Lymph Node Procedure Recovery · NYC
Axillary Lymph Node Dissection Recovery
Rehabilitation in New York City
Certified oncology rehabilitation after axillary lymph node dissection — comprehensive arm mobility restoration, lymphedema management, and functional recovery after full axillary clearance — at Thera PT & OT in Midtown Manhattan.
Book a Free ConsultationOur ApproachAxillary Lymph Node Dissection & Its Significant Rehabilitation Needs
Axillary lymph node dissection (ALND) removes the level I and II lymph nodes when breast cancer has been found in axillary nodes. It is more extensive than sentinel node biopsy — removing significantly more lymphatic tissue and creating greater disruption to arm lymphatic drainage capacity. Lymphedema risk after ALND is substantially higher (15–25% lifetime) and shoulder mobility restrictions are more pronounced and longer-lasting. Axillary web syndrome is extremely common after ALND and can produce significant, painful restriction of shoulder elevation and elbow extension that dramatically limits daily function without rehabilitation.
ALND changes your lymphatic anatomy permanently. The removal of multiple axillary lymph nodes creates a permanent change to the arm's lymphatic drainage capacity — making lifelong lymphedema monitoring, compression awareness, and protective behaviors important components of long-term wellness.
Post-ALND Concerns We Treat
- Significant shoulder range of motion restriction — more severe and longer-lasting than after SLNB
- Axillary web syndrome — highly prevalent after ALND, often involving multiple cords
- Arm swelling from substantially reduced axillary lymphatic drainage capacity
- Elevated and permanent lymphedema risk requiring long-term monitoring
- Axillary scar tissue and seroma management
- Inner arm numbness from intercostobrachial nerve involvement
- Secondary shoulder and neck compensatory patterns
Our Treatment Approach
Comprehensive ALND Assessment
Full shoulder and arm mobility assessment, axillary tissue evaluation for cording and seroma, baseline arm measurements, sensory assessment of the inner arm and axilla, and postural evaluation.
Shoulder Mobility & Cording Treatment
Progressive shoulder mobility restoration combined with targeted cord release. ALND patients often have more extensive and multiple cords than SLNB patients. Mobility progression is more gradual and treatment course typically longer.
MLD & Lymphedema Management
Manual Lymphatic Drainage for arm swelling. Compression guidance, self-drainage education, and long-term lymphedema monitoring program. CLT-certified CDT when lymphedema is established. See our lymphedema program →
Sensory Rehabilitation
For patients with inner arm numbness or hypersensitivity from intercostobrachial nerve involvement, systematic sensory desensitization and re-education.
Long-Term Monitoring & Maintenance
Ongoing lymphatic monitoring, garment assessment, and self-management review as part of a long-term care relationship.
Axillary lymph node dissection creates significant, permanent lymphatic changes. Comprehensive, long-term rehabilitation is essential.
Book a Free ConsultationBreast Cancer RehabilitationSpecialist Care in Midtown Manhattan
Our oncology-trained, CLT-certified therapists serve breast cancer patients throughout New York City and the Tri-State Area. We coordinate with your oncology team throughout your care. No referral required in New York State. Get directions →
115 West 30th Street, Suite 502B
New York, NY 10001
Near Penn Station · 1/2/3 at 34th St–Penn
B/D/F/M/N/Q/R/W at 34th St–Herald Square
(917) 319-4492
info@thera-rehab.com
Monday – Friday · 7:00 am – 7:00 pm
Frequently Asked Questions
What is the difference in lymphedema risk between SLNB and ALND?
The lifetime lymphedema risk after SLNB is approximately 5–7%; after ALND it is approximately 15–25% — roughly three to four times higher. The risk increases further when axillary radiation is also delivered.
My inner arm is numb after ALND. Is that permanent?
Inner arm numbness after ALND results from disruption of the intercostobrachial nerve. Recovery is variable — some patients experience significant improvement over 12–18 months; others have persistent numbness. Sensory rehabilitation supports the best possible recovery.
Expert axillary lymph node dissection rehabilitation in Midtown Manhattan. Comprehensive, long-term support.
Contact Our TeamBook an Appointment