Confused on what I should and should not be doing.
I really want to get in shape but don't really know if there are some things I should not be doing due to my current physical status: mastectomy (March 2010), lat. flap and reconstruction (Nov. 2010) reduction and lift on the good side with small implant (Feb. 2011), and lymphedema (I do wear a garment). I looked on Amazon for some breast cancer survivor workouts and found a yoga DVD geared specifically for breast cancer survivors but it shows some moves that I do not know if they are good to do in my situation (use of arms to support your body. etc.). I have gained weight through treatment and am overweight. I really think that during the oopherectomy (June 2011 - caused from the Tamoxifen) that the surgeon attached a roll of fat to my gut!
Anyway, any help on some general guidelines on what is not safe to do would be appreciated. I do walk, ride my horses and have been doing some physical therapy on my shoulder to get some lost mobility back. I have not been able to see a Lymphedema therapist yet but am on a list and hope to start some time in the month of October.
Comments
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Hi Cowgal - sorry that your post got overlooked. There are several of us "swell sisters" with lymphedema who exercise posting in this section. I hear you about the weight gain many of us experience with treatment! Pretty sneaky that ooph surgeon attaching a roll to your belly!
First, get clearance from all your doctors to begin exercising. Once you have that, then you can begin.
Since you have lymphedema, you are smart to be concerned about yoga moves like downward dog and others that put a strain on the arm. Your LE therapist should be able to give you some guidelines about upper body exercises, but in general the rule when you start upper body exercises when you have LE is to start SLOWLY, and if you feel any kind of heaviness, or other signs of LE, stop.
What do you like to do? Aquatics exercises are wonderful! We have several gals who are into zumba. I jog, do yoga (avoiding poses that stress the upper arm), Pilates, walk, and swim. Others love spin class, some do various exercise tapes. Check out the Let's Post Our Daily Exercise thread - it's a great group of gals who are at all stages of treatment and fitness - some are still in active treatment, while others of us are years out of active treatment. We all do what we are able to do, and encourage the others. We pass along training tips, tips about good workout videos, etc.
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Cowgal: Sooooo sorry . . . I missed this too and can totally empathize with where you are. I've had a heck of a time figuring this exercise thing out and I have LE too. I second all that Natsfan said with special emphasis on the SLOWLY part. I'd say if you were use to walking 5 miles, start out with one and do that a few times (you can add incline or speed as you feel stronger). Then add a 1/2 mile to it and do the same thing. Starting slow and increasing your increments gradually is the ticket. Trust me, I learned the hard way and your body will thank you.
I don't do yoga, but I do Lebed exercises most every day to manage my LE. It's also helped tremendously for my range of motion. I can sure feel it if I miss a day so I try to stay on track. There is a series on YouTube called Healthy-Steps - Lebed Method and there are 12 short (5-7 min) videos. The series I follow is the series numbered by roman numerals (I, II, III). There are quite a few entries so you have to dig a little to find them, but it's pretty easy once you get going. Some say that the DVD is much more comprehensive, but to be honest I don't feel like dropping $30 on a dvd and this seems to work for me. Here's the link to the first one:
Healthy-Steps - Lebed Method Lymphatic Breathing Exercise Part I
Oh gosh, I could babble on, but don't want to overwhelm you. Natsfan gave some great advice suggesting you join the group, "Lets post our daily exercises". Check it out. (Another one is the Wednesday Weigh-in . . . I put on 20 lbs with chemo and am still fighting it)
Well, all the best. Hope to see you around.
P.S. I would think that horse riding would be a great exercise. They say that bouncing motion is good for getting the lymph system stimulated (i.e., trampoline, exercise ball). Just my opinion, but seems it would follow that same principle.
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Thanks ladies for all of the help and suggestions!
I am cleared for exercise but just ever so frustrated that I am on a perpetual waiting list to get into the lymphedema therapist and afraid I am going to do something I shouldn't and cause more swelling.
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You can walk safely while you wait for clearance on other things. Come on over to "Lets Post Our Daily Exercise" and we will get you going.
