Breast removal exercises. Rehabilitation after mastectomy

beautiful chest- adornment of a woman. However, there are several dangerous diseases that it is advisable to treat by removing the mammary gland - mastectomy. The main indication for surgery is, of course, breast cancer, and a mastectomy is also done with breast sarcoma or a purulent process accompanied by gangrene. A complication after surgery can be a violation of the mobility of the arm in the shoulder joint. To achieve its full recovery, it is necessary to perform a special set of exercises. That is why gymnastics after a mastectomy is necessary for every woman who has undergone this procedure.

Rehabilitation after mastectomy

Mastectomy, of course, has a serious effect on the body of a woman. To return to normal after removal of the mammary gland, a number of rehabilitation measures are required:

• therapeutic exercises (LFK);
• physiotherapy;
• drug treatment, the purpose of which is to increase immunity;
• psychological assistance to the patient.

Why is gymnastics necessary?

After removal of the mammary gland, the arm and shoulder on the affected side are constrained in movements. Some patients note a feeling of tightness in the scar area. Some patients begin to reduce their shoulders and slouch.

Failure to exercise can lead to a number of unpleasant consequences:

• to a change in posture, deformation chest, problems with the spine;
• to the occurrence of depression;
• to the appearance of excessive muscle strain, which leads to the development of pain in the shoulder, arm and neck.

To avoid such problems, women should start exercising while still in the hospital.

Exercise groups

All exercises performed during rehabilitation after removal of the mammary gland are divided into three groups:

• Warm up. This group is necessary to bring the patient's muscles into tone and prepare the body for further stress. Warm up should be a must gymnastic complex, because otherwise the body may fail, thereby leading to a slowdown in the rehabilitation process. Warming up consists of about four simple exercises.
• main complex.
• Final part. It includes exercises, the purpose of which is relaxation and restoration of breathing.

warm up

All exercises of this part of the lesson are performed in a sitting position 6-8 times.

1. Put your hands on your knees (palms pointing down). Squeeze and unclench your fingers, and squeeze tightly into a fist, and when unclenched, relax and spread.
2. Turn the hands first with the palms up, then down, while the fingers should not be tense.
3. Raise your hands to your shoulders. Without taking them off your shoulders, raise your elbows forward and lower them down. This exercise should be done slowly. Raising your hands, inhale, lowering - exhale.
4. IN starting position hands down at the seams. Then lift them to the sides and lower them down. Do the exercise slowly, without straining.

When all exercises are completed, the patient needs a little rest. To do this, you can take several deep breaths and exhale or walk around the gym.

Main part

The main part of the gymnastic complex after removal of the mammary gland includes the following exercises (they should be repeated 4-8 times):

• IP (starting position) - standing or sitting.
  1. First, you should press your hands tightly to the body for 2-3 seconds, then relax.
  2. Stretch the hand from the injured side forward, then to the side, then lower it. There is no need to raise the shoulder. Taking it away, inhale, lowering - exhale.
  3. Commit in shoulder joints circular motions(first forward, then back). Exercise should be done slowly, raising your elbows high.
  4. Lower your hands. Connect your fingers behind your back and try to touch your shoulder blades. At the same time, do not tilt your head and shoulders forward. The exercise is done slowly.
  5. Clasp your hands behind your back. Through the movement of the shoulders, you need to spread and reduce the shoulder blades, try not to lean forward. Spreading to inhale, reducing - exhale.
• IP - standing or sitting in front of a mirror.
  1. Raise the arm on the injured side. (If necessary, you can support the hand with a healthy hand). The exercise is performed slowly, when lifting, inhale, when lowering, exhale.
  2. Raise your arm from the side where the operation was, then bend it and take your elbow to the side, imitating the movement when combing your hair. Hold your hand in this position for a few seconds. In this case, you should not lean forward and lower your head.
• Starting position - standing.
  1. Tilt to the operated side and straighten up. At the same time, swing back and forth with your hand from the same side. The muscles should be relaxed, the range of motion gradually increases.
  2. Stand against the wall with the damaged side. Raise your hand, trying to stretch it as far as possible along the wall. It should be noted the point to which you can reach, and try to gradually mix it higher.
  3. Rotate the torso towards the operated breast. Lean back, moving your hand back and to the side. Accept IP. Turning, inhale, returning to the IP - exhale. Perform slowly.
  4. Lean back against the wall. Raise your arms, spreading them apart and pressing them against the wall as much as possible, hold for 2-3 seconds, then lower them.
• IP - sitting.
  1. Place the hand on the affected side on the edge of the table in the allotted position (palm pointing down). Then turn your palm up, then down again. The exercise is done with effort and slowly.
  2. Put your hands on your knees and take the sticks lowered down into them, the length of which is 60-80 cm. Then lift the sticks up, bending backwards, then lower the sticks. When bending, inhale is taken, when lowering the sticks, exhale.
  3. Raise the sticks up, while tilting, without deviating forward, in the healthy direction. Return to IP. When tilting - inhale, straightening - exhale.
  4. Lower your hands. Take a stick by the ends, then lift it up and move it behind your back. Return to IP. Instead of a stick, you can use a stretched towel. Perform the exercise slowly.

