what is cording after mastectomy

2 min read 29-09-2024

Cording, also known as axillary web syndrome (AWS), is a condition that some women may experience after undergoing a mastectomy, particularly those who have had lymph nodes removed during the procedure. This article aims to provide a detailed explanation of cording, its symptoms, causes, treatments, and practical advice for managing the condition effectively.

What is Cording?

Cording is characterized by the formation of tight, fibrous bands of tissue that run along the arm and into the chest wall, resembling a cord. This condition can be painful and restrict movement in the affected arm. It typically develops after surgeries related to breast cancer, including mastectomy and lymph node dissection.

Symptoms of Cording

The symptoms of cording may vary among individuals but typically include:

Visible bands or cords: These may be seen under the skin on the inner arm or across the chest.
Pain or discomfort: Patients often report a pulling sensation in the arm, particularly when moving or stretching.
Limited range of motion: Difficulty in fully extending or raising the arm may occur, impacting daily activities.

What Causes Cording?

Although the exact cause of cording is not entirely understood, several factors may contribute:

Lymphatic Changes: The removal of lymph nodes can disrupt normal lymphatic drainage, leading to fluid accumulation and tissue fibrosis.
Scar Tissue Formation: Surgical trauma may result in scar tissue that can tether surrounding tissues, contributing to the sensation of tightness.
Muscle Imbalance: Post-surgery changes in muscle function and strength may contribute to altered movement patterns.

Treatment and Management

Physical Therapy

Physical therapy is often recommended to help manage cording effectively. A skilled physical therapist can guide patients through targeted exercises to improve flexibility, strength, and overall arm function. Techniques may include:

Stretching Exercises: Gentle stretching of the affected area can help alleviate tightness and restore range of motion.
Massage Therapy: Therapeutic massage can help reduce discomfort and promote relaxation in tight areas.
Lymphatic Drainage: Specialized techniques can assist in encouraging lymph flow and reducing swelling.

Self-Care Strategies

In addition to professional treatment, several self-care strategies can aid in the management of cording:

Heat Therapy: Applying a warm compress may help relax tight muscles and improve circulation.
Gentle Movement: Incorporating gentle movement into daily routines can prevent stiffness and promote overall well-being.
Hydration: Staying well-hydrated supports overall tissue health and may help in recovery.

When to Seek Medical Help

While cording may resolve on its own over time, patients should consult a healthcare provider if symptoms persist or worsen. In some cases, a referral to a specialist may be necessary for further evaluation and treatment.

Conclusion

Cording after mastectomy can be an uncomfortable and sometimes distressing condition, but understanding it and knowing how to manage it can empower patients during their recovery journey. With appropriate physical therapy, self-care practices, and ongoing medical support, many women find relief from symptoms and regain mobility in their arms.

Additional Resources

For those looking for further information on cording and related topics, consider the following resources:

American Cancer Society
National Cancer Institute
Support groups and community resources for breast cancer survivors can also provide valuable insights and encouragement.

By understanding cording and its management, individuals can better navigate the challenges following a mastectomy, leading to a more positive recovery experience.

References

This article incorporates findings and discussions on cording after mastectomy as presented on ScienceDirect. For further reading and in-depth studies, consult the latest research publications on the subject.