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Physiotherapy FollowingBreast Surgery
Physiotherapy DepartmentPatient Information Leaflet
SAMPLE
Page 2
Physiotherapy Following Breast Surgery
Breast surgery can affect the movement of the shoulder and the shoulder girdle.
Following breast surgery you should exercise daily to prevent loss of movement. This should be done for at least 6 weeks following your surgery or until you regain full movement of the shoulder.
Once you have regained full range of movement, you can reduce the number of times you complete the exercises.
You may feel stiffness and a pulling sensation; this is normal. It may be uncomfortable, but should not be painful.
If you are having radiotherapy, the exercises in this leaflet will help you achieve the movement required for the procedure. You should practice them before and following your treatment to prevent restricted movement at the shoulder.
It is also important to try and maintain good neck and back postures after your surgery to help prevent postural problems later in life.
Page 3
ExercisesDay 1
These exercises should be completed the day following your surgery.
1. Pendula swingsStand leaning on a table with one hand.Let your other arm hang relaxed straight down. Swing your arm as if drawing a circle on the floor. Change direction.
2. Shoulder shrugsSit or stand.Lift your shoulders - relax.
3. Shoulder rollsSit or stand.Roll the circles forwards and then backwards.
4. Shoulder flexionStand or sit. Lift your arm forward assisting the movement with your other hand, observing the restriction to range of motion.
PAGE 3
Exercises
Day 1
Shoulder Shrugs
Sit or stand. Lift your shoulders - relax.
Pendula swings
Stand leaning on a table with one hand. Let your other arm hang relaxed straight down. Swing your arm as if drawing a circle on the floor. Change direction.
Shoulder rolls
Sit or stand.
Roll the circles forwards and then backwards.
Shoulder flexion
Stand or sit.Lift your arm forward assisting the movement with your other hand, observing the restriction to range of motion.
PAGE 3
Exercises
Day 1
Shoulder Shrugs
Sit or stand. Lift your shoulders - relax.
Pendula swings
Stand leaning on a table with one hand. Let your other arm hang relaxed straight down. Swing your arm as if drawing a circle on the floor. Change direction.
Shoulder rolls
Sit or stand.
Roll the circles forwards and then backwards.
Shoulder flexion
Stand or sit.Lift your arm forward assisting the movement with your other hand, observing the restriction to range of motion.
PAGE 3
Exercises
Day 1
Shoulder Shrugs
Sit or stand. Lift your shoulders - relax.
Pendula swings
Stand leaning on a table with one hand. Let your other arm hang relaxed straight down. Swing your arm as if drawing a circle on the floor. Change direction.
Shoulder rolls
Sit or stand.
Roll the circles forwards and then backwards.
Shoulder flexion
Stand or sit.Lift your arm forward assisting the movement with your other hand, observing the restriction to range of motion.
PAGE 3
Exercises
Day 1
Shoulder Shrugs
Sit or stand. Lift your shoulders - relax.
Pendula swings
Stand leaning on a table with one hand. Let your other arm hang relaxed straight down. Swing your arm as if drawing a circle on the floor. Change direction.
Shoulder rolls
Sit or stand.
Roll the circles forwards and then backwards.
Shoulder flexion
Stand or sit.Lift your arm forward assisting the movement with your other hand, observing the restriction to range of motion.
SAMPLE
Page 3
Exercises Day 1
These exercises should be completed the day following your surgery.
1. Pendula swings
Stand leaning on a table with one hand.Let your other arm hang relaxed straight down. Swing your arm as if drawing a circle on the floor. Change direction.
2. Shoulder shrugs
Sit or stand.Lift your shoulders - relax.
3. Shoulder rolls
Sit or stand.Roll the circles forwards and then backwards.
4. Shoulder flexion
Stand or sit.Lift your arm forward assisting the movement with your other hand, observing the restriction to range of motion.
Page 3
ExercisesDay 1
These exercises should be completed the day following your surgery.
1. Pendula swingsStand leaning on a table with one hand.Let your other arm hang relaxed straight down. Swing your arm as if drawing a circle on the floor. Change direction.
2. Shoulder shrugsSit or stand.Lift your shoulders - relax.
3. Shoulder rollsSit or stand.Roll the circles forwards and then backwards.
4. Shoulder flexionStand or sit. Lift your arm forward assisting the movement with your other hand, observing the restriction to range of motion.
PAGE 3
Exercises
Day 1
Shoulder Shrugs
Sit or stand. Lift your shoulders - relax.
Pendula swings
Stand leaning on a table with one hand. Let your other arm hang relaxed straight down. Swing your arm as if drawing a circle on the floor. Change direction.
Shoulder rolls
Sit or stand.
Roll the circles forwards and then backwards.
Shoulder flexion
Stand or sit.Lift your arm forward assisting the movement with your other hand, observing the restriction to range of motion.
PAGE 3
Exercises
Day 1
Shoulder Shrugs
Sit or stand. Lift your shoulders - relax.
