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Exercises Following Breast Surgery 4. Cross Arm Stretch • Bring sore arm across in front of body as shown. • Hold elbow with opposite arm. • Gently pull across chest until a stretch is felt. • Hold for 5 seconds. • Relax and repeat. Perform 1 set of 5 repetitions, three times a day. 5. Shoulder Forward Glides on Wall • Stand facing wall. • Place forearm on a door frame, elbow slightly higher than a shoulder level. • Palm should be facing inward. • Gently move your arm up along the wall until you feel a good stretch and breathe in and out slowly 2 times • Return to start position and repeat. Special Instructions: Once this feels easy to do, move away from the wall and reach as high as you can. Perform 1 set of 5 repetitions, three times a day. 6. Shoulder Sideways Glides on Wall • Stand with side to wall. • Place forearm on a door frame, elbow at shoulder level. • Move your arm up along the wall until you feel a good stretch and breathe in and out slowly 2 times. • Return to start position and repeat. Special Instructions: Once this feels easy to do, move away from the wall and reach as high as you can. Perform 1 set of 5 repetitions, three times a day. 7. Arm Behind the Back Stretch • Place sore arm behind back as far as possible. • Hold other arm over shoulder with towel as shown. • Grasp towel with the sore arm. • Slowly pull upward with your other arm until a stretch is felt. • Hold this position while you breathe in and out slowly 2 times. • Return to start position and repeat. Perform 1 set of 5 repetitions, three times a day. 8. Walking • Walk at a comfortable pace. Try to allow your arms to swing as freely as comfort allows Special Instructions: Progress your walking time as you are able. Perform 1 set of 10 minutes, once a day. PHASE 2 EXERCISES (DRAINS OUT) 1. Chest Stretch – Lying down • Lie on back with a towel roll 2-3 inches thick placed along your spine between your shoulder blades. • Feet can be up on a wall or knees bent with feet on the floor. • Move your arms out from sides at 90 degrees, gently allow shoulders to move toward floor. • Hold this position for 5 minutes while focusing on slow, deep breaths. Special Instructions: If this is too difficult at first, stretch without the towel roll Perform 1 set of 5 minutes, three times a day 2. Shoulder Lifts – Lying down • Lie on your back with your arm on your side • Slowly raise arm over your head as far as possible, keeping your elbow straight. • Move your arm as far back as comfort allows and then return to start and repeat Special Instructions: If you cannot lift arm while keeping elbow straight, try using your other arm to assist the sore arm. Perform 1 set of 5 repetitions, three times a day 3. Shoulder Rotation - Hands at Neck • Lie down with your hands behind your head. • Point elbows toward ceiling • Slowly spread your elbows apart as far as you can until you feel a good stretch and slowly breathe in and out 2 times • Return to start position and repeat. Perform 1 set of 5 repetitions, three times a day. Seton.net Goodhealth.com

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Exercises FollowingBreast Surgery

4. Cross Arm Stretch

•Bringsorearmacrossinfrontofbodyasshown.

•Holdelbowwithoppositearm.

•Gentlypullacrosschestuntilastretchisfelt.

•Holdfor5seconds.

•Relaxandrepeat.

Perform 1 set of 5 repetitions, three times a day.

5. Shoulder Forward Glides on Wall

•Standfacingwall.

•Placeforearmonadoorframe,elbowslightlyhigherthanashoulderlevel.

•Palmshouldbefacinginward.

•Gentlymoveyourarmupalongthewalluntilyoufeelagoodstretchandbreatheinandoutslowly2times

•Returntostartpositionandrepeat.

Special Instructions: Oncethisfeelseasytodo,moveawayfromthewallandreachashighasyoucan.

Perform 1 set of 5 repetitions, three times a day.

6. Shoulder Sideways Glides on Wall

•Standwithsidetowall.

•Placeforearmonadoorframe,elbowatshoulderlevel.

•Moveyourarmupalongthewalluntilyoufeelagoodstretchandbreatheinandoutslowly2times.

•Returntostartpositionandrepeat.

Special Instructions: Oncethisfeelseasytodo,moveawayfromthewallandreachashighasyoucan.

Perform 1 set of 5 repetitions, three times a day.

7. Arm Behind the Back Stretch

•Placesorearmbehindbackasfaraspossible.

•Holdotherarmovershoulderwithtowelasshown.

•Grasptowelwiththesorearm.

•Slowlypullupwardwithyourotherarmuntilastretchisfelt.

•Holdthispositionwhileyoubreatheinandoutslowly2times.

•Returntostartpositionandrepeat.

Perform 1 set of 5 repetitions, three times a day.

8. Walking

•Walkatacomfortablepace.Trytoallowyourarmstoswingasfreelyascomfortallows

Special Instructions: Progressyourwalkingtimeasyouareable.

Perform 1 set of 10 minutes, once a day.

PHASE 2 EXERCISES (DRAINS OUT)

1. Chest Stretch – Lying down

•Lieonbackwithatowelroll2-3inchesthickplacedalongyourspinebetweenyourshoulderblades.

•Feetcanbeuponawallorkneesbentwithfeetonthefloor.

•Moveyourarmsoutfromsidesat90degrees,gentlyallowshoulderstomovetowardfloor.

