Breast cancer physiotherapy

Breast cancer physiotherapy

Breast cancer physiotherapy plays a vital role in helping individuals regain strength, movement, and overall quality of life following surgery, chemotherapy, or radiotherapy. At the core of the physiotherapy approach is a combination of gentle, specialized treatments that aim to restore mobility, reduce pain, and improve physical function.


One of the main therapeutic techniques used is scar therapy. This involves targeted treatment to help reduce scar tissue formation and prevent adhesions from limiting movement. Additionally, gentle massage and myofascial release techniques are utilized to alleviate tension in the soft tissues, reduce pain, and improve flexibility. Another key component is the graded exercise program, which focuses on gradually increasing the range of motion and, over time, building strength. These exercises are designed to be safe and gentle, helping individuals regain movement in the affected area after surgery.


Specialist Treatment for Cording

Cording, officially known as axillary web syndrome, is a common condition that can develop after breast surgery but often overlooked. This occurs when the lymphatic system has been altered after surgery, especially with lymph node removal. The lymphatic vessels bundle together creating 'cords' in armpit, chest/trunk, elbow or wrists, and causing restricted movement. While it generally cording resolves by itself, it can sometimes become a long-term issue, limiting mobility and causing discomfort. Milena offers specialised treatment to address this condition, with techniques like stretching, manual therapy, and myofascial release to release the tightness and restore movement.


Chemotherapy and Radiotherapy Effects

Chemotherapy and radiotherapy can have a significant impact on the soft tissues of the body. These treatments often cause tissue inflammation and stiffness, which can lead to limited range of motion and discomfort. Physiotherapy helps in managing these side effects by using specific exercises, soft tissue mobilizations, and gentle stretches to restore function and reduce pain.


Post-Surgery Conditions

After breast cancer surgery, patients may experience additional complications that require attention. Lymphoedema is a common issue, where the lymphatic system is compromised, causing swelling in the arms, chest, or upper body. Physiotherapy can help manage lymphoedema through manual lymphatic drainage and compression therapy. Other potential conditions include frozen shoulder, where movement of the shoulder becomes limited, and cervical radiculopathies, or trapped nerves in the neck, which can cause pain and weakness down the arm. These conditions are also treated with tailored physiotherapy approaches to restore function and alleviate pain.


Pelvic Floor Dysfunction after breast cancer

Women who have undergone breast cancer treatment, particularly those on hormonal block treatments, may experience pelvic floor dysfunction. These hormonal treatments can weaken the pelvic floor muscles, leading to issues such as incontinence, pelvic pain, and reduced core stability. If needed, Milena can offer combined rehabilitation programs that address both shoulder and pelvic floor rehab, ensuring a holistic approach to recovery that promotes overall well-being.


Returning to Sports and Daily Activities

Physiotherapy is not just about recovery; it’s about returning to the activities you love. Whether it’s sports, work, or day-to-day tasks, regaining confidence in your movement is a key focus. My approach to breast cancer physiotherapy includes personalised rehabilitation programs that allow you to safely return to your chosen activities, with a gradual buildup of strength and movement. By incorporating strength training, mobility exercises, and lifestyle modifications, we work together to ensure that you are fully equipped to manage your return to normal life after treatment.

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