What not to do at the gym?
I just joined a gym. I do not want to disclose my BC diagnosis. I had a lumpectomy and full axillary node removal in 2010.
Are there any exercises that I should not do or equipment that I should not use?
Comments
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Racy, there's a thread on the new NLN paper on exercise, and some women noted that they included push ups in resistance training, yet the key to exercising to avoid or treat LE is to go slow and steady, progress slowly and avoid things that over-stress the upper extremities, like pushups, or downward dog. I'll bump the thread.
Love your avatar, that is one gorgeous horse.
Kira
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I understand your reluctance to disclose your condition but if your gym has a trainer who has been trained to work with cancer/lymphedema patients, it might help you to develop an appropriate exercise regimen. I recently started working with a trainer and it has been great.
Caryn -
I know that it is very personal, but IF you are working with a trainer, I do hope you will reconsider. Ethically they are bound to confidence, and you could remind them to be absolutely sure to keep it private. But it is a very significant thing to factor into your fitness regimen. I would not want someone instructing me without understanding my background.
When I took a new class or worked with a new trainer, I always took them aside privately and explained my history. It made me feel more confident that they were working with all the information they needed to help me the most. After I had herceptin, my heart would race sometimes more easily than previously, and I would take a minute or two to let it slow down. When I took a boot camp class, the teacher would 'encourage' those who took breaks to keep going. I told her my situation and said that I would push myself but needed those moments and didn't want her to be urging me on before I was ready. She totally understood and respected that (and never said anything to anyone else in the class). It made me more secure to feel that they 'knew' me.
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Racy, a certified trainer, if you opt to work with one, can get a copy of the PAL Protocol by asking for it on UPenn's website: http://www.penncancer.org/physical-activity-and-lymphedema/receive-pal-intervention-materials/ This is a research-based series of exercises, including precautionary guidelines, to help you work out safely with weights, to help train your arm/trunk to take higher lifting loads while minimizing the chances that just getting there--working toward better strength--will itself cause LE problems. No guarantees and this program cannot prevent or cure lymphedema, but as you have LE risk after your node removal, this approach at least takes your risks into consideration.
UPenn conducted the research and they do not provide the protocol to breast cancer survivors, which is a decision rooted in the thought that close supervision by a qualified trainer is the best way to work toward minimizing the LE risk. So...I second what others have said about weighing the benefits of disclosing your BC issues against your reluctance to do so (we all can relate to just not wanting to broadcast this to everyone!).
Of course, personal trainers are expensive, no kidding. If you do need to go it on your own, Kira gave you a link to some helpful guidelines. Wishing you the best in your fitness quest!
Carol
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Racy, even with a good trainer, it's important to begin any exercise very slowly and carefully. Baby steps. If you're taking classes like yoga, avoid anything that puts your body weight on your hands or arms. Stop at once if your arm feels tingly, full, or tired, and go easier the next time.
Any doctor on your team can give you a referral for an appointment with a well-trained lymphedema therapist, who will take baseline arm measurements, give you personalized risk reduction tips, help you decide about using compression garments prophylactically for exercise and travel -- and even help you decide on an exercise program that's just right for you. Here's information about finding one near you (even in Australia):
http://www.stepup-speakout.org/Finding_a_Qualified_Lymphedema_Therapist.htmBe well!
Binney -
Binney, I would amend my earlier post to also say that even the best trainer is not the right trainer if they don't know about what you just said. And of course, trainer or no trainer, WE are the ones who need to take responsibility for educating ourselves on risks and risk reduction. Bravo for Racy for asking the question and of course as always, your guidance is 100% spot on. What would we do without your eagle eye that monitors our posts and gently corrects us when we don't even realize where we've erred or what we have omitted?
Carol
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