•Holdthispositionfor5minuteswhilefocusingonslow,deepbreaths.

Special Instructions:Ifthisistoodifficultatfirst,stretchwithoutthetowelroll

Perform 1 set of 5 minutes, three times a day

2. Shoulder Lifts – Lying down

•Lieonyourbackwithyourarmonyourside

•Slowlyraisearmoveryourheadasfaraspossible,keepingyourelbowstraight.

•Moveyourarmasfarbackascomfortallowsandthenreturntostartandrepeat

Special Instructions: Ifyoucannotliftarmwhilekeepingelbowstraight,tryusingyourotherarmtoassistthesorearm.

Perform 1 set of 5 repetitions, three times a day

3. Shoulder Rotation - Hands at Neck

•Liedownwithyourhandsbehindyourhead.

•Pointelbowstowardceiling

•Slowlyspreadyourelbowsapartasfarasyoucanuntilyoufeelagoodstretchandslowlybreatheinandout2times

•Returntostartpositionandrepeat.

Perform 1 set of 5 repetitions, three times a day.Seton.net

Goodhealth.com

Afteryoursurgeryforbreastcancer,itiseasytogetfrustratedwithyour shouldermotion.These instructionswillhelpguideyoutogetbetterasquicklyaspossible.Youcanstarttheexercisesimmediatelyaftersurgery.Ifyouhavedrainsinplace,beginthePhase1exercisesand then move on to Phase 2 once the drains are removed. If youdonothavedrains,youcanbeginwiththePhase2exercises.Asyoupracticetheseactivities,youwillseegreatimprovementsinyourabilitytomoveyourarm.

General Guidelines:

•Whenmovingyourarmitisnormaltofeela“stretching”sensationunderyourarm.

•Tinglingandsorenessonthebackofyourarmandchestwallisacommonexperiencebecauseofirritatednerveendings.

•Exerciseeverydayandyouwillregainflexibilityinyourarm.

•Deepbreathinghelpswiththehealingprocess,sopracticetakingdeepbreathsthroughouttheday.

•Participateinlightactivitieslikedressingandbathingwhenyoucanmoveyourarmwithoutfeelingsharppain.

•Walkfor5–10minutes,onetotwotimesadayduringthefirstweekaftersurgery.Progressto10–15minutesonceadayduringthesecondweek.

•Continuewiththeseexercisesuntilyourfullshouldermotionreturnsinabout1–2months.

•Followyourdoctor’sliftingrestrictionsascloselyaspossible.

•Ifyounoticeunusualswelling,redness,ortendernesscontactyourdoctor.

•Ifyoucontinuetohavedifficultymovingyourarmorusingitwithnormaldailyactivitiesaskyourdoctorformorespecificexercisesorforareferraltoalicensedphysicaltherapist.

PHASE 1 EXERCISES (DRAINS IN)

1. Thoracic diaphragm breathing

•Lieonback.

•Placerighthandoverabdomen,lefthandoverthemidchest.

•Breatheinslowlyanddeeply,throughthenose.

•Theabdomenshouldriseandallowthechesttoslowlyexpand.

•Breatheoutslowlythroughthemouth.

Perform 1 set of 5 repetitions, three times a day.

2. Elbow Flex/Extension

•Youcandothislyingdownorsitting.

•Beginwitharmatside,elbowstraight,palmup.

•Bendelbowupward.

•Returntostartingpositionwithyourelbowfullystraight.

Perform 1 set of 5 repetitions, three times a day.

3. Shoulder Rolls

•Dothisexerciselyingdown.

•Rotateyourshoulderbackwardslowlyinacircle,repeat5times.

•Rotateyourshoulderforwardslowlyinacircle,repeat5times.

Perform 1 set of 5 repetitions, three times a day.

4. Shoulder Rotation

•Lieonbackwitharmslightlyawayfromside

•Bendelbowtoabout90degrees

•Rotatearmoutwardsasfaroutasyoucanthenrotateyourarminwardsothatyourhandisrestingonyourstomach.

Perform 1 set of 5 repetitions, three times a day.

5. Shoulder Blade Pinches

•Sitorstandwitharmsatsides.

•Squeezebothshoulderbladestogether,breatheingentlyandexhale.

•Holdfor5seconds

•Relaxandrepeat

Perform 1 set of 5 repetitions, three times a day.

6. Shoulder Shrugs

•Candolying,sittingorstanding.

•Slowlyraiseshouldersupwardstowardsears.

•Returnslowlytostartingposition.

Perform 1 set of 5 repetitions, three times a day.

7. Lateral Shoulder Wall Push

•Standwithyoursidetowall,elbowatyourside.

•Bendelbowto90degrees.

•Placeapillowbetweenyourarmandwall.

•GENTLYpushupperarmagainstwall.

•Holdexercisefor3seconds

Perform 1 set of 5 repetitions, three times a day.

8. Walking

•Walkatacomfortablepace.Trytoallowyourarmstoswingasfreelyascomfortallows

Perform 1 set of 5 minutes, twice a daySeton Healthcare Family offers rehabilitation therapies for breast cancer patients and for other cancer diagnoses. For more information please call 512-324-1875.