Pendula swings
Stand leaning on a table with one hand. Let your other arm hang relaxed straight down. Swing your arm as if drawing a circle on the floor. Change direction.
Shoulder rolls
Sit or stand.
Roll the circles forwards and then backwards.
Shoulder flexion
Stand or sit.Lift your arm forward assisting the movement with your other hand, observing the restriction to range of motion.
PAGE 3
Exercises
Day 1
Shoulder Shrugs
Sit or stand. Lift your shoulders - relax.
Pendula swings
Stand leaning on a table with one hand. Let your other arm hang relaxed straight down. Swing your arm as if drawing a circle on the floor. Change direction.
Shoulder rolls
Sit or stand.
Roll the circles forwards and then backwards.
Shoulder flexion
Stand or sit.Lift your arm forward assisting the movement with your other hand, observing the restriction to range of motion.
PAGE 3
Exercises
Day 1
Shoulder Shrugs
Sit or stand. Lift your shoulders - relax.
Pendula swings
Stand leaning on a table with one hand. Let your other arm hang relaxed straight down. Swing your arm as if drawing a circle on the floor. Change direction.
Shoulder rolls
Sit or stand.
Roll the circles forwards and then backwards.
Shoulder flexion
Stand or sit.Lift your arm forward assisting the movement with your other hand, observing the restriction to range of motion.
SAMPLE
Page 4Page 4
5. Shoulder abductionStand or sit.Lift your arm to the side, assisting the movement with your other hand, observing the restriction to range of motion.
6. Shoulder external rotationSit or stand. Keep upper arms close to the sides and elbows at right angles.Turn forearms outwards.
7. Shoulder blade retractionSit or stand. Tighten the muscles between your shoulder blades.
Page 4
Exercises
Day 2
Shoulder Abduction
Stand or sit. Lift your arm to the side, assisting the movement with your other hand, observing the restriction to range of motion.
Shoulder External Rotation
Sit or stand. Keep upper arms close to the sides and elbows at right angles. Turn forearms outwards.
Shoulder blade retraction
Sit or stand. Tighten the muscles between your shoulder blades.
Hand behind the back
Stand with arms behind your back and hold one hand. Slide your hand up along your back
Page 4
Exercises
Day 2
Shoulder Abduction
Stand or sit. Lift your arm to the side, assisting the movement with your other hand, observing the restriction to range of motion.
Shoulder External Rotation
Sit or stand. Keep upper arms close to the sides and elbows at right angles. Turn forearms outwards.
Shoulder blade retraction
Sit or stand. Tighten the muscles between your shoulder blades.
Hand behind the back
Stand with arms behind your back and hold one hand. Slide your hand up along your back
Page 4
Exercises
Day 2
Shoulder Abduction
Stand or sit. Lift your arm to the side, assisting the movement with your other hand, observing the restriction to range of motion.
Shoulder External Rotation
Sit or stand. Keep upper arms close to the sides and elbows at right angles. Turn forearms outwards.
Shoulder blade retraction
Sit or stand. Tighten the muscles between your shoulder blades.
Hand behind the back
Stand with arms behind your back and hold one hand. Slide your hand up along your back
Repeat each exercise 5 times, as your pain allows.Practice 3 times a day.
Page 5
ExercisesDay 2
These exercises should be completed with the Day 1 exercises, on the second day following your surgery.
1. Hand behind the backStand with arms behind your back and hold one hand.Slide your hand up along your back.
2. Hands behind the headSit or stand. Place your hands behind your neck, elbows pointing forward. Move your elbows out to the side.
Repeat each exercise 5 times, as your pain allows. Practice 3 times a day.
Page 4
Exercises
Day 2
Shoulder Abduction
Stand or sit. Lift your arm to the side, assisting the movement with your other hand, observing the restriction to range of motion.
Shoulder External Rotation
Sit or stand. Keep upper arms close to the sides and elbows at right angles. Turn forearms outwards.
Shoulder blade retraction
Sit or stand. Tighten the muscles between your shoulder blades.
Hand behind the back
Stand with arms behind your back and hold one hand. Slide your hand up along your back
Page 5
Exercises
Day 3-5
Hands behind the head
Sit or stand. Place your hands behind your neck, elbows pointing forward. Move your elbows out to the side.
Wall walking
Stand facing a wall. 'Walk' your fingers up the wall as high as possible. Reverse down in the same way
Hands behind the head in lying
Lying on your back with hands behind your neck and elbows pointing towards the ceiling. Move elbows apart and down to touch the floor
5. Shoulder abduction
Stand or sit.Lift your arm to the side, assisting the movement with your other hand, observing the restriction to range of motion.
6. Shoulder external rotation
Sit or stand. Keep upper arms close to the sides and elbows at right angles.Turn forearms outwards.
7. Shoulder blade retraction
Sit or stand.Tighten the muscles between your shoulder blades.
Repeat each exercise 5 times, as your pain allows. Practice 3 times a day.
