Simple exercises you can do at home

Follow along with this set of exercises tailored for patients going through treatment or rehabilitation. 

Exercise through treatment and rehabilitation

Exercise brings many benefits. Breast cancer patients and survivors may suffer weakness and restricted movement in their arms, shoulders, and other joints, as well as pain, stiffness and swelling.  These conditions are mostly prevalent after breast surgery and during/after treatment.

 

The exercises listed are simple ones that you can do to mitigate such effects.  However, before starting any exercise routine, please consult your doctor about the type of exercises suitable for you at various stages of your recovery.

Benefits

Aside from helping to restore movement in the arms and shoulders, reduce swelling and control pain, the exercises also help with:

  • Reducing weakness and fatigue
  • Reducing nausea
  • Preventing bad posture
  • Preventing lymphedema by increasing lymphatic flow
  • Promoting sleep
  • Improving muscle tone and bone density
  • Increasing inner strength and sense of well-being

Starting exercise sooner than later will help you regain shoulder and arm movement more quickly than if you did not.  Start with the simple exercises and gradually proceed to the more strenuous ones. When exercises become easier to perform, increase the number of sets you do, with short rests between sets.

 

Before getting started

DO’s:

DON’Ts:

  • Start gradually, increasing the movement by small amounts each day.
  • Have a mirror in front of you when you exercise, to check your posture and motion.
  • Exhale slowly on the exertion movement (e.g. lift, push or stretch) and inhale gently on the relaxation movement (e.g. release).
  • Always stretch slowly and smoothly with no bouncing movements. You should feel a mild pull. Hold the stretch for about five seconds.
  • Remember that “Consistency is Key” - keep at it as it may take at least three months to recover full mobility and strength after surgery.
  • Continue exercising if you experience sharp pain, swelling or acute tenderness. Contact your doctor, breast care nurse or physical/occupational therapist.
  • Lift heavy objects or exercise with weights immediately after surgery.
  • Keep your arms hanging down for extended periods.
  • Perform pushing, pulling or overhead arm motions after implant construction until the implant has settled correctly.
  • Overdo it. Listen to your body.

Stretching

These exercises can be performed immediately after surgery and as a warm up/cool down for strengthening and aerobic exercises.

 

Ball squeeze

To regain strength

  • Sit or stand, with neck straight & shoulders relaxed
  • Hold a rubber ball in one hand, with arm in front & palm facing up
  • Squeeze and release the ball five times
  • Repeat with other hand

Neck stretch

To regain movement and reduce stiffness

  • Sit or stand, with neck straight & shoulders relaxed
  • Turn head slowly to look over left shoulder and back to center
  • Repeat for right side
  • Tilt head towards right shoulder then back to center
  • Repeat for left side
  • Repeat whole exercise five times

Shoulder roll

To regain movement and reduce stiffness

  • Sit or stand, with neck straight & shoulders relaxed
  • Roll both shoulders forward slowly five times
  • Roll both shoulders backward slowly five times

Bar lift

To regain strength and movement

  • Sit or stand, with neck straight and shoulders relaxed
  • Hold stick or taut towel in front of body with hands shoulder-width apart, palms down
  • With arms straight (do not bend elbows), slowly lift stick/towel to shoulder height or as high as you can
  • Slowly lower stick/towel
  • Repeat five times, lifting a little higher each time if possible

Crossed arms

To regain movement

  • Stand with arms raised to shoulder level, cross one arm on top of the other arm
  • Push elbows apart & back while trying to squeeze shoulder blades together. You will feel a stretch in the chest
  • Return arms to crossed position but place opposite hand on top this time
  • Repeat five times

Pulley stretch

To regain movement

  • Sit or stand, with neck straight & shoulders relaxed
  • Toss a piece of string over a shower rod or door
  • Hold one end of string in each hand
  • Slowly raise affected arm as far as possible by pulling down on string with other hand
  • Reverse motion to raise other hand
  • Repeat five times, lifting a little higher each time if possible

Stretching & upper body strengthening

These exercises can be performed two or six weeks after surgery. Once strength and flexibility are regained, resistance bands and weights can be used to maintain and develop strength.

Bent arms

  • Sit or stand, raising both arms in front with palms up
  • Bend arms & touch shoulders with hands
  • Repeat five times
  • Try this with arms extended out to sides to increase mobility

Arm circles

  • Stand with feet shoulder-width apart, shoulders relaxed
  • Raise arms out to sides at shoulder level
  • Rotate arms forward slowly in small circles, gradually making bigger circles
  • Repeat, rotating the arms backward
  • The number of rotations will depend on your comfort level

Overhead arm lift

  • Lie down on bed or floor, with a pillow to support head
  • Hold hands together, keeping elbows straight
  • Lift arms up & over head as high as possible
  • Lower arms slowly
  • Repeat five times

Side-lying arm lift

  • Lie on unaffected side, head supported by a pillow, with neck & back straight
  • Extend both arms straight in front, slightly below chest level, with one arm on top of another & palms together
  • Slowly lift top arm to shoulder level
  • Slowly lower arm
  • Repeat five times

Note: Exercise should also be done lying on affected side when discomfort decreases

Shoulder rotation stretch

  • Stand with feet shoulder-width apart, shoulders relaxed
  • Hold top of a stick or towel in unaffected hand & lower over shoulder & behind the back. Reach back with the other arm & grasp stick/towel at the bottom
  • Slowly pull stick/towel up with top hand, raising bottom arm as high as possible
  • Hold for five seconds, then slowly lower
  • Repeat five times

Note: Exercise should also be done holding stick/towel in the affected hand when discomfort decreases

Aerobic conditioning

Aerobic exercise is the way to improve endurance, burn more calories and fat. It also releases endorphins (hormones that are responsible for energising, calming and preventing depression).

 

Aerobic conditioning can be performed six to ten weeks after surgery, starting with a duration of five minutes and increasing gradually. Start by adding moderate walking to your stretching and strengthening exercises.

 

Once you are confident that your strength and endurance have increased, walk a little longer or a little faster or add other types of aerobic activity such as stationary biking or stair-stepping.

Get active with BCF

Our Healing Through the Arts Programme (“HTTA”) programme comprises of activities tailored for the women diagnosed with, and survivors of breast cancer. Volunteer instructors generally conduct the activities at the Breast Cancer Centre during the daytime.

 

Find out more here:

Healing through the Arts

Disclaimer


All the information provided on this website is correct at the time of edition and subject to revision without prior notice. The information, including but not limited to, text, graphics, images and other material provided here is meant purely for educational purposes and may not be used as substitute for professional medical advice, diagnosis or treatment. You should seek the advice of your doctor or qualified healthcare professional if you have any questions related to your health or medical conditions.

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