Even if the patients have soft tissue restrictions, we can help them set up a program, and they do respond very well. Sattell says that there is a strong network of breast cancer survivors in the area and many of their patients have heard about the program through that network. Some are pre-surgical, which gives us the opportunity to teach them exercises which can help with their recovery. Other women are immediately post-surgical who have some restrictions. Still others are long-term survivors who are dealing with other issues, such as lymphedema, a limited range of motion or loss of strength.
Patients undergo a thorough evaluation during their first visit.
Strength in the affected area, range of motion, soft tissue issues and any specific challenges are evaluated. The staff then helps the patient set goals, which can include exercises that increase flexibility, strength and postural correction. The treatment is also helpful for those patients who have pain in the incision area, involved arm, tissues of the chest and trunk or the armpit. If this is the case, soft tissue work will also be included in the program to normalize mobility and decrease scar tissue problems. Many of the long-term survivors involved in the program have developed problems long after diagnosis and treatment.