Final part

As already mentioned, the exercises in this part of the lesson are aimed at restoring breathing and relaxation. Each of them is repeated 5-6 times.

1. Stand up straight and, inhaling and exhaling deeply, turn your shoulders.
2. Make the slope as low as possible, while the arms should hang freely.
3. IP - sitting on a chair, hands lie on your knees. Straighten your shoulders, straighten up, bend a little, pulling your elbows back, then relax. Bending to inhale, relaxing - exhale.
4. IP - standing or sitting. Raise your hands up and inhale, lower - exhale.
5. Standing, raise your hand to your shoulders and bend, then lower it. Do the exercise with effort and slowly. Lowering your hands down, they must be relaxed.

How to do the exercises

• When doing exercise therapy, each exercise must be performed slowly, gradually increasing the range of motion and the number of repetitions of each of them.
• With bilateral removal of the mammary gland, a set of exercises should be performed either with both hands at the same time, or in turn for each of them.
• Initially, it is worth stopping at 12-14 exercises, then their number needs to be increased.

As already mentioned, you need to start exercising almost immediately after the operation. Of course, at first it will be difficult and painful to perform a set of exercises, but exercise therapy cannot be neglected.

To get noticeable results, you need to follow a few rules:

• exercise regularly (without passes);
• perform exercises, even if it is difficult;
• do gymnastics daily at a predetermined time;
• gradually increase the load (after consultation with a specialist);
• exercise until the range of motion returns to its previous level;
• try not to make strong and sudden movements;
• do not demand immediately noticeable results from yourself.

After a mastectomy, women have problems with the movement of the arm and shoulder from the side where the operation was performed. Therapeutic gymnastics is in this situation an invaluable assistant who can remove discomfort in the area of ​​the scar and restore the previous mobility of the joint and muscle strength.

The process of rehabilitation and recovery after breast mastectomy depends on many factors: on the general physical and psychological state of the patient, on the severity of the operation, on qualified treatment,

from the timely therapeutic gymnastics(exercise therapy) and special exercises.

Roles special gymnastics and correct exercise, and after the healing of an open wound, also the role of swimming is very large and important. Rehabilitate without regular treatment - health exercises almost impossible. And the sooner you start therapeutic exercises after the mastectomy, the better. It should only be understood that the load should increase gradually, but you should not give yourself concessions in the regularity of exercises. The following are practical exercise therapy exercises, developing hand mobility, relieving pain and swelling.

A complex of therapeutic - gymnastic exercises after mastectomy.

All the gymnastic exercises described below should be repeated 5-10 times, depending on the duration of the operation and your physical condition. The load increases gradually. With a bilateral mastectomy, all exercises can be done with one hand alternately, and with both hands at the same time.

