Post-Surgery Fitness: When to Resume Normal Exercise After Breast Surgery - Breast and Thyroid

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After undergoing a unilateral mastectomy due to the recurrence of a phyllodes tumor, it is understandable to have questions about when and how to resume normal exercise, including strength training. The recovery process can vary significantly from person to person, but there are some general guidelines that can help you navigate your post-surgery fitness journey.

First and foremost, it is crucial to listen to your body and follow the advice of your healthcare provider. Since you mentioned that you have not had lymph nodes removed, this is a positive factor, as it typically means fewer restrictions on arm movement and a lower risk of lymphedema, which can occur when lymph nodes are removed. However, it is still essential to proceed with caution.


Recovery Timeline and Rehabilitation
1. Initial Recovery Phase (0-6 weeks post-surgery):
- During the first few weeks after surgery, your focus should be on gentle rehabilitation exercises. Stretching and wall climbing, as you are currently doing, are excellent ways to regain mobility and flexibility in your shoulder and chest area.
- It is generally recommended to avoid any heavy lifting or strenuous activities during this period.
2. Progressing to Normal Activities (6-12 weeks post-surgery):
- After about six weeks, many patients can begin to incorporate more normal activities into their routine. This includes low-impact exercises such as walking, cycling, or swimming, which can help improve cardiovascular fitness without putting too much strain on your upper body.

- You can gradually increase the intensity of your rehabilitation exercises as tolerated. Pay attention to any discomfort or pain, and adjust accordingly.

3. Strength Training (3 months and beyond):
- Once you have regained sufficient range of motion and strength in your shoulder and chest, typically around 12 weeks post-surgery, you may start to incorporate strength training exercises.
- Begin with lighter weights and focus on exercises that do not cause pain. Machines like the chest press can be introduced, but ensure that you are using a weight that feels comfortable and does not strain your surgical site.

- It is advisable to work with a physical therapist or a certified trainer who has experience with post-surgical patients to ensure that you are using proper form and technique.


Considerations for Weight Training
- Listen to Your Body: If you experience any pain, swelling, or unusual discomfort during or after exercising, it is essential to stop and consult your healthcare provider.

- Avoid High-Impact Activities Initially: Activities that involve jumping or heavy lifting should be avoided until you have fully healed and received clearance from your doctor.

- Focus on Core and Lower Body: While your upper body is healing, you can still engage in lower body workouts and core strengthening exercises that do not involve the chest area.


Conclusion
In summary, the timeline for resuming normal exercise after a unilateral mastectomy can vary, but generally, you can expect to start light strength training around 12 weeks post-surgery, provided you have no complications and have regained sufficient mobility. Always prioritize your recovery and consult with your healthcare provider before making any significant changes to your exercise routine. Engaging in a gradual and well-structured rehabilitation program will help you regain strength and confidence in your body while minimizing the risk of complications. Remember, your health and well-being are the top priorities as you navigate this recovery journey.