How soon after surgery?

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niteowl
niteowl Member Posts: 37
edited June 2014 in Working on Your Fitness
How soon after surgery?

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  • niteowl
    niteowl Member Posts: 37
    edited April 2010

    Hello Everyone,

    I had a mastectomy and sentinal nodes removed five days ago. I've only been doing a little walking on the treadmill and some stretching exercises. I normally take lots of dance and fitness classes and was wondering when is it best to start again.  Also, how soon is it ok to return to work? I was thinking along the lines of two to three weeks, but was told today that six to eight weeks was the norm.  How have you addressed these issues?

  • NatsFan
    NatsFan Member Posts: 3,745
    edited April 2010

    Hi Niteowl - I started walking the day after my bmx and AND, and did the stretching/PT exercises given to me by the hospital physical therapy office.  Check with your surgeon about your timetable for when you can do more activity - after my bmx the hospital PT department gave me a 6 week schedule with a week by week listing of PT exercises and other activities and what I could do and what I should avoid.

    I know it's tempting to want to rush right in and do a lot, but if you're not careful and you don't give your body a chance to heal, you could delay your recovery and make things worse.  Also, has your surgeon or a nurse given you any information about lympedema?  If you had nodes removed, you are at a higher risk to develop lymphedema, so you need to be careful not to do too much too soon and increase your risk for LE. All in all, take it easy and give your body a chance to heal - it's been through a big shock and you'll need that time to recovery. Check out the lymphedema thread on this board - you'll find a lot of info about how to avoid LE.

    As for time off of work, each person is different - I went back to work par time after 2 weeks and full time a week after that.  But I also have a desk job and my commute is only 3 miles - I may have needed more time off if I'd had a more vigorous job or a longer commute.  By contrast, I did need a full 6 weeks off after my DIEP flap recon.

  • travelgal6979
    travelgal6979 Member Posts: 160
    edited April 2010

    Hi there.  First of all best wishes on your recovery.  I had a BMX on 2/3/10.  I was told by my BS that I needed to take 6 wks off from work and not to drive for 4 wks.  I got an infection after my surgery so I didn't get back on my feet for about 3 weeks. 

    I do exercise regularly so I got back on my feet fairly quickly after the worst of my infection; but I didn't go back to work for the whole 6 weeks mainly because I wanted the time off.  I could have returned to work after 4 weeks if I wanted.  My doctor said I couldn't drive for 4 weeks after surgery.  I think that's wise since you can't make any sudden arm movements with the steering wheel; you could pull a muscle in the chest area.  The first day I drove, I didn't go far and my muscles were still tired afterward.  Also, don't forget that you still have anesthesia in your system for a few weeks after surgery and should take it easy.  I didn't return to the gym until 5 weeks after surgery, per my doctor's approval, and was told absolutely no upper body exercises until he gave me the "ok".

  • niteowl
    niteowl Member Posts: 37
    edited April 2010

    Hi NatsFan,

    Thanks for sharing your experiences. Yes, I'm aware of lymphedema from my first mastectomy in 1989. I recall I was given exercises for that arm to begin soon after surgery. I had many nodes removed then, but have had no problems with LE after all these years...so far.

    This time, PT has been the missing piece. No one from PT saw me in the hospital or gave me any information about what exercises to do.  It appears I may have to go through the nurse who comes to check my wound.  I think I could ask for a visit from a PT. 

    I teach and work with young children, so the job is not "hard" but can be demanding. I still feel tired and find myself sleeping a lot and needing to just take it easy. I'm not anxious to rush back too soon because I want to avoid infection or catching something while still weak. Schools are a hotbed for all kinds of  unhealthy vermin, so certainly don't want to go back too soon and then have a relapse.

  • niteowl
    niteowl Member Posts: 37
    edited April 2010

    Thanks for sending good wishes. So sorry you had to suffer through an infection. That just makes recovery all the more difficult. Since I have diabetes, I've been very watchful of any symptoms that might signal an infection. So, of course staying out of the public and crowds for now is best. I still have the drain in, so feel I won't return to work until that's removed.

    Chest is still sore, so no driving especially in the horrid traffic of this area. I'll see my BS tomorrow, so this will be at the top of my list of things to discuss. Barring any infection, I may feel ready to return to school in another two weeks.

    I've begun walking on the treadmill for about 15-30 minutes almost everyday and always feel so much better afterwards. Otherwise, I just fel so tired and spend a lot of time taking naps. I suppose this too shall pass.

  • Marion
    Marion Member Posts: 207
    edited April 2010

    Hello niteowl,

    It took me months before starting to work out normally again! I was diagnosed in July 09 and resumed exercise in March 2010.

    I had a mastectomy in July 09, an axillary lymph node dissection in Aug. 09, and 6 long weeks of drains. During that time I did not work out at all. From Sept.-Nov 09 I had chemo (during which my only work out was walking), and then in Jan. 10, I had the implant exchange surgery. I started working out seriously a month after the implant surgery.

    How quickly you can exercise depends on how many surgeries you will have and how many weeks it will take you to recover. I personnally did not push it, I wanted the time off, I waited for everything to be over before turning my attention to exercising. I've heard that it takes the body 4-6 weeks to recover from a surgery.

    Regarding work, I took a medical leave from work for a total of 4 months, the reason being that my onc. did not want me back there until after chemo was over.

    Now I try to exercise everyday, trying to lose weight and regain strength. I even see a personal trainer once a week to give me an extra push.

    I admire people who work out thoughout their cancer treatment, I know I did not feel like it and could not have done it.