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I am a fitness professional and am also dealing with BC. I can't recommend things to you specifically but I would suggest seeing if your local cancer center has fitness classes there. I know in that setting instructors will be more familiar with our challenges and know our limitations. YOu may also see if locally there are any personal trainers that deal with BMX patients - I know our cancer center here has some. Even if you don't meet with a personal trainer weekly, they could design a workout for you and get you started. For me I am back to teaching aerobics, running, elliptical and weight training except I don't do too much for my chest as I have implants now and it just feels really odd. I do weights though for the rest of my upper body. Good luck!
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MDG unfortunately we don't have anything very close that has a fitness program designed for breast cancer patients or survivors that I can find. I know there is one that is very good that is 4 hours away where my medical oncologist and surgeons. I've just been trying to handle it myself and keep moving forward.
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I've been back and forth with this question since the surgery for my original diagnosis more than 5 years ago. Walking,dancing, etc., were all fine, but I miss using my arms - the scare/fear/threat of lymphedema, along with the absence of info (I'm a fitness instructor as well as a survivor, and haven't been able to get consistent info in either hat) has left me feeling kinda lost. I had a mild case of ME earlier this summer for the first time, so I'm twice as nervous now. My water aerobics class was cancelled last winter, and I couldn't start again this spring - I had surgery for recurrance in May and pneumonia in July, so I've been feeling particularly sluggish. . . and I really don't like that I can't be active-at-will anymore!
I just started working with a personal trainer who specializes in folks who've previously had physical therapy. In the weight room, we're concentrating on my trunk and torso together, along with a (gentle) cardio program to help get my energy back after the most recent rounds of chemo. On my own, I'm going back to doing the shoulder and arm work I did in physical therapy a few years back, and I've found a yoga class for survivors that I'm trying to get to.
My think my biggest mistake before was I stopped exercising at all, 'cause everyone had me so spooked about LE after my mastectomy. The "big" study that said that exercise is ok came out a few months afterwards.
In hindsight, I wish that I would have started moving more frequently sooner after surgery (especially the cardio - long walks, cardio machines at the gym, no LE risk there!), and picked up some 1 or 2 lb weights way back then, before my muscles got comfy doing nothing . . .
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I will finally get to see the LE therapist tomorrow and be able to hopefully get some answers!
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Good luck!
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Hi OtraVez: I can feel for what you're going through. Truth is, there is so much info out there and no specific Rx for any individual. It's so different for everyone. It took me awhile to grasp this and realize I just had to take things one by one and very slow to know how things were going to affect me and then build from there. It sounds to me like you're on the right track with your exercises and I wouldn't spend too much time on the "shoulda, woulda, coulda".
Are you working with an LE therepist? That would be key to ensure you have all the tools and info about prevention. If you haven't found this website yet it's a good one http://www.stepup-speakout.org/ and there's a wealth of info and some great experts on the Lymphedema board that I'm sure can give you better guidance.
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The lymphedema therapist was very helpful. My lymphedema swelling is already improving significantly! There are some things that she does not want me to do until I reach latency like weights and resistance training. In fact, I don't think she was too keen on either one of them even after I get to latency but said to sure not attempt them before that time. She gave me some very useful information as well as the education on the lymph drainage. I didn't realize that horseback riding was moderate to high risk for lymphedema. For those of you with any interest in it, holding the reins tight is the higher risk, much like I believe those riding English do. I ride Western, which is done generally on a much looser rein and I keep my hands very light and relaxed and normally just use one hand. Now, with my new understanding of even that being a moderate risk, I have switched my rein hand over to my healthy hand most of the time and use grip and release frequently to keep from having my hand constantly closed for the whole ride.
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Cowgal: Sounds like you have a great therapist. Thanks for clarifying the risk factor of horseback riding. I was thinking the motion would be good for the lymph, but never thought about the strain on the hands. I'm glad you're still able to do what you love. The most honest info I got while going through treatment was from a nurse when I asked her about resuming my pre-bc activities. She said "you should be able to do everything you did before, but you might have to do it differently". She was so right.
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