A technical report of postmastectomy axillary web syndrome symptom management using ultrasound-guided trigger point injections
Axillary web syndrome (AWS) is a painful and difficult-to-manage complication of breast surgery with axillary lymph node dissection. Patients may believe that symptoms, including the presence of palpable axillary cords and reduced shoulder mobility, are a normal part of postoperative recovery. Both...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Indian Journal of Pain |
| Subjects: | |
| Online Access: | http://www.indianjpain.org/article.asp?issn=0970-5333;year=2022;volume=36;issue=2;spage=97;epage=99;aulast=Bawany |
| _version_ | 1811276682133241856 |
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| author | Mohammad H Bawany Rachna Subramony Joel Castellanos Jessica Oswald |
| author_facet | Mohammad H Bawany Rachna Subramony Joel Castellanos Jessica Oswald |
| author_sort | Mohammad H Bawany |
| collection | DOAJ |
| description | Axillary web syndrome (AWS) is a painful and difficult-to-manage complication of breast surgery with axillary lymph node dissection. Patients may believe that symptoms, including the presence of palpable axillary cords and reduced shoulder mobility, are a normal part of postoperative recovery. Both physician and patient education regarding this quality-of-life impairing condition is needed. In this report, we describe treating AWS using ultrasound-guided trigger point injections to avoid inadvertent damage to the neighboring lung, nerve, lymph nodes, and/or vasculature. There is limited information on their utility in treating AWS. At 4-month follow-up, our patient reported 70% improvement in her pain and discontinuation of her opioid medications, along with increased functionality. Ultrasound played a critical role in enhancing procedure accuracy and safety in zones that contain important nerve and vascular tissue and decreasing the risk of iatrogenic injury. While ultrasound was used historically for diagnostic purposes, we show why its use for interventions is on the rise. |
| first_indexed | 2024-04-13T00:02:08Z |
| format | Article |
| id | doaj.art-20c7921cd22642c2a1f502c9141b0334 |
| institution | Directory Open Access Journal |
| issn | 0970-5333 |
| language | English |
| last_indexed | 2024-04-13T00:02:08Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Pain |
| spelling | doaj.art-20c7921cd22642c2a1f502c9141b03342022-12-22T03:11:19ZengWolters Kluwer Medknow PublicationsIndian Journal of Pain0970-53332022-01-01362979910.4103/ijpn.ijpn_105_21A technical report of postmastectomy axillary web syndrome symptom management using ultrasound-guided trigger point injectionsMohammad H BawanyRachna SubramonyJoel CastellanosJessica OswaldAxillary web syndrome (AWS) is a painful and difficult-to-manage complication of breast surgery with axillary lymph node dissection. Patients may believe that symptoms, including the presence of palpable axillary cords and reduced shoulder mobility, are a normal part of postoperative recovery. Both physician and patient education regarding this quality-of-life impairing condition is needed. In this report, we describe treating AWS using ultrasound-guided trigger point injections to avoid inadvertent damage to the neighboring lung, nerve, lymph nodes, and/or vasculature. There is limited information on their utility in treating AWS. At 4-month follow-up, our patient reported 70% improvement in her pain and discontinuation of her opioid medications, along with increased functionality. Ultrasound played a critical role in enhancing procedure accuracy and safety in zones that contain important nerve and vascular tissue and decreasing the risk of iatrogenic injury. While ultrasound was used historically for diagnostic purposes, we show why its use for interventions is on the rise.http://www.indianjpain.org/article.asp?issn=0970-5333;year=2022;volume=36;issue=2;spage=97;epage=99;aulast=Bawanyaxillary web syndrometrigger point injectionultrasound |
| spellingShingle | Mohammad H Bawany Rachna Subramony Joel Castellanos Jessica Oswald A technical report of postmastectomy axillary web syndrome symptom management using ultrasound-guided trigger point injections Indian Journal of Pain axillary web syndrome trigger point injection ultrasound |
| title | A technical report of postmastectomy axillary web syndrome symptom management using ultrasound-guided trigger point injections |
| title_full | A technical report of postmastectomy axillary web syndrome symptom management using ultrasound-guided trigger point injections |
| title_fullStr | A technical report of postmastectomy axillary web syndrome symptom management using ultrasound-guided trigger point injections |
| title_full_unstemmed | A technical report of postmastectomy axillary web syndrome symptom management using ultrasound-guided trigger point injections |
| title_short | A technical report of postmastectomy axillary web syndrome symptom management using ultrasound-guided trigger point injections |
| title_sort | technical report of postmastectomy axillary web syndrome symptom management using ultrasound guided trigger point injections |
| topic | axillary web syndrome trigger point injection ultrasound |
| url | http://www.indianjpain.org/article.asp?issn=0970-5333;year=2022;volume=36;issue=2;spage=97;epage=99;aulast=Bawany |
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