  • niteowl
    niteowl Member Posts: 37
    edited April 2010

    Hi Marion,

    Yes, I agree that there is no reason to rush things and risk complications, infections,etc.  My first experience with a mastectomy happened late in the school year, so then I had the summer to recover, begin chemo. I was off for about 3-4 months, Then I started back with a slightly reduced schedule.

    This time, I have started to walk about 15-30 minutes each day, just so I don't lose more muscle tone and energy. And also keep things moving around in the body. Some days it's really hard to get up the energy to do it, but I feel so much better afterwards.

    You've had quite a long journey. Great that  you're exercising and even working out with a personal trainer. I decided not to have immediate recon because I wanted to heal from this surgery first. I know recon takes awhile to bounce back from. I had a Latissimus flap (recon # 2) about 6 years ago and it took many weeks and lots of drains to recover from that one.

    This year I felt I just could not face the bc surgery and then spend my whole summer recovering from recon. I hope to regain strength, energy and then do the recon next year. I'll be starting Hormonal therapy, so hope I'll have the energy to do any kind of working out once that begins.

    Thanks so much for sharing your experiences. Best wishes on losing the weight, but it sounds like you're doing the right things.

  • travelgal6979
    travelgal6979 Member Posts: 160
    edited April 2010
    I'm glad you're being watchful with your recovery and being careful not to catch an infection.  I wanted to let you know how I got my infection...you probably won't believe it.  I caught a bacteria that is primarily from dog/cat bites!  The infection got right into my breast area too which was crazy.  I don't know for sure how it happened but this is what I'm guessing; I own two cats and I think one of them may have licked my finger and I then touched one of my drainage tubes.  The next day I went to the PS to have my tubes removed and, as a result, the bacteria went from the tube into my system.  I'm allergic to pennicyllin, which is the antibiotic of choice for this infection (Pasturella) so the doctors had a tough time getting rid of it.  It was an absolute nightmare.  It's been 3 months and it's still not gone.  If you own any pets, be very careful about touching them.  The doctor said because my immune system was low, that's probably how I caught it.  Again, best of luck to you and your recovery.
  • niteowl
    niteowl Member Posts: 37
    edited April 2010

    At the moment, I don't own any pets. I had a cat for years but she  was elderly and died last spring. I'd been putting off getting another. I'm glad I did after hearing your story.

    I think the drain will be removed this week, so that'll be one less thing to worry about.

    I hope this gets out of your system soon. Take care and get well soon.

  • travelgal6979
    travelgal6979 Member Posts: 160
    edited April 2010

    Thank you.  I appreciate your well wishes.

  • Debwa100
    Debwa100 Member Posts: 59
    edited June 2010

    Hi guys, I had a bilateral mast on May 12th, almost three weeks.  I have been napping a lot (i'm also bored).  i know i can't do a lot with my arms, even driving can be a chore, expecially when you are in a department store parking lot, and have to make a lot of turns.  Regardless, i have always been in pretty good shape (running, kick boxing, strength training, spinning, etc).  Earlier this year, i had some back issues. so I was taking it a little easier.  Started taking yoga which really seemed to help.  Then I was diagnosed with BC, and i went a little crazy, eating and drinking.  Needless to say I have gained some weight, and my body image is poor.  By the way, i'm a physical therapist.  However, my area is pediatrics, and I did not have a PT consult in the hospital.  I have a stationary bike and would like to start using it, i'd also like to do lunges and squats (lower body stuff).  Did you guys get clearnace?  deb

  • yinsan
    yinsan Member Posts: 5
    edited June 2010

    Hi, I had my surgery last December, finished chemo, and now undergoing RT.  My doctor advised not to exercise, but I am feeling restless, and want to get on to some activities.  So, am doing some light exercises, like stretching, walking, etc.

     I received mixed messages, some patients told me NEVER to lift anything more than 2 kg, but some advised that exercise is good for recovery.  There's a BC dragon boat team, and they testify that it's good for them.   

  • niteowl
    niteowl Member Posts: 37
    edited June 2010

    I began walking almost daily after my surgery on April 14th. After about two weeks, I began doing the strengthening excercises for my arm and chest that were prescibed by the lymphedema therapist. Plus, I resumed yoga and stretching, but have not returned to my gym or dance classes yet. I hope to do so next week. . I returned to work after being at home for four weeks. I was advised not to lift anything heavier than 10 pounds.

    I find that if I overdo things, I do get some pain and a feeling of tiredness on the surgical side and end up needing to rest and sleep a bit more.

    It's my opinion that you have to do some exercise, or muscles will atrophy and lose strength.

  • ruthbru
    ruthbru Member Posts: 57,235
    edited June 2010

    I would definitely do some exercises. I walked throughout; surgery, chemo, rads (sometimes VERY slowly) and did abs lower body exercises even when I couldn't do much with the upper body. I don't know that it helped me do any of my treatments better, but it sure made me bounce back quicker once the treatments were over. Best of Luck!

  • niteowl
    niteowl Member Posts: 37
    edited July 2010

     few weeks ago I returned to Body Pump classes and an Abs class at my gym. In addition, I try to walk at least a mile or about 30 minutes everyday. At first I felt really wiped out after workouts, but am beginning to feel a lot stronger. My surgery ( mastectomy) was back in April.  I've had several visits with a Lymphadema therapist and things seem to be progressing normally.

    The next step is that I have to see an oncologist who might put me on hormone therapy, which I'm dreading. I'm starting to feel so back to normal now and just hate to have to relapse due to side effects from hormone meds. I've now lost both breasts (have one reconstructed one) and just can't bear the thought of having to deal with this anymore, If possible, I want to have some type of reconstruction to replace the recent loss.

    So feeling better,, looking forward to reconstruction next year and want to keep feeling better, stronger and not worse due to HR. I'll probably see the oncologist next week.

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