Massage For Axillary Web Syndrome
Axillary Web Syndrome is characterized by the formation of dense cords of scar tissue that extend from the armpit down the inner arm. In some instances, these cords may reach as far as the forearm and hand. Also known as AWS, this condition can be painful or even limit the arm’s range of motion.[1] Though rare, Axillary Web Syndrome can occur after a mastectomy if lymph nodes were removed.
Massage therapists may be tempted to break these cords with the presumption that all adhesions are the same. Doing so would be ill-advised; these scar tissue cords have their own unique pathology and are not traditional fascial adhesions.
Axillary Web Syndrome
When performing a massage on someone who has Axillary Web Syndrome, the therapist needs to be careful with the application of pressure around the client’s armpit. Pain or tenderness may be experienced along the corded area, which may magnify the perception of pressure when touched. Additionally, the cords may be broken if manipulated when applying too much force or movement. While the sensation of feeling the cords break has been reported to be pleasurable and increase range of motion, health professionals advise keeping them intact. Some physicians theorize that damaging the cords may increase the risk of lymphedema. [2]
Physicians often recommend myofascial release to help manage pain and discomfort associated with Axillary Web Syndrome. If you are considering myofascial release as an option to manage your pain symptoms, consult with the therapist performing the service before the start of your session. The reason is that there are over thirty types of myofascial release, and many are far from gentle. I have provided an expansive list detailing the types of myofascial release in the following link. This will help you determine if the modality used by your massage therapist is appropriate for you.
Advocate For Yourself
The cords caused by Axillary Web Syndrome are delicate and are believed to be composed of inflamed lymphatic, venous tissues, or fibrotic bands. Pressing too hard on them could cause harm to the client, especially since even specialists within the field of lymphatic studies are unsure of the long-term effects of breaking them. Unfortunately, many practitioners of myofascial release and manual therapy are obsessed with breaking up adhesions and scar tissue. As a result, an inexperienced practitioner who lacks awareness of AWS may cause harm by aggressively massaging one of these cords.
A Gentler Approach is Essential
Fundamentally, AWS is a disorder of the lymphatic system. Due to this, applying gentle pressure to the local areas around the cord is recommended. If myofascial release is being used, direct manual manipulation, instrument-assisted, and compression-based techniques should be avoided. Schedule a session with a massage therapist who uses indirect manipulation or gentle techniques to ensure your safety throughout a session.
Axillary Web Syndrome Final Thoughts
- Cords should not be treated as traditional fascial adhesions. Overworking the area or aggressively attempting to release the cords can cause more harm than good.
- Many therapists lack the knowledge or training to distinguish AWS cords from other conditions and may unintentionally exacerbate the issue by using inappropriate techniques.
- AWS requires careful treatment by a therapist who understands the condition and the importance of using gentle approaches like lymphatic drainage massage or Indirect Myofascial Release.
- Evidence-based techniques should guide the treatment to ensure safety and effectiveness.
Massage For Axillary Web Syndrome Near Me
Jennifer Brand Spa is located at 2717 Hwy K O’Fallon, MO. Schedule a massage today to experience the peace and ease you need.