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I work with people after breast cancer + prophylactic mastectomy, enhancing physical and performance recovery.

Toss and turn sleep, sensitivity to bras, hugs and intimacy, shoulder pain and weakness in play and work tasks can all be better managed with a rehabilitation approach. 

As an Occupational Therapist, I have worked for 30+ years helping women after breast cancer, where the symptoms have persisted beyond a reasonable amount of time.

I know that living with persisent unexplained pain adds to the stress of dealing with life after cancer. Early rehab after a breast cancer diagnosis is great way of reducing stress and improving health and wellness. 

This service will suit people who want to take charge: get to the root cause of their pain and be active participants in their recovery.

Scar tissue and adhesions are one significant cause for arm restrictions and persistent pain after breast surgery. Especially if healing was slower than expected: seromas, infections, diabetes, prior radiation, previous shoulder problems. 

Scar tissue after breast cancer surgery can mostly be a hidden problem, as sensation is reduced and tightness may be very deep under the skin.

 

Can telehealth offer an effective approach for managing physical impairments after breast cancer?

Yes,  this is an innovative and cost -effective service for people who do not have access to a breast cancer trained health professional in their town/city.

Cording, mastectomy or lumpectomy tightness , arm movement restrictions  and shoulder pain can be managed by online coaching. 

It will be very different to a face to face service - you will need to:

  • be a very active participant 
  • you, or your partner, will learn to do what I would do in the clinic: hands on rehab techniques and exercises.
  • learn and practice a range of different treatment methods to see which ones suit you.

 

Musculo- skeletal root causes for persistent pain will be investigated to develop your own self- treatment plan.

 

Examples of two breast cancer rehab programs that work with telehealth:

 1. Assess and treatment of arm movement restriction and pain.                                                             2. Assessment and general recommendations from your rehab adviser

  Suitable for: Early signs of cording, delayed cording or mastectomy scar treatment                           Suitable for: Any stage after diagnosis, especially best at 6, 12, 18 months after surgery.

                    4- 6 weeks after radiation completed 

 

Session 1:

Learn an arm stretch test- detect where treatment is required and measure improvements. 

Use your hands to feel movement restrictions at

the skin and muscles of the chest and trunk.

Learn a hands on release technique for tight tssue.

 

 

Session 1:

You will complete self report questionaires (physical recovery, sexual expression, fatigue, distress, 5 functional tasks rating) prior to this session.   

This session will involve a discussion around your ratings and provide general recommendations for your rehabilitation needs. 

Discuss timeframes and recovery goals for your stage of breast cancer treatment. Identify if referral to other rehab services is required.

 

Session 2 (1or 2 weeks later): 

Review your arm stretch test and 1st treatment method

Learn a 2nd treatment method.

Your self reported assessments offer a way of expressing the extent of your side effects.

They may be a useful communication tool and aid decision making eg return to work planning, breast reconstruction decisions. 

Session 3 (1-2 weeks later):

Review arm stretch test + review and refine  1st and 2nd techniques. 

Learn negative pressure technique (cupping) 

The cup will be posted to you, on payment.

 Report of recommendations can be negotiated.

 

 

 

 

Session 4 (1-2 weeks later):

Review progress and decide on home treatment for next  4-8 weeks.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your self treatment training may include:

  1. Scar tissue release technique
  2. Trigger point release
  3. Fascia release 
  4. Dynamic taping
  5. Cupping
  6. Daily activity plan 
  7. Guide to workplace ergonomics targeted for you.
  8. Inflammatory foods avoidance

 

 

Check out my website for more information

Ready to make a start?

Your telehealth appointment can start with session 1 of the 4- 6 session program or you may know that you just need a one off assessment  right now.

Your first appointment can be solo or include your treatment buddy as they can learn how to help in your recovery. 

I will ask to see any scars - so be prepared! 

Make a booking now or connect by email for an alternative time.

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$ 150.00

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