Background and Purpose Axillary web syndrome (AWS) and seroma are common and function-limiting side effects following treatments for breast cancer. Studies of AWS and seroma are rare, and there are no guidelines for physical therapy in these cases. Case Description After left breast lumpectomy due to invasive ductal carcinoma, a 65-year-old female patient underwent intraoperative radiation therapy and whole breast radiation. Seven months later, during treatment for breast swelling, AWS and breast seroma were identified by a physical therapist certified in lymphedema treatment. Treatment goals were to reduce breast swelling and pain and to improve shoulder movements. Interventions included manual lymph drainage, left arm stretching, and instruction about self–lymphatic-drainage and stretching exercise. Also, a compression bra was ordered, and continued daily activities and physical activity were recommended. Outcomes Improvement in shoulder movement, breast swelling, and pain. Discussion Because evidence for treatment guidelines following treatments for breast cancer is lacking, close follow-up for treatment-related complications is recommended. Management should be chosen according to signs and symptoms. Realistic expectations can reduce patient frustration and improve coping strategies and compliance with self-treatment demands. Clinical studies to support these conclusions are required.

Background: Lymphedema and other side effects (SEs) of breast cancer (BC) treatments are a clinical condition; hence, input based on clinical experience is highly relevant for deciding on intervention. Purpose: To evaluate lymphedema treatment certified physical therapists' (CLT) awareness of SEs after BC treatments and their recommendations for risk-reduction. Methods: In a mixed model qualitative study, a convenience sample of 20 CLTs with at least 5-years' experience were interviewed by phone call. Topics discussed were SEs after BC treatments and recommendations for risk reduction. The authors analyzed the data separately and then discussed the interpretation of similarities and differences. Results: The most frequently mentioned SEs were arm lymphedema, breast swelling, pain, and shoulder movement limitation. General SEs, such as stress and anxiety, were also mentioned. There was consensus on the need for education about lymphedema, infection prevention, and physical activity, but not on the optimal timing to provide instruction, or for a preliminary session with a CLT. Conclusions: The participants wereaware of and knowledgeable about common SEs after BC surgery and preventive interventions, in keeping with "best practice" recommendations. However, remaining controversies raise the need for a practical guideline for SEs risk reduction after BC surgery.

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These preliminary results demonstrate that this novel, computerized, three-dimensional cervical mobilization device is probably safe. The data also suggest that this method is effective in alleviating neck pain and associated headache, and in increasing the CROM, although the sample size was small in this open trial.