Regaining Resiliency After Breast Cancer Surgery

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1 Northwestern Memorial Hospital Patient Education ABOUT YOUR THERAPY If you have any questions, please talk with the occupational or physical therapist. Regaining Resiliency After Breast Cancer Surgery This information is designed for women who have had breast cancer surgery. The goal is to improve shoulder movement and flexibility. The exercises are best done slowly and smoothly, to avoid pain. Always begin with a warm-up exercise to improve overall effectiveness of the stretches and to prevent injury. Be aware of keeping your knees slightly bent and your body straight. It may be helpful to practice in front of a mirror. It is suggested that you wear loose, comfortable clothing. Warm-Up Program Remember that everyone is individual with regard to how these exercises are performed; try not to compare yourself to others. Everyone starts at a different level. Warm-up exercises The next few exercises are designed to prepare the muscles for stretching. These help prevent injury, increase circulation to the area and increase the benefit of the group of exercises that will follow. The exercises should be performed at a moderate speed without jerky motions. Do these exercises at least twice daily. Bend at the waist with arm dangling freely. Swing arm forward and back, then side to side, and finally in a circle both directions.

2 Clasp hands in front. Start with arms down and raise upward as far as possible. Start with arms clasped behind back, move arms upward away from back. With arms relaxed at sides, rotate shoulders in a forward circular motion. Repeat in the opposite direction. 2

3 Tuck your chin slightly and slowly rotate fully to the right. Roll head gently across chest to look downward and to the left. Lie on back holding the involved wrist and pulling it over head. Hold a broom with both hands, palms down, and raise it as high as possible, keeping elbows straight. Repeat 5 to 10 times as you can tolerate. 3

4 Start with arm at side, keeping it as close to the body as possible with thumb pointing up. Raise arm over head as far as possible. Stand facing a wall and slide the hand of the involved arm up the wall. Assist with opposite hand if needed. Then, lean into the wall, keeping elbow straight, and try to touch armpit to the wall. Do not bounce. Hold for 5 seconds. Hold broom with hands in front of body. Swing broom upward and out to the side. Return to start position, then repeat moving broom out to the other side. The arm moving up and away from the body should be palm up. 4

5 Arm at side and thumb pointing outward, move arm upward and away from body, leading with the thumb. Keep elbow straight. Stand sideways, arm distance from the wall. Start with fingers low, move them slowly upward along the wall as high as possible. Do not bounce. Repeat 5 to 10 times as you can tolerate. Arms behind back, holding wrist, gently bend elbows, sliding wrists up toward shoulder blades. 5

6 Arm behind back, bend elbow and try to reach the opposite shoulder blade. Grasp towel behind back with one arm over shoulder and one arm under. Hold 5 seconds, then switch towel to other shoulder and repeat. 1. Lie on your back with your arms straight out from your sides (shoulder level). 2. Bend your elbow and point fingers toward the ceiling. 3. Roll your arm back, attempting to rest the back of your hand on the bed. Hold for 5 seconds

7 1. Hold a broom with both hands. 2. Raise overhead. 3. Bend elbows to place broom behind head. Repeat 5 to 10 times as you can tolerate Touch opposite shoulder blade. Use opposite hand to gently push elbow down. Hold 5 seconds. Repeat 5 to 10 times as you can tolerate. Position hands behind head, point elbows outward to the side. Hold for 5 seconds. 7

8 Standing in a doorway, place your shoulders and elbows as shown. Lean forward, stretching arms backward. Hold for 5 seconds. Hold a stick with both hands behind back. Pull arms back and away from body. Move arm out to the side at shoulder level, then reach for opposite shoulder. Repeat 5 to 10 times as you can tolerate. 8

9 Clasp hands behind back. Gently pull arm and tilt head to the same side. Hold for 5 seconds. Do the exercises times per day. Northwestern Medicine Health Information Resources For more information, contact Northwestern Memorial Hospital s Alberto Culver Health Learning Center (HLC) at hlc@nm.org, or by calling You may also visit the HLC on the 3rd floor, Galter Pavilion at 251 E. Huron St., Chicago, IL. Health information professionals can help you find the information you need and provide you with personal support at no charge. For more information about Northwestern Medicine, please visit our website at nm.org. Para asistencia en español, por favor llamar al Departamento de Representantes para Pacientes al The entities that come together as Northwestern Medicine are committed to representing the communities we serve, fostering a culture of inclusion, delivering culturally competent care, providing access to treatment and programs in a nondiscriminatory manner and eliminating healthcare disparities. For questions, please call either Northwestern Memorial Hospital s Patient Representatives Department at , TDD/TTY , the Northwestern Lake Forest Patient Relations manager at and/or the Northwestern Medical Group Patient Representatives Department at , TDD/TTY Developed by: NMH Physical Therapy Department May 2017 Northwestern Memorial HealthCare (5/17) Regaining Resiliency After Breast Cancer Surgery

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