1. Take a seated position. Place your hands on your knees, palms down. Clench and unclench your fingers into a fist, then relax.
2. Sitting position. Place your hands on your knees, palms down. Turn your palms up, then down, without straining your fingers.
3. Sitting position. Spread your arms to the sides and lower down. Repeat slowly, without straining too much.
4. Take a seated position. Put your hands on your shoulders. Raise your elbows forward, then lower them down without lifting your hands from your shoulders. Repeat slowly. Raising, inhale, lowering - exhale.

A few days after the mastectomy operation, add the following gymnastic exercises:

Below is famous video a manual on exercise therapy exercises after a mastectomy from Vyacheslav Nagnibid and a detailed text description of this video. This option of presenting the gymnastic complex with video material will most intelligibly explain the principles and sequence of the exercises.

5. Take the starting position while standing. Tilt towards the removed mammary gland. Swing back and forth with your hand from the side of the operation, without straining and gradually swinging the amplitude of the strokes.
6. Body position sitting or standing. Alternately then strain, pressed to the body of the hands, then relax.
7. The position of the body sitting or standing. Raise the hands from the side of the operation forward, spread them apart, then lower them down. The shoulder should not be raised.
8. Body position sitting or standing. In turn, make circular movements in the shoulders - then forward, then back. Raise your elbows when moving.
9 Take a position either sitting or standing in front of a mirror. Slowly raise your arm from the operated side. During the exercise, you can support the hand on the affected side with a healthy functional hand.
10. Take a standing position with the operated side against the wall. Raise and stretch the sore arm as far as possible along the wall, then gently move it up.
11. Take the starting position sitting or standing, with your arms hanging down. Putting your fingers behind your back, try to reach them to the shoulder blades without tilting your head.

12. Take a sitting or standing position, with interlocked fingers behind your back. Without bending over, slowly bring and spread the shoulder blades.
13. Take the starting position sitting, the sore arm is on the table, palm down. Slowly, with tension, alternately turn your hand palm up, then down.
14. Take the starting position sitting or standing by the mirror. Lift the affected arm up, bending at the elbow, then moving the elbow to the side. Then, without tilting your head, perform movements that imitate combing your hair.
15. Take the initial sitting position, placing your hands on your knees, pick up gymnastic sticks, about half a meter long, lowering them down. Slowly lift the gymnastic sticks up, while bending back elastically. Then drop down.
16. Take the starting position sitting, lowering your hands, gymnastic stick hold on to the ends. Slowly lift the stick up, move it behind your back. Then return to the starting position.
17. Take a sitting position, with your hands on your knees, in two hands hold the half-meter sticks lowered down. Raise the gymnastic sticks up, lean to the healthy side. At the same time, make sure that the slope goes only to the side, and not forward. Then straighten up and lower the exercise sticks down.
18. Standing position, legs apart. Rotate your torso towards the operation. Lean back and slowly move the affected arm to the side and back. Return to starting position.
19. Take the starting position while standing, with your back to the wall. Raise your arms to the sides, pressing firmly against the wall for two to three seconds. Then drop.
20. Take the starting position while sitting or standing. Slowly, with a noticeable effort, bring your hands to your shoulders. Also slowly, but already relaxing, lower them down.
21. Take a starting position on a chair with your hands on your knees. Straighten your shoulders and arch slightly. In this position, take your elbows back. Relax. Return to the starting position of the exercise.
22. Take the starting position sitting. Without straining, raise your hands up, take a breath. Breathe out as you lower. Repeat.

This video complex gymnastic exercises- LFC is not the only one. There are other methods, including video materials. You can successfully choose any of them to help you. All of them are aimed at ensuring the speedy recovery of the hand after breast mastectomy surgery. In addition to gymnastic exercises in recovery, swimming has proven itself well, thanks to its specific movements.

Taking care of our little feathered friends - birds will give you the moral support you need for recovery. Titmouse Day will give you some joy and smiles.

According to statistics, every eighth woman on this planet can get breast cancer. This disease is fatal if left untreated.

In addition to cancer, a woman's breasts are prone to other diseases of a tumor nature:

• fibroadenomas;
• papillomas;
• cysts.

All of them are treated with:

• chemotherapy;
• radiation therapy;
• folk funds.
• mastectomy.

