Recovery Optimization: Adding Tissue Flossing to Nerve Glide on Axillary Web Syndrome Post Mastectomy

Inclusion Criteria: * Women between the ages of 45 and 65 years with diagnosis of breast cancer underwent to quadrantectomy and axillary lymphadenectomy. * No change of arm size. * Females only will participate in the study. * All patients have axillary web syndrome * All patients' relatives enrolled to the study will have their informed consent Exclusion Criteria: * Metastatic disease, infections, past TVP, emboli. * Lymphedema. * Chemotherapy and Radiotherapy. * Pregnant women. * Patients who suffer from mental or psychological problems. * Patients who have psoriasis, liver disease, diabetes mellitus, hypertensive patients and cardiac -robleme * Patients have Genetic disease or deformity * Who has previous injury or fracture in shoulder joint * Rheumatoid arthritis * Osteopenia * Frozen shoulder * metastases of any kind * lymphedema, * a traumatic injury to the targeted upper extremity * a musculoskeletal disorder * taking any anticoagulants * had undergone bilateral breast cancer surgery * experienced locoregional recurrence * had vascular problems in the affected upper extremity