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Shoulder Rehabilitation After Breast Cancer

Preserving shoulder motion and function after breast surgery.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Shoulder Rehabilitation After Breast Cancer?

Shoulder problems after breast cancer surgery may occur in 60–70% of patients. Common issues include restricted shoulder motion, scapular dyskinesia, axillary web syndrome (cording), lymphedema and pain.

Rehabilitation is multidisciplinary. Coordination between physiatry, physiotherapy, plastic surgery and oncology is required. Fibrotic changes after radiotherapy may make rehabilitation more challenging.

The early postoperative period (1–6 weeks) focuses on preserving range of motion and ensuring scar/soft tissue health. In the later period, strengthening, functional improvement and lymphedema management come to the fore.

Symptoms

Restricted shoulder motion (especially flexion, abduction)
Pain in the axilla and arm
Axillary web syndrome (cording)
Lymphedema
Weakness of the muscles around the shoulder
Postoperative scar adhesions

Risk Factors

Axillary lymph node dissection
Radiotherapy
Mastectomy (more than breast-conserving surgery)
Development of axillary web syndrome
Inadequate postoperative pain management
Lack of early mobilization

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Within the first 2 weeks after surgery
  • When restriction of shoulder motion develops
  • When cording is noticed
  • With signs of lymphedema
  • When chronic pain develops

Treatment Methods

01
Early-period range of motion exercises
02
Pendulum and capsular stretching exercises
03
Myofascial release for axillary web
04
Gradual strengthening exercises
05
Lymphedema prevention training
06
Lymphatic drainage massage
07
Postural training and ergonomics
08
Aerobic conditioning

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.