Showing posts with label Lymphedema. Show all posts
Showing posts with label Lymphedema. Show all posts

Wednesday, October 19, 2011

Exercise May Improve the Quality of Life for Cancer Patients


Today’s guest post is by a wonderful young lady, Liz Davies.  Liz was influenced by her mother, an oncology nurse who saw, first-hand, the devastating and debilitating side effects cancer treatments often create.  Sadly, the risk for potential side effects is often not sufficiently explained to patients, nor are suggestions offered to help patients avoid or manage these issues. Her goal is to educate patients on ways to minimize the side effects of cancer treatment so that they may move forward into a life of wellness and health.  We all look forward to a day when cancer treatments do not negatively affect quality of life, but in the mean time, it is helpful to know that there are steps one can take to lessen the effects of treatment.

Exercise May Improve the Quality of Life for Cancer Patients
Cancer strikes millions of Americans each year, and while advancements in modern medicine have resulted in a lower mortality rate for many types of cancer, certain treatments are associated with negative side effects such as fatigue, muscle wasting, nutritional deficiencies and in many cases neuropathy. Some of these issues will lesson or cease after treatment ends, but some never fully go away.

Regardless of one's physical condition prior to becoming ill, evidence suggests that significant benefits can be realized by those who participate in physical activity during cancer treatment. For many years, the general opinion of most medical professionals was that the best place for those undergoing cancer treatment was bed. However, research conducted over the past decade strongly suggests that this is not always the case. Some oncologists are now encouraging patients to participate in moderate physical activity, and some doctors even prescribe exercise for their patients.
 


Selecting an Exercise Routine

Choosing the most suitable exercise is a decision based on many variables, and these should be discussed with one's doctor or oncologist. Each patient is different, and the most appropriate exercise for one person may not be suitable for the next. Overall, the exercise routine selected depends on the patient's individual goals, and what he or she hopes to achieve. For instance, the radiation and chemotherapy treatments typically used for that battling breast cancer can create high levels of chronic fatigue, making aerobic exercise the best choice for such patients. There are a few reasons why exercise creates higher energy levels. People who exercise have an increased heartbeat which causes more oxygen to be absorbed by brain cells causing people to feel more alert and energetic. When muscles are conditioned it makes daily tasks much easier. Lastly, exercise boosts the immune system which helps makes it so people do not get sick as often which drains us of energy.
Androgen deprivation therapy–ADT–is a testosterone reducing treatment frequently prescribed for prostate cancer patients, which often results in muscle wasting. In this case, light resistance training would most likely produce the best results. Lung cancer patients typically battle extreme fatigue and breathing problems, therefore exercises that help to increase the patient's lung capacity are the wisest choice. Lymph edema–swelling of the extremities due to fluid build-up–is also a common side effect of many cancer treatments and certain exercises can lessen the occurrence of this side effect. For those suffering from or at risk for Lymph edema, please consult a therapist trained in this condition.
 Cancer and Depression
Most cancer patients struggle with some level of depression due to the seriousness of their disease. This is especially true for patients who are battling illnesses that are associated with a high mortality rate such as lung cancer or pericardial mesothelioma, pancreatic and advanced breast cancers. Exercise has been proven to stimulate the production of beta-endorphins, which combat depression and can help patients to better cope with their situation. A study conducted at the Mayo Clinic University indicated that those who participated in physical exercise experienced less depression than those who shunned exercise in lieu of anti-depressant medication. However, one should not stop taking a prescribed anti-depressant without first speaking to his or her doctor.

Battling cancer takes courage and determination, and anything that can assist a patient to feel stronger and more in control of his or her life should be pursued. Therefore, it is wise for those who have been diagnosed with cancer to speak to a doctor or oncologist about starting an exercise program and utilizing other supportive therapies, and to be sure all potential side effects are discussed prior to the onset of treatment.  
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Liz Davies is a recent college graduate and aspiring writer especially interested in health and wellness. She became particularly interested in ways cancer patients can cope with the side-effects of their treatment after her mother became an oncology nurse for lung cancer.
Elyn Jacobs

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Elyn Jacobs is President of Elyn Jacobs Consulting, and a breast cancer survivor.  She helps women diagnosed with cancer to navigate the process of treatment and care, and she educates about how to prevent recurrence and new cancers.  She is passionate about helping others get past their cancer and into a cancer-free life.

Monday, April 18, 2011

The Road to Recovery

Surgery for removal of cancer can be tough on the body; pain and swelling are common, and often, as in the case of mastectomy, arms need to be retrained to perform even the most basic tasks.  I remember I was surprised that I could not pull a sweater over my head, wash my own hair or even get a glass out of the cabinet.  I was told I could and should exercise.  While I likely over-did things by walking the stairs in my building upon returning from the hospital, I knew that my recovery would be quicker if I got moving.  However, I knew I had to be careful, a lesson I learned after my stair climbing; had I not had the sense to go right to bed, I would have collapsed on the floor.   I also embraced massage as I was told that massage would relax me and help reduce the swelling.  The road to recovery is long, but help along the way is good medicine.

Physical therapy is very helpful post-surgery.  Physical therapists work with patients to alleviate physical issues that may arise from surgery or medical treatment for cancer. Through hands on interventions and therapeutic exercise, therapists help patients improve flexibility, strength, endurance and range of motion following treatment, thus improving their function and quality of life.  Physical therapists trained in lymphedema can be especially helpful if you suffer from or are at risk for this condition. I had a wonderful therapist, Amy Shapses, who helped me regain the use of my arms by instructing me in specific exercises to regain my strength and range of motion.  Her sessions hastened my recovery, mentally as well as physically.  Physical therapy is covered by insurance companies, so be sure to ask for a prescription.   

In the past, patients were often advised to rest; now, doctors are advising their patients to get moving.  Patients undergoing treatment, as well as those who have completed treatment benefit from exercise.  Exercise helps patients feel better, enhances quality of life and reduces side effects such as fatigue and anxiety.  Exercise and maintaining a healthy weight may reduce the chance for recurrence.  How much exercise is ideal?  That depends… start slow and work your way up to 30 and then 45 minutes a day, and increase your intensity as you go along.  Walking, jogging and cycling are great options, but don’t forget strength training.  Many cancer patients are not able to perform the same activities as they had pre-surgery, so until you regain your strength and range of motion, you may need some assistance.  If you use a trainer, be sure that he or she fully understands your particular limitations and needs, and again, find a lymphedema specialist if you suffer from this condition. Many organizations offer free exercise classes for cancer patients and survivors, so ask your doctor if there are services available in your area.  A few I know of who specialize in post-cancer care are the Lahey Clinic/ YMCA of Greater Boston and Strength for Life in New York.  Strength for life also offers free wellness retreats, which can help patients and survivors move forward in their journey. 

 Many patients are fearful of massage as they fear pain or discomfort or that it will in some way encourage lingering cancer cells to spread throughout the body.  On the contrary, massage helps reduce stress, post-surgery swelling and pain is recommended for patients.  Massage, acupuncture, nutritional therapy and other treatments associated with complementary medicine can support patients during their journey, and more and more allopathic (conventional) cancer facilities are incorporating integrative medicine into their programs.  


The cancer journey is not an easy one, so laugh, love, cry, and take advantage of all that is available to make your journey more successful.
Elyn Jacobs
elyn@elynjacobs.com
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Elyn Jacobs is President of Elyn Jacobs Consulting, Inc. and a breast cancer survivor.  She helps women diagnosed with cancer to navigate the process of treatment and care, and she educates about how to prevent recurrence and new cancers.  She is passionate about helping others get past their cancer and into a cancer-free life.

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