Can Breast Cancer Survivors Safely Return to Weight Training? - Oncology

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Can I go to the gym for weight training after breast surgery?


Hello, Doctor.
I am a stage 0 breast cancer patient.
I underwent a partial mastectomy on my left side in December last year and completed radiation therapy in March this year.
Some people have advised me to avoid exerting myself on the left side where I had surgery, including taking blood pressure, receiving injections, or undergoing any treatments.
Given my situation, can I go to the gym and do weight training? Could you please reply to me via email? I am afraid I might miss your response.

Xiao Ya, 40~49 year old female. Ask Date: 2014/06/17

Dr. Chen Sirong reply Oncology


My patient, Xiaoya, has undergone axillary lymph node dissection and received radiation therapy.
1.
Holding her grandchild 2.
Sewing under pressure 3.
Lifting heavy objects, such as a basket of vegetables, has caused her to experience persistent edema, which may eventually resolve or become a habit for the patient.
I believe this is not suitable for you unless you do not mind the hand swelling, which can be painful when severe.
Thank you for your letter.
Dr.
Chen Sirong, Taoyuan Hospital.

Reply Date: 2014/06/17

More Info


Returning to weight training after breast cancer surgery is a nuanced topic that requires careful consideration of individual circumstances, including the type of surgery performed, the extent of treatment, and the overall health of the patient. As a breast cancer survivor who has undergone partial mastectomy and radiation therapy, it is essential to approach weight training with caution and under medical guidance.

Firstly, it is important to understand that after breast cancer surgery, especially if lymph nodes were removed or if radiation therapy was received, there can be an increased risk of lymphedema. Lymphedema is a condition characterized by swelling due to the accumulation of lymph fluid, which can occur in the arm on the side of the surgery. Engaging in heavy lifting or strenuous activities too soon can exacerbate this condition. Therefore, it is crucial to consult with your healthcare provider or a physical therapist who specializes in oncology rehabilitation before starting any weight training program.

In general, many healthcare professionals recommend that breast cancer survivors gradually reintroduce physical activity, including weight training, into their routines. This process often begins with gentle range-of-motion exercises and progresses to more strength-focused activities as tolerated. The American Cancer Society suggests that survivors can safely engage in strength training, but it should be done with modifications and under supervision, especially in the initial stages post-surgery.

Here are some key considerations for safely returning to weight training:
1. Consult Your Healthcare Team: Before starting any exercise program, it is vital to discuss your plans with your oncologist or a physical therapist. They can provide personalized recommendations based on your medical history and current health status.

2. Start Slow: Begin with light weights and focus on exercises that promote mobility and flexibility. Gradually increase the intensity and weight as your body adapts and you feel more comfortable.

3. Focus on Form: Proper technique is crucial to prevent injury. Consider working with a certified trainer who has experience with cancer survivors to ensure you are using the correct form.

4. Listen to Your Body: Pay attention to how your body responds during and after workouts. If you experience pain, swelling, or discomfort, it may be a sign to reduce the intensity or take a break.

5. Incorporate Lymphedema Prevention Strategies: If you are at risk for lymphedema, your healthcare provider may recommend specific exercises and precautions to minimize this risk. This might include wearing a compression garment during workouts.

6. Stay Hydrated and Nourished: Proper nutrition and hydration are essential for recovery and overall health. A balanced diet rich in fruits, vegetables, lean proteins, and whole grains can support your body as you return to exercise.

7. Regular Follow-ups: Keep regular appointments with your healthcare team to monitor your recovery and adjust your exercise program as needed.

In conclusion, while many breast cancer survivors can safely return to weight training, it is essential to do so thoughtfully and with professional guidance. By taking a gradual approach and prioritizing your health and safety, you can enjoy the benefits of exercise while minimizing the risks associated with your treatment history. Always remember that your journey is unique, and what works for one person may not be suitable for another. Therefore, personalized advice from your healthcare team is invaluable in making informed decisions about your fitness journey post-cancer treatment.

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