weight-bearing exercise
Comments
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I am looking for suggestions.
I had all the lymph nodes removed under one arm and have been told to avoid weight bearing exercises to prevent lymphedema. Since I now take Aromasin, which may prevent the return of bc but leaches the bones of calcium, I have been told to do weight bearing exercises.
Has anyone else faced this dilemma? What do you do?
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Hi, ljh. I've never heard of this, but I'm sure the women in the Lyphemdema thread have. Maybe you could try posting your question there as you'd be sure to get more responses from women who've been there, done that.
All the best... -
Are you saying you were told not to walk or run because of the risk of lymphedema? I am a runner and did end up with lymphedema, likely due to the taxotere chemo. I am now back to running regularly. I tell you it helps ease my lymphedema. Plus it is getting my weight back down. That, too, helps ease lymphedema. But also note that you maynever get lymphedema.
A friend of mine is a 20 year survivor with double mast. She, too, is a runner, cyclist, hiker, gardening, etc. and never had lymphedema.Let me know if I can help in any way.
Debbie
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ljh....there is a difference between weight-bearing exercise and exercise with weights. It is the latter we should avoid if we have had axilliary surgery in order to lessen the risk of lymphedema.
I am always careful not to lift heavy things with my 'bad' arm; however, weight-bearing exercise such as walking, running, rebounding,using the treadmill etc are very good for maintaining bone-density and pose no risk to the arm.
Sam
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I am a big-time walker. I have been doing swimming classes but have been told to stop since the chlorine may aggravate my skin during radiation. Swimming is also weight resistant. Do you know of or can you suggest any other weight-bearing exercises?
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thank you!
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Thank you Sam52!
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I had two levels of nodes removed from my left side almost 6 years ago, and one node from the right side recently. I continue to lift weights and rock climb, and have had no lymphedema.
I was doing the weight lifting long before cancer, and I think my body built up a good collateral circulation. Withing a few weeks of my axillary dissection, I was stretching, using very light weights, then got back up to my usual routine within a few months.
I did have mild swelling in my hand one time--hiking at high altitude in freezing cold, with only a light glove on, and using repetitive motion with walking poles--two weeks after finishing radiation. Not too smart, but no permanent damage done. Thank god.
There are many weight bearing activities that don't involve the arms, if you're worried about osteoporosis of the hips and low back. Walking is great. Yoga is great. Consider getting a physical therapist who also works with LE to get a good plan of action for you.
Anne
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ljh...After rads, water aerobics would be a good choice for you...it is minimally weight-bearing and even the lifting of actual weights in the classes is assisted by the bouyancy of the water. It's the most gentle of all weight-bearing exercise. I'd encourage you to keep up a daily practice of walking as well. As for lifting weights, most of the current research seems to be concluding that lifting low poundages is helpful and does not lead to lymphedema. This would include weights under 10 pounds. I teach an awful lot of muscle conditioning and weight-lifting classes and I've yet to see anyone besides me and one other diehard exerciser lift even close to ten. Toning, in fact, is best achieved with relatively low weights (I recommend 5-8 pounds, maximum) and multiple repetitions.
~Marin
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oh great.....I started working out with weights, not thinking about my lymphedema risk. ARGH!!! I am not as 'protective' of my arm as maybe I should be, and often find myself lifting heavy objects, etc. So starting weights just didn't click in my head. I was just thinking toning and good for bone density. ugh. Do I stop or do I just keep the weight low?? I am using universal type machines.
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Annie...Do you have a clinician you can ask...a doc, nurse or PT? I'd say you definitely shouldn't stop lifting, but if the weights are very heavy, at least reduce them and repeat the exercises more. There's no sense in taking chances and you'll get the weight-bearing effect as long as the muscles are somewhat challenged. Aim for a weight that is heavy enough to make you really work by the end of the set, but not so heavy that you can only perform the exercise 6-8 times...that's probably too heavy.
The issue of weight-lifting as it contributes to the development of lymphedema is currently very controversial, but I think that its not worth it to take too much chance at developing a condition that could so adversely affect you for many years. There are lots of ways to tone and to get weight-bearing exercise for our bone health.
~Marin
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I have always been pretty athletic and have casually lifted weights on and off for years. After my Ax. node biopsy I read of the concerns re weight lifting. It seems there's a lot of controversy on this. I then found an article about a study being conducted in Phila. The study seemed to suggest that lifting weights, starting at light weight and increasing ever so gradually in reps and weight can actual be beneficial both in treating lymphedema and warding it off.
I too
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I have always been pretty athletic and have casually lifted weights on and off for years. After my Ax. node biopsy I read of the concerns re weight lifting. It seems there's a lot of controversy on this. I then found an article about a study being conducted in Phila. The study seemed to suggest that lifting weights, starting at light weight and increasing ever so gradually in reps and weight can actual be beneficial both in treating lymphedema and warding it off.
I too
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I have been lifting for 4 or 5 months beginning with realy light weight and increasing to 8lbs for 15 reps (2x). I don't know the answer about whether or not this is right or wrong but I feel strongly about a strong body and feel this is right for me.
Good luck all.
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I believe that my weight lifting routine was beneficial in my recovery from all my surgeries, and perhaps helped prevent lymhedema. I think I've built up great collateral circulation from moderate weights.
And it has paid off in my bone density, too. I have actually increased density since my last test 3 years ago. Now that I'm climbing and working with a personal trainer in the gym, my bones are reaping the benefit!
Anne
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I can't imagine that running or walking, which are both weight bearing would contribute to arm lymphedema, unless you swing your arms so high and hard that fluid builds up.
Since hips are a frequent bone to get broken lower body exercise seems like a good idea.
I think gradual build-up and cool-down are very helpful. Lifting weights with your arms will pump fluid into those muscles. If you just stop suddenly there may be a risk of your impaired lymph system not removing the fluid. But if you cool down, doing easy moves after hard and stretching you should reduce that risk.
I've read that 15 pounds should be the max you lift after breast surgery. For most women who are not hard-core lifters that limit is not a problem. I don't think that limit applies on weight machines, because they use pulleys and leverage to hoist the weight and it's a different situation. However the warm-up/cool-down/condition still applies.
If you are a hard-core lifter then I would expect you are savy enough about your workouts to know how to warm-up/cool-down and condition yourself to handle those weights.
Yoga, of the power variety, is also a decent weight bearing activity. The plus of that is that most moves are smooth and you rarely do tons of reps.
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I have been lifting weights since the end of treatment in 2006 and have no problems. I work with 2 trainers and strength train 3X a week. I train hard and lift a good deal of weight. Just yesterday I pressed 45lbs. with the affected arm with no problem. However, everyone is different, so it would be a good idea to work with a good trainer who knows about Lymphedema. JRoss
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