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Web Axillary Pain Syndrome—Literature Evidence and Novel Rehabilitative Suggestions: A Narrative Review

Axillary web syndrome (AWS) is defined as a visible and palpable network of cords in the skin of the axillary cavity that are tensed by shoulder abduction following surgery for breast cancer, causing significant functional limits of the ipsilateral upper limb (UL) and pain. The purpose of this narra...

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Autores principales: Agostini, Francesco, Attanasi, Carmine, Bernetti, Andrea, Mangone, Massimiliano, Paoloni, Marco, del Monte, Edoardo, Mammucari, Massimo, Maggiori, Enrica, Russo, Domenico, Marzo, Raffaele Di, Migliore, Alberto, Paolucci, Teresa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8507961/
https://www.ncbi.nlm.nih.gov/pubmed/34639683
http://dx.doi.org/10.3390/ijerph181910383
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author Agostini, Francesco
Attanasi, Carmine
Bernetti, Andrea
Mangone, Massimiliano
Paoloni, Marco
del Monte, Edoardo
Mammucari, Massimo
Maggiori, Enrica
Russo, Domenico
Marzo, Raffaele Di
Migliore, Alberto
Paolucci, Teresa
author_facet Agostini, Francesco
Attanasi, Carmine
Bernetti, Andrea
Mangone, Massimiliano
Paoloni, Marco
del Monte, Edoardo
Mammucari, Massimo
Maggiori, Enrica
Russo, Domenico
Marzo, Raffaele Di
Migliore, Alberto
Paolucci, Teresa
author_sort Agostini, Francesco
collection PubMed
description Axillary web syndrome (AWS) is defined as a visible and palpable network of cords in the skin of the axillary cavity that are tensed by shoulder abduction following surgery for breast cancer, causing significant functional limits of the ipsilateral upper limb (UL) and pain. The purpose of this narrative review is to discuss rehabilitation approaches for greater efficacy with respect to pain and novel suggestions. AWS is a frequent complication of axillary lymphadenectomy that necessitates a thorough follow-up in the medium to long term. Physiotherapy is effective in the treatment of functional limb deficits, the management of pain, and the treatment of upper limb disability. The best management approach involves the use of soft tissue techniques to slow the natural course of the syndrome, in association with therapeutic exercises for functional recovery and muscle strengthening. AWS is linked secondary lymphedema, requiring integration with manual lymphatic drainage. The physiotherapy management of AWS is currently fragmented, and insufficient information is available on the nature of the disease. Thus, randomized and controlled studies that compare rehabilitation approaches in AWS are desirable, including the possibility of using mesotherapy in the treatment of axillary and upper limb pain.
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spelling pubmed-85079612021-10-13 Web Axillary Pain Syndrome—Literature Evidence and Novel Rehabilitative Suggestions: A Narrative Review Agostini, Francesco Attanasi, Carmine Bernetti, Andrea Mangone, Massimiliano Paoloni, Marco del Monte, Edoardo Mammucari, Massimo Maggiori, Enrica Russo, Domenico Marzo, Raffaele Di Migliore, Alberto Paolucci, Teresa Int J Environ Res Public Health Review Axillary web syndrome (AWS) is defined as a visible and palpable network of cords in the skin of the axillary cavity that are tensed by shoulder abduction following surgery for breast cancer, causing significant functional limits of the ipsilateral upper limb (UL) and pain. The purpose of this narrative review is to discuss rehabilitation approaches for greater efficacy with respect to pain and novel suggestions. AWS is a frequent complication of axillary lymphadenectomy that necessitates a thorough follow-up in the medium to long term. Physiotherapy is effective in the treatment of functional limb deficits, the management of pain, and the treatment of upper limb disability. The best management approach involves the use of soft tissue techniques to slow the natural course of the syndrome, in association with therapeutic exercises for functional recovery and muscle strengthening. AWS is linked secondary lymphedema, requiring integration with manual lymphatic drainage. The physiotherapy management of AWS is currently fragmented, and insufficient information is available on the nature of the disease. Thus, randomized and controlled studies that compare rehabilitation approaches in AWS are desirable, including the possibility of using mesotherapy in the treatment of axillary and upper limb pain. MDPI 2021-10-02 /pmc/articles/PMC8507961/ /pubmed/34639683 http://dx.doi.org/10.3390/ijerph181910383 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Agostini, Francesco
Attanasi, Carmine
Bernetti, Andrea
Mangone, Massimiliano
Paoloni, Marco
del Monte, Edoardo
Mammucari, Massimo
Maggiori, Enrica
Russo, Domenico
Marzo, Raffaele Di
Migliore, Alberto
Paolucci, Teresa
Web Axillary Pain Syndrome—Literature Evidence and Novel Rehabilitative Suggestions: A Narrative Review
title Web Axillary Pain Syndrome—Literature Evidence and Novel Rehabilitative Suggestions: A Narrative Review
title_full Web Axillary Pain Syndrome—Literature Evidence and Novel Rehabilitative Suggestions: A Narrative Review
title_fullStr Web Axillary Pain Syndrome—Literature Evidence and Novel Rehabilitative Suggestions: A Narrative Review
title_full_unstemmed Web Axillary Pain Syndrome—Literature Evidence and Novel Rehabilitative Suggestions: A Narrative Review
title_short Web Axillary Pain Syndrome—Literature Evidence and Novel Rehabilitative Suggestions: A Narrative Review
title_sort web axillary pain syndrome—literature evidence and novel rehabilitative suggestions: a narrative review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8507961/
https://www.ncbi.nlm.nih.gov/pubmed/34639683
http://dx.doi.org/10.3390/ijerph181910383
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