Sentinel lymph node biopsy is a surgical procedure used to stage breast cancer and determine if cancer cells have spread to the lymphatic system. A common complication associated with this type of surgery is shoulder stiffness and swelling below the tissue. Exercises that use flexion, extension and rotation can reduce the risk of complication and maintain flexibility and range of motion in your shoulders. Speak with your physician before starting an exercise program.
Wand Exercise
The American Cancer Society recommends the wand exercise to increase the range of forward motion in your shoulder and reduce the risk of complications such as swelling. To perform this exercise, use an object -- such as a stick -- that resembles a wand. Lie flat on your back, bend your knees and hold the wand or stick-like object in both hands. With your palms facing up, lift the wand as far as possible over your head. To maximize the stretch, use your unaffected arm to lift the wand as far as possible. Hold this position for five seconds, and repeat the exercise five to seven times.
Wall Climbing
The wall climbing exercise increases the range of forward motion in your shoulders. To perform this stretch, stand facing a wall, with your feet 8 to 10 inches from the wall. Bend your elbows and place the palms of your hands on the wall. Gradually extend your hands upwards on the wall in a slow climbing motion. Continue to climb the wall with your hands and go up as far as possible until you feel a stretch. Return your hands to the starting position and repeat five to seven times.
Ball Squeezing
Squeezing a ball can prevent swelling, or edema. To perform this exercise, lie on your back in a bed and a hold a ball with the hand on the side of the surgery. Bring your arm straight up and squeeze the ball to increase blood circulation and restore strength in your affected arm.
Elbow Winging
Elbow winging increases mobility and the range of motion in your shoulders and the front of your chest. To perform this exercise, lie on your back and bend your knees. Interlock your fingers behind your head and point your elbows upwards. Bring both elbows towards the center of your body and then down towards to the floor. Repeat five to seven times.



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