I recently had the privilege of working with a patient who inspired me to write this blog post. She had just undergone a double mastectomy with lymph node removal. When we first met, she shared her frustrations about the lack of readily available physical therapy care and how she had to advocate for herself to receive the necessary treatment. Her story highlighted the critical importance of physical therapy in post-mastectomy care.
Physical therapy plays a crucial role in the post-mastectomy recovery process, offering a range of benefits that can significantly improve your quality of life.
Here are several key reasons why physical therapy is important after mastectomy:
Restoring range of motion
Mastectomy, especially when combined with lymph node removal, can lead to stiffness and reduced range of motion in the shoulder, chest, and arm. Physical therapists provide specific exercises, stretches, and manual techniques to help regain and maintain optimal range of motion. This is essential for daily activities like dressing, reaching, and lifting.
Improving strength and function
Surgery can lead to muscle weakness and decreased functional abilities. Physical therapy focuses on strengthening, helping rebuild muscle strength and endurance. This can improve overall physical function and independence in daily tasks.
Pain management
It is not uncommon to experience post-operative pain and discomfort after mastectomy. Physical therapists can utilize various techniques such as manual therapy, therapeutic exercises, modalities, and education on posture and ergonomics to help manage pain effectively without relying solely on medication.
Preventing lymphedema
Lymphedema is a common complication after mastectomy, characterized by swelling and discomfort in the arm or chest area due to impaired lymphatic drainage. Physical therapists can teach you techniques for gradual progressive exercises and self-care measures that can reduce the risk of developing lymphedema or manage it, if it does occur.
Improving scar tissue management
Surgical scars and tissue tightness can restrict movement and affect comfort. Physical therapists can provide scar management techniques, including massage, stretching, and mobilization, to promote optimal scar healing and reduce adhesions that can limit mobility.
Addressing postural changes
Changes in posture and body mechanics due to altered breast anatomy can lead to musculoskeletal imbalances and discomfort. Physical therapy addresses these issues through posture education, strengthening exercises, and ergonomic recommendations to improve overall alignment and reduce strain.
Education and empowerment
Physical therapists provide a supportive environment where patients can discuss their concerns and fears related to physical function, body image, and overall recovery. This holistic approach helps address emotional aspects of recovery, promoting confidence and overall well-being.
Psychological and emotional support
Physical therapists empower patients by educating them about their condition, treatment options, and self-management strategies. This empowers patients to actively participate in their recovery process and make informed decisions about their health.
In conclusion, physical therapy after a mastectomy offers invaluable benefits for both physical and emotional recovery. By promoting range of motion, reducing pain and swelling, and enhancing overall strength and flexibility, it empowers individuals to regain control over their bodies and daily lives. Embracing physical therapy not only aids in restoring physical function but also nurtures a sense of empowerment and well-being, ensuring a smoother transition to a fulfilling post-mastectomy life.
Health & Happiness,
Dr. Jessie
References:
Devoogdt, N., & De Groef, A. (2024). Physiotherapy management of breast cancer treatment-related sequelae. Journal of Physiotherapy, 70(2), 90–105. https://doi.org/10.1016/j.jphys.2024.02.020
Comments