Consequences of a mastectomy

A mastectomy is a surgical operation to remove tumors that affect the breast tissue. There are several types of mastectomy:

The first two types of mastectomy are used quite rarely: in the most advanced cases of infiltrative cancer and its relapses.

The last two are used much more often as women don't want to be breastless.

That is why scientists are busy developing more gentle methods of treating breast cancer, and doctors often offer a course of radiation therapy before removal. The fact is that after irradiation, the tumor is significantly reduced, which allows you to choose a more gentle type of mastectomy.

Well, if the course of radiation therapy is completed and the tumor has decreased to a small size, or the disease was detected in time, and the neoplasm was removed using gynecomastia, then rehabilitation will not take much time. It will be necessary to exclude heavy loads and use various ointments so that the scars heal faster. When more severe methods have been used to treat breast cancer, patients need more time to recover from surgery, as a host of complications can occur:

During rehabilitation, you need to perform special exercises. Sometimes they may prescribe massage courses. A set of exercises for the patient is selected by the doctor. They are designed to stretch and strengthen. pectoral muscles, acceleration of blood circulation and lymph circulation. In addition, exercises help to improve overall well-being, straighten your posture, and eliminate problems with the mobility of the shoulder joint, if necessary.

Therapeutic gymnastics and massage

exercise therapy - therapeutic Physical Culture. It is often prescribed to patients for recovery after various operations, including mastectomy. Gymnastics after a mastectomy may include the following set of exercises:

Each of the exercises should be performed 6-8 times. You can do more if your health permits. Often, doctors prescribe a set of exercises on an exercise bike and swimming in the pool. They are usually performed along with a protein diet that excludes the following products:

Sweet and confectionery products are significantly limited.

• dairy;
• fish;
• meat (low-fat varieties of meat and poultry);
• vegetables and fruits.

One of the complications that most often affects patients during rehabilitation is hand lymphostasis. Its appearance is provoked by a radical mastectomy. During this disease, one or two hands swell and increase in size. Often, lymphostasis complicates hand movements. Sometimes the disease is complicated by erysipelas.

Violation of the lymph flow is observed in the first days after the operation. To relieve unpleasant symptoms and eliminate the disease, prescribe:

Massage of the affected hand is first done by specialists, then, independently, using cooling and warming ointments.

Paired with this procedure, be sure to take special drugs and perform a set of physical exercises. Massage contributes to the therapeutic effect of venotonics and helps to completely eliminate the disease.

1. Stroking.
2. Kneading.

Before doing a massage, the sore hand should be smeared with therapeutic gel and kept in an upright position.

Other Breast Reconstruction Methods

Breast reconstruction after a mastectomy is not only gymnastics and massage. After the operation, women want to restore the attractive appearance of their breasts. To do this, first of all, you need to stretch the skin on it. Means for stretching the skin of the chest:

Implants are silicone and saline:

1. Silicone implant. It imitates the breast as much as possible. Implanted under the skin, it does not differ at all from a real mammary gland.
2. Salt implant. The silicone rubber sheath is filled with saline. A breast with such a prosthesis always has a rounded shape, sometimes it can wrinkle, so it is easy to distinguish it from a real mammary gland. But the cost of such an implant is cheaper, and the gap does not pose a danger to the owner.

If a mastectomy was performed without preserving the skin of the nipple, then a tattoo is drawn on the chest that imitates the areola and nipple.

If you follow all the doctor's prescriptions, rehabilitation after breast cancer treatment is much faster. Recovered women will be able to return to their usual way of life, forever forgetting about the disease.

After completing courses that include massage, drug treatment, exercise therapy, patients usually completely get rid of the disease, although there may be side effects in the form of lymphostasis or erysipelas. But, unfortunately, lymphostasis is not the biggest problem that occurs after cancer treatment with a surgical operation.

The methods listed above are very effective for physical recovery after cancer treatment, but what if the patient is having a hard time psychologically, since she had almost all of her breast removed? Immediately after the removal of most of the mammary gland, a woman often needs the help of a specialist, as there are various psychological disorders, depression, and an inferiority complex. And this is not surprising.

