Precautions

With physician approval regarding an adequate recovery from surgery, possible complications from any metastasis and your blood counts there are few precautions to take when exercising. However, the following may be helpful to those who may be concerned about the possibility of lymphedema and to those who have had breast reconstruction.

Lymphedema
Lymphedema is a swelling of the affected arm due to lymph channels becoming blocked often as a result of surgery, axillary lymph node dissection and radiation. While many women are justifiably concerned about lymphedema, high level vigorous and repetitive activity of the upper-extremity have been shown not lead to lymphedema (Physician and Sport Medicine, August, 2002). However, if the lymphatic channels are impaired due to treatment, caution may need to be taken with heavy weights as it may lead to inflammation with the lymphatic fluid backing up in the arm. (Sander T, PT, personal correspondence, December 9, 1999). The wearing of a compression sleeve during exercise is suggested. Similarly, if swelling occurs in the hands and wrist, try wearing spandex biking gloves. Also, when working in the garden hands and arms should be protected from infection with gloves and long sleeves.

Breast Reconstruction
For those with breast implants and living tissue reconstruction strength training can usually be resumed within 12 to 16 weeks. It is, however, particularly important that you check with your surgeon before beginning your program. To those who have had the TRAM flap procedure moderate abdominal exercises should only be performed. Heavy lifting such as small children, or heavy laundry should also be restricted for about three to four months. Swimming is particularly recommended. Remember to “walk tall” with your shoulders back.