Surgical procedures associated with the treatment of breast cancer range from the relatively minor needle biopsy to more invasive procedures such as a mastectomy. No matter the type of surgery performed, many women experience post-surgical pain and tightness in the chest area as well as some restriction of arm and shoulder movement. Gentle exercise and stretching is essential to restore and maintain normal range of movement in the affected arm and shoulder and to help prevent post surgical complications.
Many exercises and activities have been designed for women who have had breast surgery for the treatment of breast cancer. Obtain medical clearance before attempting any exercises, and seek medical attention if stiffness and soreness persists or gets worse.
Exercises for the First Week
Begin to try and use the affected arm normally for such activities as brushing hair, eating and bathing.
Deep breathing exercises can help maintain flexibility in the chest and help ease breathing difficulties. To perform this exercise, lie back on a bed and inhale deeply, trying to expand the ribcage and push the belly button away from the spine. Slowly release the breath and repeat four or five times. Try to practice deep breathing several times per day.
Lie in bed and prop the affected arm up on pillows so that it is elevated above heart level. Open and close the hand 15 to 20 times, and flex and extend the elbow two or three times. This activity can help move lymph fluid out of the arm and reduce swelling. Repeat three to four times per day.
Finger Walking
Stand in front of a wall close enough that it can be touched with the fingers of both hands. Slowly "walk" the fingers up the wall until a gentle stretch develops in the affected arm. Hold the position for a count of five, and return to starting position. Over time the goal is to be able to walk both arms up to the same level. Repeat five to seven times, twice per day.
Corner Stretch
Stand facing into a corner. Place the palms and forearms flat against the wall on either side of the corner with the elbows as close to shoulder height as possible. Gently lean into the corner, pressing with the chest until a gentle stretch develops across the chest and shoulders. Hold the position for a count of five, and return to the starting position. Repeat five to seven times, twice per day.
Towel Stretch
Hold a towel in the unaffected arm and drape it over the back. With the other arm, reach up behind the back to grasp the bottom of the towel. Using the top arm, gently pull upward drawing the hand of the affected arm up into the center of the back until a gentle stretch develops. Hold the position for count of five and then return to the starting position. Perform five to seven times, twice per day.
Elbow Butterfly Stretch
Lay on the back with arms with hands clasped behind the neck and elbows pointed towards the ceiling. Slowly press both elbows back towards the floor with the goal of touching the floor with both elbows. Stop when a gentle stretch develops. Perform five to seven times, twice per day.
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