After all, she remains disabled, feels discomfort from an aesthetic point of view, and therefore in communication with the opposite sex, which significantly reduces the chances of getting married and having a baby, if this has not happened yet.

After surgical recovery and visits to a psychologist, exercise therapy and massage, the condition of the patients returns to normal, they can again live a full life: build relationships, get married, experience the joy of motherhood. It should be noted that pregnancy and childbirth are not only the best prevention of breast cancer, but also best method physiological and psycho-emotional recovery of a woman after an illness.

A mastectomy is a surgical procedure that involves the removal of the mammary glands. This is necessary when you cannot do without it, since various diseases have been identified:

• Cancer tumor;
• Sarcoma;
• Inflammation with the presence of purulent discharge.

The high level of medicine currently helps to reduce the likelihood of complications during these operations, but still their percentage is quite large, reaching 60%. The main category of people who undergo a mastectomy are women who have excess weight, diabetes mellitus, diseases of the heart and blood vessels. The main complications are:

• The shoulder joint becomes immobile;
• The upper limb is swollen;
• Difficulty breathing;
• Impaired outflow of lymph from the tissues of the hand.

overcome Negative consequences surgery will help exercise therapy after a mastectomy. A set of appropriate actions will significantly reduce the consequences of breast removal and restore the functionality of the hand.

Exercise therapy after this operation is able to restore the mobility of the upper limb located on the side of the removed part of the body, which happens very often. Mostly women, in order to reduce discomfort, begin to slouch, which in turn leads to:

• To a violation of posture;
• Diseases and curvature of the spine;
• Ailments in the lungs;
• Immobility of the shoulder joint;
• Incomplete mobility of the whole body.

The use of physical therapy after a mastectomy will reduce blood stasis, expand mobility, and fully restore the body after surgery.

After surgery, exercise therapy is used to reduce back curvature and reduce stoop. Also, therapeutic exercises are used to prevent the development of lymphedema. This edema, which develops into lymphostasis of the hand after a mastectomy, may become irreversible. A set of exercise therapy exercises reduces the risk of stagnation of blood and lymph in the vessels.

But you should follow some rules to get the best effect:

• Begin exercise therapy classes it is necessary already on the 2nd day after the removal of the mammary gland;
• Do gymnastics every day, without interruptions;
• Gradually increase the load;
• Tolerate possible minor pain;
• Continue actions until the hand is fully restored.

It is important to mentally prepare yourself, as the use of gymnastics will eventually lead to an improvement in mood and there will be a gradual improvement in health and quality of life.

Contraindications

Carrying out exercise therapy exercises should be started only after all the sutures have been removed, and it is forbidden to subject the arm to stress. During the entire period of exercise therapy, the patient should not lift heavy things, engage in active sports, you can not get injuries to the upper limbs until the stage of full recovery is over.

• Karate;
• Any kind of struggle;
• Skates, rollers, skis and so on;
• Jumping from a high surface;
• Weightlifting.

Important! After the operation, you should not visit the pool for at least two months, so that the arm does not experience heavy stress.

A series of exercises to restore the functioning of the hand

All exercises must be performed every day without a break. They can be divided into the following steps:

• Warm up. Helps blood flow to the muscles, preventing spasms and blood clots. The tissues must first be well warmed up so as not to injure them and reduce pain during the procedures;
• Basic actions. Allows you to directly increase the functionality of the hands after a mastectomy of the mammary gland. This part of exercise therapy should last at least half an hour;
• Final part. Relieves tension and relieves complications.

Warming up the muscles

After the operation, to speed up the treatment, it is necessary to warm up the muscles before exercise therapy so as not to damage the ligaments and tendons with loads, and also to prevent swelling.

Basic exercises:

• Accept sitting position, place your hands on your knees, squeeze and unclench your fingers, relaxing. It should be repeated 5 times;
• Bend your arms at the elbow, relax your fingers, lower and raise your palms 10 times in one go;
• The hands should be on the shoulders. Raise and lower the elbow area. Repeat 10 times;
• Press the upper limbs to the body. It is necessary to carry out vertical movements with them about 10 times.

