Exercise during radiation treatment?
hi all - just found out that I will def be having radiation for DCIS. My biopsy was done in December, and the overseas pathologist did not agree with the DCIS diagnosis on the biopsy - she said severely atypical hyperplasia. So then they sent the lumpectomy for evaluation in Feb, (as the biopsy result was received after I'd already had my lumpectomy) and while the local pathologist said 22mm of DCIS, the overseas pathologist said only 4mm. There is no radiation facility here yet (we are building one that should be operational in July), so I'll be away from home overseas and on my own for the most part for the bulk of the time I'm receiving treatment. I'm hoping to continue with exercising and was wondering if anyone knows whether 1) I'm being too optimistic 2) can you wear a sports bra? 3) outside of the potential for any burn side-effects, does the breast itself actually hurt? I'm wondering in particular if I can continue with spin classes or les mills body pump (minus all the push-ups which did cause discomfort this weekend.)
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Yes, you actually SHOULD exercise during radiation. It will help reduce fatigue! You can do whatever you feel up to. If the more intense classes get to be too much, you switch to something less strenuous (like walking). I bought a cheapo regular bra because sports bras felt too smug for me. Use whatever lotion they recommend religiously from the start. I brought a small tube with me & put it on right after my session & again at night (but not in the morning before your treatment because that can intensify the burn). Everyone reacts differently, but my only SE was that at the end my breast got red and hot, like a sunburn from the inside out (so you may not feel like doing really sweaty things at the end because you are just plain uncomfortable for a couple weeks). Of you want some exercise buddies, check out The Lets Post Our Daily Exericise thread on the Fitness Forum. A great group of ladies at all stages of treatment and beyond.
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I was able to exercise (walking, treadmill, and rowing machine) for 4 of my 6.5 weeks. At that point my radiated skin was getting a bit sensitive and I was becoming fatigued, so I only walked and used a low treadmill for a few weeks. In week 6 the flesh itself hurt, so I was careful. This continued for a couple of weeks after treatment.
A couple of things to think about: Sweating a lot, and having fabric rub the radiated area, may be uncomfortable and irritating. Also, radiation increases the risk of lymphedema. You didn't have nodes out, which helps, but if it were me, I'd avoid free or circuit weights or other activities that put stress on the lymph system during radiation. Just my 2 cents.
I can't help on the sports bra issue since I had BMX without reconstruction. However, many of my shirts felt to scratchy, for what it's worth.
If you're going to be in the US or GB for radiation, you might want to see if there are BCO-related groups or people nearby. There might be some new friends close at hand, For example, if you search the threads here, you'll find an active Tampa, Florida group.
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I exercised regularly before diagnosis and continued to do so daily throughout radiation treatments. I especially found yoga helpful and ended up going 4-5 times a week. I also walked/hiked several times a week. It was during a hot, humid summer, and I wore cotton sports bras--or sometimes, a tight-fitting boy's cotton sleeveless undershirt--under a baggy cotton T shirt. When I was at home I went topless and slathered on the lotion they had prescribed. (Eucerin?) Exercise REALLY helped me deal with the stress.
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I treated rads like a burn from day 1. The minute I got back to my car after treatment I put a cool wash cloth in my bra over the radiated area. As I had a bit of a drive home I changed the cloth a couple of times along the way. A few hours later I put on the cream. After 30 rounds my skin was only slightly pink and I had one little blister in the crease where my arm joined my body. I had a MX, I'm sure that made it easier, as some other women being treated at the same time were having problems where skin rubbed against skin, such as under the breast.
Exercise is good for you during this time, you might just need to adjust what you usually do as treatment progresses. I'm sure it helped me avoid the fatigue often associated with rads. Good luck.
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I appreciate all of your feedback - thank you!!!
Ruthbru - I hadn't seen that forum you mentioned, so I'll check it out!
Ksusan - I'll be in Boston so I'll see if I can find some Boston gals on here!
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No you're not overly optimistic--just smart. With hearty approval and exhortation from my surgeon and radiation oncologist, I continued to exercise regularly and vigorously throughout treatment, just as before diagnosis. In fact, my rad onc urges her patients to start exercising while receiving rads if they are couch potatoes.
A regular bra is fine (no underwires), but a sports bra is binding and is likely to chafe already irritated skin--especially at folds and by the sent. node incision. My rad onc suggests using pure (kitchen) cornstarch on the treated area, especially at the crease below the breast, to reduce irritation from rubbing, (You can see her recommendations here on bco in the section about getting through radiation.)
No, my breast didn't hurt--just "itched" sometimes--don't scratch! At home, you can also minimize further aggravation of the breast tissue by doing a few simple techniques: going braless when at home; facing away from the showerhead to avoid pelting the treated (traumatized) breast area with water; avoiding temperature extremes--no really hot showers,no icing,
Hope this helps.
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Bdagal, it's in the Forum: Fitness and Getting Back in Shape → Topic: Let's Post our Daily Exercise
It's pretty much always in the Active Topic list ('cause we are so active )
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Definitely not to optimistic. I was a regular and aggressive exerciser when I received my diagnosis in August of 2016. I had 6 treatments, 3 weeks apart, of chemotherapy, consisting of taxotere, cytoxan and adriamycin, and was very ill during the first week after treatment. By the third week after my first three treatments I was back on my treadmill walking and even jogging. Unfortunately after my 4th treatment I developed an upper respiratory infection that eventually went into bilateral viral pneumonia with a fungal infection in my lungs. I was hospitalized for 12 days. I started radiation on March 10, 2017. Even with that, I have begun exercising again while I am receiving my radiation. While I am not at the level I would like, I incline my treadmill while walking to increase intensity and for strength training I use an exercise ball to assist with my abs, squats and arm exercises. I wear exercise tops with the built in bra and have not had any real discomfort. I have had 15 of my 33 treatments. I am determined to come out of this as healthy as possible as I am sure you are as well. Wishing you the best.
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