Axillary web syndrome induced by physical exertion

Hunt, William; Porter, R.; Lücke, Thomas

doi:10.1111/ced.14089

Cited by 5 publications

(6 citation statements)

References 8 publications

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“…2 In recent years, AWS cases unrelated to surgery have started to attract attention. 3,4 Moreover, a couple of cases of idiopathic AWS have also been reported in the literature, to the best of our knowledge, the case described here is the third. 5,6 Here, we present the case of a patient diagnosed with idiopathic AWS and treated with physical ther-apy (PT) with good outcomes.…”

Section: Olgu Sunumumentioning

confidence: 57%

Idiopathic Axillary Web Syndrome: A Case Report on a Rare Entity

AHİ¹,

OZEN²,

Coşar³

2022

J PMR Sci

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ABS TRACT Axillary web syndrome (AWS) is characterized by a web of fibrotic vein and lymphatic tissue cords in the axillar, shoulder pain and reduced range of motion (ROM). Cases of idiopathic AWS have rarely been reported in the literature; to the best of our knowledge, the case described here is the third. A 29-year-old male presented with left sided shoulder pain and reduced ROM and cords in the axilla. A diagnosis of idiopathic AWS was made using diagnostic ultrasound and magnetic resonance imaging and treated using shoulder and arm ROM and strengthening exercises, stretching of shoulder flexors and abductors and cord myofascial release. Physical modalities included infrared, therapeutic ultrasound and transcutaneous electrical nerve stimulation. The patient's shoulder pain, reduced ROM and cords resolved with treatment. A diagnosis of AWS should be considered in patients with shoulder pain and reduced ROM, a detailed shoulder examination is essential. The first line treatment for AWS is yet to be determined; this will ensure its timely management and so avoid the development of chronic shoulder disability.

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Section: Olgu Sunumumentioning

confidence: 57%

Idiopathic Axillary Web Syndrome: A Case Report on a Rare Entity

AHİ¹,

OZEN²,

Coşar³

2022

J PMR Sci

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“…In this study, we found an association between vigorous PA performance and risk of developing AWS. The authors who previously examined risk factors for developing AWS found no relationship between training level and increased risk of AWS 47 , 48 , with the exception of a case report that described AWS development after physical effort 49 . Moreover, among the risk factors for the development of AWS should be considered younger age, greater time elapsed since surgery and number of resected lymph nodes 50 , but PA was not considered.…”

Section: Discussionmentioning

confidence: 98%

Effect of physical activity levels on oncological breast surgery recovery: a prospective cohort study

Klein

Kalichman

Chen

et al. 2021

Sci Rep

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After breast cancer (BC) surgery, women may experience a physical decline. The effect of physical activity (PA) on the course of recovery after BC surgery has not yet been thoroughly examined. To analyze the impact of physical activity performed by women undergoing breast cancer surgery on measures of function, range of motion, and self-efficacy. A prospective study was carried out in 157 patients who underwent surgery for BC between October 2018 and April 2019, divided into four groups according to the intensity of PA with 6 months follow-up. 50 sedentary patients and 107 active patients were enrolled; the mean age was 52.6. Women who performed physical activity, moderate to vigorous, demonstrated lower function disabilities (QuickDASH 2.22) compared with inactivity or light physical activity (QuickDASH 7.0, p < 0.001), with better shoulder flexion (159.0° vs. 150.7°, p = 0.007) and abduction (159.5° vs. 152.2°, p = 0.008). Higher PA levels, displayed in higher self-efficacy reports (9.5 vs. 8.8, p = 0.002), and return to prior job status (0.005). The PA level does not influence pain at one, three and 6 months postoperatively (p = 0.278, p = 0.304 and p = 0.304 respectively). High PA levels increase the risk of axillary web syndrome (p = 0.041), although, it reduces the incidence of chronic pain (p = 0.007). Women who practice physical activity recover better from BC surgery than sedentary women. The higher the intensity and frequency of training, the better the results. Vigorous activity cause axillary web syndrome, despite, it has a beneficial effect on lowering the rate of chronic pain.

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“…The first study showed that AWS appeared after intense physical activity in a young male squash player and another report presented the development of AWS in an old female after home physical exercises. 9 , 10 Several risk factors are related to AWS, including ethnicity, BMI, extent of surgery, cancer management and axillary metastasis. 2 The incidence of AWS in individuals from African American backgrounds is higher than that in Caucasians and is higher in aggressive surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, there are only two reports of idiopathic AWS 7 , 8 and two other reports of AWS following physical exertion. 9 , 10 In this case report, an atypical presentation of AWS was demonstrated to draw attention and to increase the awareness of clinicians that this condition (AWS) can develop in healthy subjects without any surgical interference.…”

Section: Introductionmentioning

confidence: 87%

Occurrence of axillary web syndrome without surgical intervention: a case report

Alharazy

2023

J Int Med Res

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Axillary web syndrome (AWS) is characterized by the formation of cords in the axilla. Classically, it develops after surgical biopsy or removal of axillary lymph nodes for breast cancer. It can cause a limited range of motion and may contribute to abnormal shoulder movements or patterns that can cause pain. In this report, an atypical case of AWS presented in a 38-year-old male after physical activity but with no surgical history or breast cancer. This case report highlights that AWS can appear in healthy individuals with no history of breast cancer and/or surgical intervention. It also emphasizes the need to consider AWS in clinical practice as a differential diagnosis of painful shoulder movement and restricted range of motion.

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Axillary web syndrome induced by physical exertion

Abstract: Click https://www.wileyhealthlearning.com/ced.aspx for the corresponding questions to this CME article.

Cited by 5 publications

References 8 publications

Idiopathic Axillary Web Syndrome: A Case Report on a Rare Entity

Idiopathic Axillary Web Syndrome: A Case Report on a Rare Entity

Effect of physical activity levels on oncological breast surgery recovery: a prospective cohort study

Occurrence of axillary web syndrome without surgical intervention: a case report

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