What physical therapy do I need after Breast Cancer surgery

Physical Therapy After Breast Cancer Surgery

I'm glad you're thinking ahead about recovery! Physical therapy is an important part of healing after breast cancer surgery, though the specific recommendations depend on what type of surgery you had and your individual situation.

What the Guidelines Say

According to NCCN Guidelines for Patients: Invasive Breast Cancer, after your mastectomy or lumpectomy, your care team will provide you with a personalized survivorship care plan. This plan should outline:

• Possible long-term effects of your surgery
• Follow-up care recommendations
• How your primary care doctor will coordinate with your surgical and oncology specialists

This survivorship plan is where your specific physical therapy needs will be detailed.

Why Physical Therapy Matters

After breast cancer surgery, physical therapy helps you:

• Regain arm and shoulder movement - Surgery can affect the muscles, nerves, and tissues in your chest wall and armpit area
• Reduce pain and stiffness - Especially important after mastectomy or axillary lymph node dissection (removal of lymph nodes under your arm)
• Prevent complications - Such as lymphedema (fluid buildup) or frozen shoulder
• Return to normal activities - Gradually rebuild strength and function

Key Questions to Ask Your Surgical Team

Since physical therapy is individualized, ask your care team:

1. When should I start physical therapy? (Some start before surgery, others after healing begins)
2. What specific exercises or movements should I avoid initially? (This varies based on your surgery type)
3. Will I need formal physical therapy with a therapist, or can I do exercises at home?
4. How long will I need physical therapy? (Duration varies widely)
5. Are there warning signs I should watch for (like increased swelling, numbness, or severe pain)?
6. Can you refer me to a physical therapist experienced in breast cancer recovery?

Important Reminders

Your surgical team knows the details of YOUR specific surgery and can give you personalized guidance. Physical therapy needs differ significantly depending on whether you had a lumpectomy, mastectomy, or reconstruction, and whether lymph nodes were removed.

This information is for educational purposes only. Always consult your healthcare team for personalized medical advice and decisions.