Navigating Breast Cancer: A Holistic Approach to Therapy- By James Smith MSTO

Navigating Breast Cancer: A Holistic Approach to Therapy- By James Smith MSTO

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Breast cancer is the most common cancer among women worldwide, with over 2 million new cases diagnosed annually. Understanding and managing breast cancer involves addressing risk factors, treatment options, and post-treatment care to optimize outcomes and improve quality of life.

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Understanding Breast Cancer

What is Breast Cancer?

Breast cancer arises from cells in the breast that grow uncontrollably, forming a tumour. Key risk factors include age, family history, certain genetic mutations, hormonal factors, obesity, alcohol consumption, and radiation exposure.

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Treatment Options

Treatment strategies for breast cancer vary depending on the type and stage of the cancer.

Common treatments include:

-Surgery: Removing the tumour or the entire breast.

-Radiation Therapy: Targeting cancer cells with high-energy rays.

-Chemotherapy: Using drugs to destroy cancer cells.

-Hormone Therapy: Blocking hormones that fuel certain cancers.

-Targeted Therapy: Targeting specific molecules involved in cancer growth.

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The Role of Physiotherapy

Physiotherapy is crucial in the holistic management of breast cancer, particularly in post-operative habitation. It helps address musculoskeletal problems, especially in the upper limb, which are common after breast cancer treatment.

Post-Op Physio Rehab

Post Surgery Intervention

Physiotherapy post-surgery should include:

-Static Specific Exercises: To improve strength and flexibility.

-Myofascial Release: To alleviate pain and improve mobility.

-Joint Mobilization Techniques: To enhance joint function.

-Soft Tissue Release Techniques: To reduce muscle tension.

-Massage: To improve blood flow and reduce stiffness.

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Target muscle groups include the rotator cuff, deltoids, serratus anterior, trapezius, rhomboids, biceps, and pectorals. Exercises can begin with resistance bands, performed twice a week for 2 sets of 10-15 repetitions.

Complications and Management

Lymphedema

Lymphedema, a common complication post-treatment, is characterized by swelling due to lymph fluid build up. It affects more than one in five breast cancer patients and can develop anytime from three months to 20 years post-treatment.

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Managing Lymphedema

Effective management involves:

-Manual Lymphatic Drainage (MLD): A gentle massage technique to stimulate lymph flow.

-Compression Therapy: Using bandages, sleeves, or garments to reduce swelling.

-Lymph-Reducing Exercises: Specific exercises to promote lymph drainage

Scar Work

Scar tissue management is essential for preventing adhesions and promoting collagen synthesis. Techniques like friction massage can help realign collagen and improve the functional outcome of the scar.

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Conclusion

Integrating physiotherapy into breast cancer care plans is essential for optimizing recovery and enhancing quality of life. By addressing the physical complications and promoting active participation. Joint Mobilization Techniques: To enhance joint function. Soft Tissue Release Techniques: To reduce muscle tension. Massage: To improve blood flow and reduce stiffness. Manual Lymphatic Drainage (MLD): A gentle massage technique to stimulate lymph flow. Compression Therapy: Using bandages, sleeves, or garments to reduce swelling. Lymph-Reducing Exercises: Specific exercises to promote lymph drainage.in enjoyable activities, patients can achieve better overall health and well-being