IP	equipment	movements	quantity	note
Warm up
sitting/standing		clenching and unclenching the fingers into a fist	from 10	muscles relax when stretched
Same		brush rotation	10 each	simultaneously and alternately, in one and in different directions
brushes on the shoulders		Raise elbows forward and up	from 8	slowly; inhale when lifting, exhale when lowering
hands at the seams, standing / sitting		Raising arms without turning the hands to shoulder level	from 8	inhale while raising arms
standing	wall	Posture control: wall touch rear surface heels, calves, buttocks, shoulder blades, back of the head	from 45 seconds	the neck is straightened, the chin is tucked up
Main complex
standing / sitting		Tightly pressing the arms to the sides of the body	from 10	option: with simultaneous clenching of fists
standing (sitting)		Raising outstretched arms forward with a pause, spreading to the sides and lowering	From 8	slowly; when lifting - inhale, during a pause - exhale, when breeding - inhale, when lowering - exhale
brushes on the shoulders		Circular movements of the shoulders with the abduction of the elbows to the sides	from 10	Smooth forward and backward movements
the brushes are connected in the back "in the lock"		Raising the interlocked hands as close as possible to the level of the shoulder blades	from 5	So slow; head and shoulders straight
Same		Flattening the shoulder blades, straightening the chest	from 10	breath on the reduction of the shoulder blades; head and shoulders straight
standing (sitting)	wall with markings, (mirror)	Raising straightened arms (arms) through the sides up with the aim of full vertical	from 8	mark highest achievement 1 p. per week on wall markings; inhale on the rise
standing		Tilts to the sides with swaying of freely located arms to the sides	from 10	slow movements, gradual increase in amplitude
Same	wall with markings	Pulling up to a point on the wall with a hand on the side of the operation	from 5	previous achievement serves as a preliminary guideline
Same		Turns of the body without shifting the feet with abduction of the arms to the sides back	from 8 in each direction	breath on abduction; gradual increase in amplitude; slowly
standing, feet shoulder width apart	stick	Raising hands with a stick intercepted at a width slightly wider than shoulders and lowering	from 8	smoothly; Option: Simultaneous backbend and leg retraction
Same	Same	Tilts to the sides with a stick raised above the head	From 8	slowly; increase in amplitude towards the healthy side gradual
Same	Same	Lifting the stick up and transferring it behind the back to the shoulder blades	From 8	fix the reduction of the shoulder blades; slowly
The final stage
standing		Deep inhalations and exhalations against the background of posture control	from 5	slowly
Same		Forward bends with arms hanging freely	from 5	exhale on the slope; gradual increase in depth
Same	wall	Posture control	from 30 seconds	pulling the body up
lying on your back	rug	Relaxation on a hard surface	up to 20 minutes	with closed eyes

Aqua aerobics

This is very effective method restoration of mobility of hands and joints after a mastectomy. Procedures with the use of water perfectly fight against osteochondrosis, reduce pain in the neck, chest and back, improve posture and gait. The main actions are performed in the form:

• jumping into the water;
• Lunges;
• Running and leisurely movement through liquid;
• Repulsion from water.

General exercises

You should spread your legs, press your hands to the body, perform simple actions:

• Strain and relax the upper limbs;
• Straighten and move your arms to the sides, monitor your breathing;
• Perform circular movements with arms and shoulders;
• Tilt the body alternately in different directions;
• Raise your arms and stay in this position.

After carrying out permanent procedures for 2 weeks, you need to increase the load using dumbbells or improvised means.

But before starting the use of exercise therapy, it is better to consult with your doctor.

Mastectomy is a surgical removal of the mammary gland, carried out in case of severe oncological diseases, purulent processes, and mastopathy. This is a serious operation that disrupts the motor function of the hand. To restore it and return the woman to a full life as quickly as possible, special therapeutic exercises have been developed that contribute to effective rehabilitation after removal of the mammary gland.

