resumption After Mastectomy

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Proper resumption agenda is a key factor which influences life ability of women after mastectomy. The resumption starts with psychological and corporeal making ready for surgery, which means, studying gymnastic exercises for upper limbs and help with accepting the ensuing situation. We begin resumption on the second day after surgery in order to avoid adverse effects of surgery, such as:

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1. Reducing muscle force of upper limb on the operated side.

2. Limitation of shoulder joint petition on the operated side

3. Lymph circulation disorder

Upper limb exercises

Upper limb exercises are necessary to recover corporeal fitness straight through restoring full shoulder joint range, enhancing muscle force and straight through antiedematous activity. In the first postoperative period it is very prominent to tone the scar (first 3 weeks after surgery). The lack of exercises can lead to "tightening" of a hand by the scar and limit hand petition considerably. We rehearsal twice a day, but we cannot allow over-exhaustion of a hand at the same time. Each day brings condition improvement, petition range expands and pain symptoms disappear.

Analgesic effects

Physical exercises based on the dynamic work of the muscles are the basis for anti-edematous action. Measured muscle contractions create the most convenient conditions of consequent on lymphatic ideas and blood vessel system.
Exercising twice a day causes the "motion" of lymph and it prevents its retention. A fight with already ensuing edema is difficult, long-standing and does not always end up successfully. For that reason, we should pay special attention to stoppage of edema appearance.
Apart from exercises, it is prominent to lay one's limb high so that edema can flow in accordance with the law of gravity. It is especially necessary during sleep, when the muscles are relaxed and edema is not pushed by "muscular pump" produced during the work of the muscles. Such position can be achieved straight through putting hands on a special chock, a rolled blanket or hard pillows, so that a limb could rest above shoulder joint.
Excess limb strain straight through corporeal effort, especially in positions facilitating edema retention, should be avoided. After mastectomy it is allowed to do the work with a hand on the operated side if the force does not exceed 2 kilograms. It is also prominent to execute a self-massage - when a outpatient gives a massage to herself - we teach self-massage during supplementary resumption at an outpatients' clinic after curative injury.

Prosthesing

Wearing prosthesis is a very necessary part of rehabilitation, which is connected not only with aesthetic qualities but also with restorative properties. After bigger breast muscle removal a body asymmetry occurs. It can lead to posture disorders such as:

1. Lowering or raising of shoulder on the operated side

2. Shoulder protruding

3. Stoop

4. Curvature of the spine

In order to keep good corporeal and thinking state of a outpatient in the first postoperative period, the loss of breast is made up by a light and soft thing (i.e. Cotton wool or sponge), which allows to heal injury. After injury is healed and sensitivity of the operated place to touch is lessened, a quarterly prosthesis should be worn. It is excellent according to the shape, weight and size of a remaining breast. Each outpatient after mastectomy gets a prescribe for breast prosthesis from her oncologist or surgeon. It can be dispensed in devotee shops or in contribute points with orthopedic equipment.

Further recommendations

Limb safety against overexertion
Protection against cuts, injections, blood sample taking
Further resumption at an outpatients' clinic:

- increasing of muscle strength

- preventing lymphatic edema

- studying self-massage

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