when I raised my arm above my head.  It felt like it ran from my pinky to my armpit.  I did physical therapy off and on for about 6 months which helped.  The exercise mentioned about where you walk your arm up the wall is a good one.  I never really had any pain associated with mine, just range of motion issues.  One thing that has developed within the last year which I also attribute to the axillary disection is I get muscle spasms in my trapezoid.  It's really a pain when I'm driving and I have to try to stretch my arm over my head to get rid of the spasm without driving off the road.  I think it will get better for you over time but it does take work.

                                Brian

                                Bubbles
                                Participant

                                  Hey Mindy,

                                  Sorry you are dealing with this.  I echo most of the advice you have been given.  I had a complete lymphadenectomy of my right axilla in 2003 and of my left in 2007.  Both required work to get things back together!!!  My right has had the most residual issues (numbness, tingling, and occasional cramping…much like a Charlie Horse along my rib cage….sort of like what Brian described.)  Overall, though I cannot complain.  I'm still here!  I run, exercise, do elliptical…though sometimes there are little reminders!  I have been very lucky not to have developed lymphedema.  I found the best source for exercises to stretch things out early on were on breast cancer web sites and articles.  Walking your hands up a wall, as mentioned by Washoegal, is very helpful.  Here's an article I ran into when doing some melanoma research this am….thought you might find it interesting:

                                  http://www.ncbi.nlm.nih.gov/pubmed/25626622

                                  Not sure if the process is as rare as those folks think…or maybe your case is more complicated than the rest of ours.  At any rate, the researchers seem to profer the same treatment approach that the rest of us used and there has been no link to axiallary mets just because you develop this syndrome.  (For the record…I had a positive node on one side and not on the other!)  For what it's worth.  Hang in there. You got this!!!!  Celeste

                                  Bubbles
                                  Participant

                                    Hey Mindy,

                                    Sorry you are dealing with this.  I echo most of the advice you have been given.  I had a complete lymphadenectomy of my right axilla in 2003 and of my left in 2007.  Both required work to get things back together!!!  My right has had the most residual issues (numbness, tingling, and occasional cramping…much like a Charlie Horse along my rib cage….sort of like what Brian described.)  Overall, though I cannot complain.  I'm still here!  I run, exercise, do elliptical…though sometimes there are little reminders!  I have been very lucky not to have developed lymphedema.  I found the best source for exercises to stretch things out early on were on breast cancer web sites and articles.  Walking your hands up a wall, as mentioned by Washoegal, is very helpful.  Here's an article I ran into when doing some melanoma research this am….thought you might find it interesting:

                                    http://www.ncbi.nlm.nih.gov/pubmed/25626622

                                    Not sure if the process is as rare as those folks think…or maybe your case is more complicated than the rest of ours.  At any rate, the researchers seem to profer the same treatment approach that the rest of us used and there has been no link to axiallary mets just because you develop this syndrome.  (For the record…I had a positive node on one side and not on the other!)  For what it's worth.  Hang in there. You got this!!!!  Celeste

                                    Bubbles
                                    Participant

                                      Hey Mindy,

                                      Sorry you are dealing with this.  I echo most of the advice you have been given.  I had a complete lymphadenectomy of my right axilla in 2003 and of my left in 2007.  Both required work to get things back together!!!  My right has had the most residual issues (numbness, tingling, and occasional cramping…much like a Charlie Horse along my rib cage….sort of like what Brian described.)  Overall, though I cannot complain.  I'm still here!  I run, exercise, do elliptical…though sometimes there are little reminders!  I have been very lucky not to have developed lymphedema.  I found the best source for exercises to stretch things out early on were on breast cancer web sites and articles.  Walking your hands up a wall, as mentioned by Washoegal, is very helpful.  Here's an article I ran into when doing some melanoma research this am….thought you might find it interesting:

                                      http://www.ncbi.nlm.nih.gov/pubmed/25626622

                                      Not sure if the process is as rare as those folks think…or maybe your case is more complicated than the rest of ours.  At any rate, the researchers seem to profer the same treatment approach that the rest of us used and there has been no link to axiallary mets just because you develop this syndrome.  (For the record…I had a positive node on one side and not on the other!)  For what it's worth.  Hang in there. You got this!!!!  Celeste

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