What are the post-chemotherapy exercise guidelines for women?

Question

Hello doctor,

My mother’s cousin, aged 47, is in early recovery after finishing treatments for stage 2 breast cancer. She is incredibly worried about her risk of other types of cancer later on. Should she start regular check-ups for ovarian or lung cancers now, just in case?

Also, she wants to begin yoga and swimming but is not sure when will it be safe for her energy levels and joints after chemotherapy. Can you suggest how can she ease back into activities without straining her body too much?

Kindly suggest.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Your mother's cousin's concerns are understandable. There are many reasons for breast cancer, one of them being BRCA 1 and 2 (breast cancer gene) mutations. Women with breast cancer, especially those with BRCA1 or BRCA2 mutations, have a higher risk of ovarian cancer.

She should discuss genetic testing with her oncologist if she has not yet. If positive, more regular monitoring, such as transvaginal ultrasounds or CA-125 (cancer antigen) blood tests, may be recommended.

There is no direct link between breast cancer and lung cancer unless she has a history of smoking or exposure to environmental toxins. Routine lung cancer screening is generally not recommended unless she has risk factors. X-rays and CT (computed tomography) scans contain radiation that will harm her in the long run.

She should focus on maintaining lung health through a healthy lifestyle (regular exercise, breathing exercises, cardio workout, no smoking, wearing masks outside, etc)

Even after recovery, she should regularly go for:

1. Mammograms.

2. Blood tests to check for markers.

3. Monitoring for any symptoms of recurrence of new cancers.

Fatigue can persist for weeks to months after treatment, but gentle physical activity can help restore energy and improve mental well-being. Swimming and yoga are excellent choices for low-impact exercise.

She can start with gentle yoga as soon as her doctor clears her, typically a few weeks after completing treatment. Swimming can usually be resumed six to eight weeks post-surgery or as soon as surgical incisions have healed completely and there is no risk of infection. Start with short, low-intensity sessions, and gradually increase duration and intensity.

Do not forget her vitamin D and calcium supplements, especially if she is on hormone therapy. If she does not take these supplements, it will decrease her bone health, and a simple fall can cause a fracture.

I hope this helps.

Take care.