ABS TRACT Axillary web syndrome (AWS) is characterized by a web of fibrotic vein and lymphatic tissue cords in the axillar, shoulder pain and reduced range of motion (ROM). Cases of idiopathic AWS have rarely been reported in the literature; to the best of our knowledge, the case described here is the third. A 29-year-old male presented with left sided shoulder pain and reduced ROM and cords in the axilla. A diagnosis of idiopathic AWS was made using diagnostic ultrasound and magnetic resonance

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... imaging and treated using shoulder and arm ROM and strengthening exercises, stretching of shoulder flexors and abductors and cord myofascial release. Physical modalities included infrared, therapeutic ultrasound and transcutaneous electrical nerve stimulation. The patient's shoulder pain, reduced ROM and cords resolved with treatment. A diagnosis of AWS should be considered in patients with shoulder pain and reduced ROM, a detailed shoulder examination is essential. The first line treatment for AWS is yet to be determined; this will ensure its timely management and so avoid the development of chronic shoulder disability.