The Importance of Exercise

The operation to excise the mammary gland is often accompanied by the removal of nearby lymph nodes and even pectoral muscles, which is why exercise therapy in the postoperative period plays a major role. It solves the following tasks:

• Helps to recover muscle fibers and restore the mobility of the upper limb;
• Corrects posture;
• Reduces pain syndrome;
• Prevents the development of lymphostasis after removal of lymph nodes;
• Improves blood flow in the damaged area;
• Accelerates the recovery of peripheral nerves affected during surgery.

Helpful advice!

Therapeutic gymnastics helps to improve mood and restore vitality. To effectively combat depression (which often develops in patients of oncology clinics), psychologists recommend attending group exercise therapy classes. Communication with comrades in misfortune will allow you to accept the situation and not be left alone with your misfortune.

Doing gymnastics after a mastectomy should be done with caution, following the basic rules:

1. Rehabilitation after breast removal should begin as soon as possible. early dates as soon as the attending physician permits. Usually, elementary exercises can be started already 2-3 days after the operation.
2. You need to train daily, at least once a day, at about the same time.
3. During classes, try to correctly perform all the gymnastic elements. Moderate pain should not become an obstacle to dosed physical activity.
4. Increase the duration and complexity of training gradually, do not start complex elements from the first days.
5. Gymnastics is also necessary for the healthy side, so that the correct posture is formed.
6. For the same purpose, try not to slouch in the period of time between workouts.
7. Perform all movements smoothly and measuredly.

Not everything comes easy. Even if at first it will be difficult to complete the entire set of exercises without mistakes, this is not a reason to give up. You can always ask for help from an exercise therapy instructor who will correct your actions.

What types of loads are contraindicated

After surgery associated with the removal of the mammary gland, any sports loads with heavy lifting, sharp, jerky movements and increased injury risk:

• Dynamic team games(volleyball, basketball, hockey);
• badminton, tennis;
• All kinds of wrestling;
• Weightlifting;
• Ice skating (including roller skating) and skiing;
• Jumping from a height.

Moreover, in the first days after surgical treatment, it is generally forbidden to raise the arm from the operated side. And until the stitches are removed, you can’t carry anything in this hand, hold on to the handrails in transport, do active housework - vacuuming, manually washing floors, windows, etc.

Useful video - A set of exercises after surgical treatment of the mammary gland

A set of exercises to restore the functioning of the hand

To fully restore the chest muscles, you need to follow the stages during classes: start with a small warm-up, then give the maximum load, and at the end again do a few simpler elements in order to gradually return to a state of rest.

Charging for warming up muscles

The following exercises will help prepare the body for stress and minimize pain:

1. Sit on a chair with a back, put your palms on knee joints. Clench your hands tightly into fists, then relax your fingers.
2. In the previous position, carry out dorsiflexion of the hands, without straining the fingers.
3. Place your palms on, raise your hands in this position forward and up as far as possible, and lower them back.
4. Stretch your arms along the body. Raise them through the sides up, then lower them down in the same way.
5. Stand along the wall for 45-60 seconds, forming correct posture: only the back of the head, shoulder blades, buttocks, heels should be pressed against the wall.

Water aerobics exercises

Physical rehabilitation after excision of the mammary gland may include not only the classical physiotherapy exercises but also other methods of restoring health. In particular, . Under water, gravity decreases, so many movements can be done in full with less pain.

1. Spread your legs wider for stability. Take the hand from the affected side to the side and up, helping her with the other hand. Pull it higher and higher until pain appears. Repeat on the other side.
2. Stand up straight, the water should completely hide your shoulders. Slightly move your arms to the sides and perform circular movements in the shoulder joints with straight limbs. First make circles clockwise and then counterclockwise.
3. Stretch up the injured arm, helping her healthy one. Bend the elbow, bringing the forearm behind the head, slightly pull the fingers down, stretching the shoulder until pain occurs.
4. Stand so that your hands are completely covered with water. Pull them forward with your palms together. "Push" the water with your hands alternately to the right and left.
5. In the previous starting position, go into shallower water so that it reaches the waist. Do deep lunges forward on one or the other leg. At the same time, try to pull closed palms as far as possible.
6. Pull the arm forward on the affected side so that you feel the tension of the muscles of the chest and neck. Now pull the other hand in the same way.
7. Place your feet shoulder-width apart and bend slightly. Bend your arms at the elbows too. Push off from the bottom, bouncing low, while trying to press your knees to your stomach, helping yourself with your hands.
8. Immersed in water up to the neck, place your palms on your waist, turn your shoulders to the sides. Walk along the bottom of the pool with your knees high. Control your posture at all times.

