Axillary Web Syndrome (Cording)

Axillary Web Syndrome (AWS) or cording can develop after a sentinel lymph node biopsy, axillary lymph node dissection or other surgery. The exact cause is unknown, but it is believed that surgery injures the lymphatic and venous vessels and they scar and harden, turning into cords. AWS often presents as a cord of tissue that runs from the armpit toward the elbow and sometimes to the wrist and hand. It can also occur on the chest wall and abdomen. These cords can cause pain and/or restriction upon movement.

I learned my technique from Elisabeth Josenhans, physical therapist since 1981, and a pioneer in treating AWS in Hamburg, Germany. I use myofascial release, scar massage and stretching to loosen the cord. All is done cautiously and followed by MLD to avoid lymphedema.

Click here for the English translation of E. Josenhans’ award winning, 3 year study on treating cording.