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In late\u2010onset RIBP following breast cancer, the nerve injury is chronic and irreversible, occurring more commonly when axillary and\/or supraclavicular nodes have been irradiated, as well as the breast\/chest wall. RIBP is manifested initially by paresthesia, hypoesthesia, dysesthesia, and later by weakness in the ipsilateral hand with those symptoms progressing distally to proximally up through the shoulder. Depressed\/absent deep tendon reflexes in the upper extremity and muscle fasciculations occur also. Neither patients nor their health care providers tend to associate these unusual neurological symptoms with cancer treatments received \u226520\u2009years prior, often failing to link these sensory\u2010motor symptoms with radiotherapy decades before. Because long\u2010term follow\u2010up of these patients now typically falls to general practitioners, many cases may be missed or misdiagnosed because of the rarity of this disorder. Physiatrists and allied rehabilitation professionals must be aware of this progressively disabling, incurable condition to provide appropriate diagnoses and compensatory rehabilitation therapies. Additionally, professional oncology organizations should include RIBP in their long\u2010term, survivorship guidelines for breast cancer. Researchers examining the iatrogenic late effects of radiotherapy should extend their follow\u2010up periods well beyond the current 5\u20136\u2009years to ascertain the true incidence of RIBP today. Rehabilitation providers must continue to advocate for awareness, diagnosis, and management of iatrogenic outcomes experienced by long\u2010term cancer survivors.<\/jats:p>","DOI":"10.1002\/pmrj.13007","type":"journal-article","created":{"date-parts":[[2023,6,7]],"date-time":"2023-06-07T01:46:59Z","timestamp":1686102419000},"page":"85-91","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Brachial plexopathy after breast cancer: A persistent late effect of radiotherapy"],"prefix":"10.1002","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2679-6548","authenticated-orcid":false,"given":"Susan R.","family":"Harris","sequence":"first","affiliation":[{"name":"Department of Physical Therapy \u2013 Faculty of Medicine University of British Columbia  Vancouver British Columbia 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