Repeat each task 10-15 times, stretching exercises (1, 3, 6) - up to 5 times with each hand.

Basic exercise therapy exercises

After warming up, we move on to the main part of the workout. All exercises are performed 8-15 times, depending on the level of training.

1. In a standing position, we lower our hands at the seams and firmly press their torso. We linger in this state for 4-5 seconds and relax.
2. We put the fingertips on the shoulder joints and rotate alternately clockwise and counterclockwise.
3. Now we rotate the shoulder joints with relaxed and lowered arms.
4. On the inhale, we try to connect the shoulder blades as much as possible, on the exhale we relax.
5. We stand up straight, try to lift up the arm from the affected side, the range of motion should gradually increase. In the initial stages, you can help with a healthy hand. Similarly, the hand is raised to the side. For clarity, you can do this exercise near the wall, daily marking on it the level to which the limb has risen.
6. On inhalation, stretch straight arms forward, spread apart, lower on exhalation.
7. We start the lowered hands behind the back, connect the brushes into the castle and try to raise them up as much as possible.
8. Stretching our arms at the seams, we lean on the exhale either in one direction or the other (the limbs hang down freely), while inhaling we straighten up.
9. We take a gymnastic stick, we clamp it with brushes spaced wider. Gently lift up, taking back alternately the right, then the left leg.
10. In the previous position, we perform tilts to the sides of the body and outstretched arms with a gymnastic stick.
11. Holding the stick in the same way, we stretch it over our heads. Then we bend our arms at the elbow and shoulder joints, turning sports equipment over the head, neck and, finally, over the shoulder blades. Then pull it up again.

Final part

At this stage, do more simple exercises(at least 5 times), relax, restore breathing.

1. We stand up straight, straighten our shoulders, pull our head and neck up. We breathe deeply and measuredly.
2. Exhaling, we lean down, lowering relaxed hands.
3. Raise your arms up while inhaling, as if stretching, return to the starting position while exhaling.
4. We sit on a stool, bend elbow joints so that the forearms are parallel to the floor. Inhaling, we take our elbows a little back and bend the spine forward. Exhaling, we sit up straight again.

Video - Exercise therapy complex for women after breast surgery

Massage is an aid

Massage is an important part of rehabilitation after a mastectomy. It is necessary primarily to combat one of the most common complications of breast removal - lymphostasis. In particular, massage helps to activate the outflow of lymphatic fluid and eliminate edema. Also, this technique allows you to restore muscle mobility, normalize blood circulation and stimulate the nerve fibers affected during the operation.

Massage is recommended to precede the implementation of elements of therapeutic gymnastics in order to prepare the muscles for stress. It is desirable to undergo the procedure with a specialist, but in the future self-massage is also possible. The movements during the session should be smooth, the pressure on the tissues should be light. The hands of the massage therapist should move from the periphery to the center - along the course of the lymphatic vessels. Often, during the massage, a special cream or oil is used to facilitate sliding.

Note!

Massage after removal of a malignant tumor of the breast is often contraindicated. In such diseases, additional stimulation of blood flow can provoke a relapse and the appearance of metastases. Therefore, do not self-medicate, all procedures should be prescribed by a doctor.

Oncological (and purulent-inflammatory) diseases require the earliest possible diagnosis and correction, corresponding to the stage of the process. In some cases, mastectomy cannot be avoided, but this operation should not further limit your life and. Therefore, regular physical activity and a positive attitude - everything is in your hands.