SAMPLE
Page 5Page 5
ExercisesDay 2
These exercises should be completed with the Day 1 exercises, on the second day following your surgery.
1. Hand behind the backStand with arms behind your back and hold one hand.Slide your hand up along your back.
2. Hands behind the headSit or stand. Place your hands behind your neck, elbows pointing forward. Move your elbows out to the side.
Repeat each exercise 5 times, as your pain allows. Practice 3 times a day.
Page 4
Exercises
Day 2
Shoulder Abduction
Stand or sit. Lift your arm to the side, assisting the movement with your other hand, observing the restriction to range of motion.
Shoulder External Rotation
Sit or stand. Keep upper arms close to the sides and elbows at right angles. Turn forearms outwards.
Shoulder blade retraction
Sit or stand. Tighten the muscles between your shoulder blades.
Hand behind the back
Stand with arms behind your back and hold one hand. Slide your hand up along your back
Page 5
Exercises
Day 3-5
Hands behind the head
Sit or stand. Place your hands behind your neck, elbows pointing forward. Move your elbows out to the side.
Wall walking
Stand facing a wall. 'Walk' your fingers up the wall as high as possible. Reverse down in the same way
Hands behind the head in lying
Lying on your back with hands behind your neck and elbows pointing towards the ceiling. Move elbows apart and down to touch the floor
Exercises Day 2
These exercises should be completed with the Day 1 exercises, on the second day following your surgery.
1. Hand behind the back
Stand with arms behind your back and hold one hand.Slide your hand up along your back.
2. Hands behind the head
Sit or stand. Place your hands behind your neck, elbows pointing forward.Move your elbows out to the side.
Repeat each exercise 5 times, as your pain allows. Practice 3 times a day.
SAMPLE
Page 6Page 6
ExercisesDay 3-5
These exercises should be completed with Day 1 and Day 2 exercises once your drains have been removed, and completed for at least 6 weeks.
1. Wall walkingStand facing a wall.‘Walk’ your fingers up the wall as high as possible. Reverse down in the same way.
2. Hands behind the head in lyingLying on your back with hands behind your neck and elbows pointing towards the ceiling.Move elbows apart and down to touch the floor.
Repeat each exercise 5 times, as your pain allows. Practice 3 times a day.
Page 5
Exercises
Day 3-5
Hands behind the head
Sit or stand. Place your hands behind your neck, elbows pointing forward. Move your elbows out to the side.
Wall walking
Stand facing a wall. 'Walk' your fingers up the wall as high as possible. Reverse down in the same way
Hands behind the head in lying
Lying on your back with hands behind your neck and elbows pointing towards the ceiling. Move elbows apart and down to touch the floor
Page 5
Exercises
Day 3-5
Hands behind the head
Sit or stand. Place your hands behind your neck, elbows pointing forward. Move your elbows out to the side.
Wall walking
Stand facing a wall. 'Walk' your fingers up the wall as high as possible. Reverse down in the same way
Hands behind the head in lying
Lying on your back with hands behind your neck and elbows pointing towards the ceiling. Move elbows apart and down to touch the floor
Exercises Day 3-5
These exercises should be completed with Day 1 and Day 2 exercises once your drains have been removed, and completed for at least 6 weeks.
1. Wall walking
Stand facing a wall.‘Walk’ your fingers up the wall as high aspossible. Reverse down in the same way.
2. Hands behind the head in lying
Lying on your back with hands behind your neck and elbows pointing towards the ceiling.Move elbows apart and down to touch
Repeat each exercise 5 times, as your pain allows. Practice 3 times a day.
SAMPLE
Page 7
Physiotherapy Following Breast Surgery
Following your surgery, you may return to your pre surgery activities once you have regained full range of motion at the shoulder and have been reviewed by your consultant.
Should you experience any problems in regaining your full movement, please inform your breast care nurse or consultant. If appropriate they will complete an outpatient physiotherapy referral for review at your local hospital.
SAMPLE
Other sources of information:
Hospital switchboard Telephone: 01253 300000
Patient Relations DepartmentThe Patient Relations Department offer impartial advice and deal with any concerns or complaints the Trust receives.
You can contact them via tel: 01253 955589 or by email: [email protected]
You can also write to us at: Patient Relations Department, Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool Victoria Hospital, Whinney Heys Road, Blackpool FY3 8NR
Further information is available on our website: www.bfwh.nhs.uk
WWW
AA AA
01253 955520
WWW
If you’d like a large print, audio, Braille or a translated version of this booklet then please call: 01253 955520
BLACKPOOL A5 MASTER FRONT BACK_2020.indd 2BLACKPOOL A5 MASTER FRONT BACK_2020.indd 2 17/03/2020 11:1617/03/2020 11:16
Blackpool Victoria Hospital Physiotherapy Department:Telephone: 01253 953512
Author: Suzanne Lane Reference No: PL/684 (v1.1)
Approved by: ALTC Gov & Quality Review Date: 01/05/2022
Date of Publication: 24/05/2019
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