Lymphology Association of North America (LANA) Practice Exam

What treatment best describes axillary web syndrome (AWS)?

1. Short-stretch bandaging with textured hi-density foam.

2. Specialized manual techniques with repeated stretching.

3. All are true.

4. Deep myofascial release combined with heat packs and ultrasound.

The correct answer is: Specialized manual techniques with repeated stretching.

Axillary web syndrome (AWS), also known as cording, can occur following lymph node dissection, particularly in breast cancer patients. This condition is characterized by the formation of thick, cord-like structures in the axillary region, which can lead to discomfort, limited range of motion, and potential lymphatic drainage issues. Specialized manual techniques with repeated stretching are particularly effective for treating AWS. These approaches aim to loosen the tight fibrous cords that develop in the axilla, alleviate discomfort, and restore mobility. Techniques such as myofascial release, manual lymphatic drainage, and specific stretching exercises are tailored to reduce tension in the affected soft tissue structures. This focus on gentle manipulation and stretching helps to break down adhesions and improve lymphatic flow, which is crucial for recovery. Other treatments may also contribute to the management of AWS, but manual techniques specifically address the underlying issue of restricted movement and the presence of cording in a targeted way. Therefore, emphasizing specialized manual techniques aligns best with effective treatment strategies for axillary web syndrome.