In this article, Active’s Breast Cancer physiotherapists explain Cording (also known as Axillary Web Syndrome) – what it is, when to seek help and how physiotherapy can diagnose and treat it to provide relief.
Find more general information about in our Breast Cancer Care and Physiotherapy at Active article.
Find more information on our Physiotherapy Services for Breast Cancer.
Understanding Cording or Axillary Web Syndrome
After breast cancer surgery, particularly when lymph nodes are removed, you may notice a tight, pulling sensation down your arm. This is known as cording or Axillary Web Syndrome (AWS).
Cording feels like a tight rope or band running from your underarm down your arm, sometimes reaching the wrist or even hand. It can make it difficult and painful to lift your arm, reach overhead, or carry out daily tasks like dressing or reaching into cupboards.
Why Does Cording Happen?
Cording may occur when lymphatic vessels or soft tissue under the skin become inflamed or hardened following your surgery. While it can feel alarming, it’s a common side effect of surgery and/or treatment and, importantly, it can be treated with the right support.
When Should You Seek Help?
If you notice any tight bands, pulling sensations, or difficulty lifting your arm after surgery, it’s best to seek help early. Early physiotherapy can shorten your recovery time and prevent further complications like frozen shoulder or persistent pain.
How Physiotherapy Can Help with Cording
At Active, our experienced physiotherapists are specially trained to diagnose and treat cording. There are several treatment strategies we may use to help your cording symptoms. These may include:
- Manual Therapy: Gentle, hands-on treatment to release the tight tissue and improve mobility.
- Stretching and Movement: Tailored exercises to stretch the arm and shoulder safely, gradually restoring range.
- Scar Management: Supporting healing of nearby scar tissue to reduce tightness.
- Education: Teaching you safe, effective self-management techniques to use at home.
- Emotional Support: Helping you understand your body’s healing process to reduce worry and build confidence.
Most people experience significant relief with physiotherapy, often noticing improved movement and reduced discomfort after a few sessions.
Take the First Step
If you think you may be experiencing cording, book an appointment with our team today.
We are here to support you, either via an in-clinic or via online video consultation, every step of the way. Referrals are not required to access physiotherapy, however, we work closely with many established surgeons and oncologists and we are happy to receive an overview of your diagnosis and plan so that we can coordinate care.
Contact us today to schedule an in-person or online consultation and begin your recovery journey with confidence.