Needing advice about gym
 

Hi everyone,
At long last I'm happy to say that I'm getting some energy back after a hell of a year. I'm going to start swimming again this week, but also want to go to the gym which I haven't done before...I'm afraid of doing the wrong thing when it comes to exercising my arms.
I had a right, modified radical mastectomy June last year, with chemo and 25 lots of radiotherapy which finished in February just gone. Touch wood, I don't have lymphodoema in my arm, and I'm not sure what I should and shouldn't do exercise-wise to help avoid it. I've been told not to lift heavy weights, and not to swing my arm around too violently, but other than that, does anyone have any advice for me? I just don't know what to do.

Go to the gym and work out. Just be very careful about your affected arm side and go slowllllyyyy. The new way of thinking is to lift weights but do so caringly and slowly on that side. Light weights, not as many repetitions and work up to it. Same with the swimming - avoid excessive fatigue but do it and work up to it. It is good for that arm. I do lots of calistinics and light weights (only one or two time per week because it is my cross-training exercise as I am a runner and do the others for something different). But even with running (I was before but chemo killed my energy, taxol killed my legs and Herceptin took my breath away but finally, I am well at it again. I started walking for almost 2 years before I got back into it and you even have to be careful with your arm in walking or running as the swinging arm can force fluid into the hand).


Its always something. The biggest thing to watch (in my opinion) is injury - especially a wound (puncture wounds are the worst) and always carry Neosporin and a bandaide around with you. If it gets real red, get an antibiotic from your doctor.

I had a lumpectomy with full ax dissection and intense rads (including super clavs), so probably pretty similar treatment impact. I've always worked out, although during treatment I only walked. But then I started back slowly with the gym, after rads were done. I didn't use anything heavier than 5 pounds for my upper body for a few months, but gradually worked up and now I am pretty much back at my old workout, which is pretty intense.
My surgeon, who is one the top breast surgeons in the US, said the only thing to avoid was heavy weight resting on my shoulder (I don't do squats, for instance, or anything where the barbell is resting on my shoulders.) He also said not to carry a shoulder bag on the surgery side. His theorey is that the lymph reroutes. All I know, is I've been able to get back into shape, do whatever I want and have no problems with my arm. Good luck.
Linda

Jill's oncologist sent her to four sessions with a physical therapist. The PT helped her set up a routine that eased her into exercise. She had the same worries as you, and having a professional help and monitor her at the beginning really put her mind at ease. Our insurance even covered the cost of the PT. She had no problems exercising.

Becky, what is Neosporin? I'm in the UK, and I'm imagining it's an antibiotic, but is it in cream form or tablets? That's a good suggestion, anyway, and I'll be putting Band-Aids in every bag from now on.
Jill's husband CPA, I think I'll get some proper professional advice from a physio, that's another good suggestion.
And Linda, I hadn't even thought about the bag thing. I always carry my bag across my body, too, but luckily across the unaffected side, by chance, but that's well worth knowing and remembering.
Thank you all!
Caroline

Neosporin is an antibiotic cream. I feel like I should own the company with as much of it as I went throough when my son was younger.

Caroline, I have lymphedema and am convinced it was not the working out that caused it but the heating pad that I had on in bed on night in a cold January. I did not think I had it on my arm but I roll a lot at night. Stay out of hot tubs and super hot showers too.

Sanitize the equipment
 

By all means, start an exercise program.

One thing that many people do not realize is how GERMY gyms can be. A good reputable gym will have plenty of paper towels and spray bottles of some kind of disinfectant. This is to use on the various equipment after you use it. I use it BEFORE, as I don't always see who was last on a given machine or if it got wiped off.

Especially if you are just off chemo and still have low blood counts, being in crowded, dirty places can pose a risk of picking up one of the infections that are hard to treat.

LOTS of hand washing and/OR wear some of those latex gloves when using the gym equipment, grocery shopping, etc.

This may seem a little extreme, but has served me well. I joined a local gym that is BRAND NEW and very clean.