Objective To conduct a scoping review of physical rehabilitation interventions for patients with axillary web syndrome (AWS) after breast cancer surgery, to clarify intervention elements and application status, and to provide reference for further development of physical rehabilitation intervention strategies.Methods According to the scoping review guidelines, PubMed, CINAHL, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure, Wanfang Data and SinoMed were systematically searched for literature on physical rehabilitation for patients with AWS after breast cancer surgery, with the search period from inception of databases to April 2024.Two researchers independently extracted and analyzed data from the included studies.Results A total of 16 articles were included, mainly describing physical rehabilitation interventions for patients with AWS after breast cancer surgery by rehabilitation therapists and nurses using manual therapy, exercise therapy, and combined physical factor interventions; there were significant differences in intervention frequency and duration, with the most common being exercise therapy, such as stretching exercises and limb function training, with an intervention frequency of 3-5 times per day, each lasting 10-20 minutes, for a duration of 2-4 weeks.Interventions had varying degrees of positive effects on limb function, clinical symptoms, and quality of life indicators in breast cancer patients with AWS. Conclusion The research on physical rehabilitation interventions for patients with AWS after breast cancer surgery is still in the developmental stage, and its positive effects have been preliminarily verified. In the future, nurses can act as the main body of physical rehabilitation interventions, leverage multidisciplinary team roles, utilize remote monitoring and support systems, conduct high-quality, multicenter rando-mized controlled trials, clarify more effective intervention strategies, and formulate personalized, scientific physical rehabilitation intervention programs for patients.