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Christa, yes I had the tightness and had the surgeon to send me to therapy and that helped tremendously!
One of the things the therapist had me to do was put my arms(just above the elbows with the hands holding onto the door frame)on door frame and take a step(like you are going through the door)that loosens the muscles up and helps get rids of the tightness. I started off with doing this 6 times and worked myself up to more. I can tell you other things to they had me to do if you don't want to go to a therapist. Hugs,Ruby
PS: I go now to a lymphodema therapist because I have fluid build up(from having 3 lymph nodes taken out) in both arms and stomach.