{"id":2197,"date":"2015-07-15T09:30:24","date_gmt":"2015-07-15T14:30:24","guid":{"rendered":"http:\/\/blog.thumpermassager.com\/?p=2197"},"modified":"2015-07-15T09:30:24","modified_gmt":"2015-07-15T14:30:24","slug":"massage-post-surgical-mastectomy","status":"publish","type":"post","link":"https:\/\/www.thumpermassager.pl\/en\/blog\/massage-post-surgical-mastectomy\/","title":{"rendered":"Massage &#038; Post-Surgical Mastectomy"},"content":{"rendered":"<h2><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-2199\" src=\"http:\/\/thumpermassager.com\/wp-content\/uploads\/2015\/07\/paul-lewis-treatment-200x300.jpg\" alt=\"paul lewis treatment\" width=\"200\" height=\"300\" \/><strong>Post-surgical mastectomy patients can experience a wide variety of issues\u2014either singularly or in combination\u2014including pain, altered sensation in the hands or surgical site, restricted range of motion or even secondary lymphedema.<\/strong><\/h2>\n<p>One particularly vexing issue is axillary web syndrome (AWS), also known as cording. \u201cAWS typically presents as a tightened, externally visible and palpable ropelike structure restricting movement and producing pain,\u201d explains Paul Lewis, a registered massage therapist and 2014 Silver Award winner in the Massage Therapy Foundation\u2019s Practitioner Case Report Contest. \u201cThis typically develops under the skin of the inner arm, usually starting at the axilla from where post-surgical scarring has occurred and extending across the medial aspect of the arm to the elbow, and sometimes down to the wrist and thumb.\u201d<\/p>\n<h5><\/h5>\n<h5><\/h5>\n<h5>LEWIS CREATED A PLAN BASED ON A COMBINATION OF INPUT FROM THE CLIENT AND HIS OWN FINDINGS UPON ASSESSMENT.<\/h5>\n<p><strong>The Plan<\/strong><br \/>\nLewis created a treatment plan based on a combination of input from the client and his own findings upon assessment. \u201cFirst, the client completes a health history form and we discuss the client\u2019s goals and concerns,\u201d he says. \u201cFollowing that, a clinical assessment is performed to determine where the source of the issue stems from rather than simply focusing on the symptoms.\u201d According to Lewis, the massage sessions expand on Swedish massage by incorporating movement. \u201cUsing one hand to gently knead the soft tissue, the other hand is used to passively increase (lengthen) and<br \/>\nlessen (shorten) tension on the tissue via changes in limb positioning and limb angle, utilizing the muscle\u2019s line of pull and attachment,\u201d Lewis explains. \u201cThe treatment pressure applied is very minimal.\u201d To help with restricted range of motion, Lewis gave the client self-care exercises to perform between sessions. \u201cI teach an easy-to-remember exercise called \u2018L\u2019 circles to help with restricted range of motion and mobility in the shoulder region,\u201d he explains. \u201cThese exercises affect the muscles attached to the scapula.\u201d<\/p>\n<p><strong>The Results<\/strong><br \/>\nThe client saw results in two sessions, experiencing both a reduction in pain and an increase in range of motion. \u201cI can extend my arm fully without that familiar, annoying tugging pain just below my elbow,\u201d she explains. \u201cThe whole web or cord system seems to have relaxed to the point where I can basically move my arm how I want. The wrist and elbow areas were the most annoying in terms of pain, and these are where I am feeling massive relief.\u201d<\/p>\n<p><strong>Words of Wisdom<\/strong><br \/>\nLewis cautions massage therapists that if they are unsure how to handle clients with post-surgical mastectomy issues, they should refer out. \u201cWhen treating these clients, remember they have been through quite a bit so far, and so good communication between client and therapist is very important when developing a treatment plan and deciding what structures you\u2019re going to address,\u201d he adds. \u201cYou need to make sure, too, that you are listening to your client\u2019s feedback as you work.\u201d<\/p>\n<h4><strong>About Paul Lewis<\/strong><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-2202\" src=\"http:\/\/thumpermassager.com\/wp-content\/uploads\/2015\/07\/paul-lewis-image-201x300.jpg\" alt=\"paul lewis image\" width=\"201\" height=\"300\" \/>Paul Lewis is a registered massage therapist in Mississauga, Ontario, Canada, and developer of Dynamic Angular Petrissage method.<\/p>\n<p>He received the Silver Award in the Massage Therapy Foundation\u2019s 2014 Practitioner Case Report Contest for his study Dynamic Angular Petrissage (DAP); A Novel Therapeutic Approach for Axillary Web Syndrome (Cording\/Webbing).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Post-surgical mastectomy patients can experience a wide variety of issues\u2014either singularly or in combination\u2014including pain, altered sensation in the hands or surgical site, restricted range of motion or even secondary lymphedema. One particularly vexing issue is axillary web syndrome (AWS), also known as cording. \u201cAWS typically presents as a tightened, externally visible and palpable ropelike [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":2199,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5,1107,1110,7],"tags":[47,71,77,96,167,172,299,310,314,328,339,347,352,417,427,434,484,574,576,579,606,624,680,1516,711,739,806,953,960,1047,1050,1055,1081],"class_list":["post-2197","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-exercise","category-health","category-professional-resources","tag-back","tag-benefits","tag-better","tag-boost","tag-chiropractic","tag-chiropractor","tag-eating","tag-energy","tag-exercise","tag-fatigue","tag-fitness","tag-food","tag-foods","tag-happy","tag-health","tag-healthy","tag-howto","tag-massage","tag-massager","tag-maxi-pro","tag-mini-pro","tag-motivation","tag-pain","tag-paul-lewis","tag-posture","tag-recipe","tag-shoulders","tag-thumper","tag-thumper-massager","tag-water","tag-weight","tag-wellness","tag-workout"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Massage &amp; 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