The Breast Care Rehabilitation program is designed to assist you in your recovery following breast surgery and radiation. A therapist performs an assessment for pain, stiffness, limited range of motion, surgical site scar tightness, detection of any early signs of lymphedema and general functional activity level changes. You will be instructed in a customized exercise and education program to meet your specific needs. In addition, physical therapy is available on an ongoing basis as needed for more involved shoulder dysfunction or lymphedema. Our protocol is designed to maximize function and to prevent permanent, limiting disabilities.
Lymphedema is the abnormal accumulation of protein rich fluid. Areas that may be affected are head, neck, upper extremities, breast and face. The Lymphedema Program provides Complete Decongestive Therapy (CDT) that consists of directional lymphatic massage, compression bandaging and garments, therapeutic exercise and skin care. Possible triggers for lymphedema include:
- Surgical removal of lymph nodes
- Radiation over and around lymph nodes
- Surgical incisions that are perpendicular to the lymph channels
- Excessive scar tissue
In addition, a general exercise/fitness program is encouraged and designed for your specific situation. Studies have shown that participation in aerobic exercise can improve self-esteem, physical fitness, energy level, body composition and chemotherapy completion rate. Our goal is to help you return to your prior level of function and improve your overall physical and psychosocial quality of life.
Do's and don'ts after breast cancer surgery
Do:
- Begin with breathing, relaxation and shoulder rolls as soon as possible after surgery.
- Perform hand and elbow pumping exercises to promote lymphatic drainage.
- Following lymph node removal or lymph node radiation, use pillows to support arms when lying or sitting to promote lymphatic drainage.
- Try to walk for a few minutes each day to lift mood, fight fatigue, promote healing, increase stamina and well being.
- Maintain good posture.
Don't:
- Don't be afraid to move.
- Don't carry anything with the operated arm until you receive approval from your doctor.
- Don't wear backpacks or shoulder bags on the operated arm.
- Don't ever give up.