Breast Cancer Recovery – The Role of Physical Therapy

Why is it important to include physical therapy in your breast cancer recovery plan?

Chemotherapy, surgery, and radiation treatments during breast cancer recovery, may leave patients with side effects. Physical therapy helps reduce bone and joint pain, fatigue, scar tissue formation, Axillary Web Syndrome, and Lymphedema. Some patients even find that PT decreases headaches from chemotherapy.

This blog looks at current breast cancer trends and what to expect when adding physical therapy to your breast cancer recovery plan.

2023 Cancer Statistics in the United States

Breast cancer has always been a poignant issue, but recent statistics have shown a concerning trend. While the overall national cancer rate shows a decline in older Americans, it's surprising that it has been increasing among younger individuals under 50. One might wonder why.

Potential reasons include obesity, alcohol use, smoking, poor sleep, a sedentary lifestyle, and exposure to environmental factors such as pollution and carcinogens. (WebMD.com)

The 2023 breast cancer statistics are alarming, but there is a silver lining. Here are some current statistics:

In this year alone, an estimated 297,790 women in the US will be diagnosed with invasive breast cancer, with another 55,720 diagnosed with non-invasive (in situ) breast cancer. (Cancer.Net)

The stark reality is that 1 in 8 women in the US will face this diagnosis in their lifetime. Yet, amidst these daunting figures, there's a silver lining: early detection and innovative treatments have increased survival rates. In the earliest stages, the 5-year relative survival rate is an impressive 99%. Over 3.8 million breast cancer survivors are testimony to this. (NationalBreastCancer.org)

Recovery rates are increasing, and physical therapy plays a role in a successful health journey.

The Role Physical Therapy Plays in Breast Cancer Recovery

Onacological Physical therapy plays a pivotal role in the recovery after breast cancer surgery. While many patients recover swiftly post-surgery, some may experience difficulty moving their arms, mild weakness, or swelling. Initiating physical therapy soon after surgery can alleviate these symptoms.

Therapy begins with a comprehensive evaluation focusing on pain complaints, range of motion, posture, and joint movement and assessing the healing process. Your specialized physical therapist may even provide strategies to prevent Lymphedema.

A customized breast cancer recovery plan may include all or any of these methods:

Gentle stretching

Massage for better healing

Joint movements and mobility exercises

Posture training

Strength building

Nerve gliding

Home exercises

Especially for breast cancer patients, physical therapy proves invaluable. Breast surgeries, whether lumpectomies or mastectomies, often bring side effects like pain and Lymphedema. Physical therapy exercises restore movement and alleviate pain, particularly in lifting the arm post-surgery. Moreover, it provides potential relief from swelling due to Lymphedema and helps manage pain.

Oncology Physical Therapy at The Therapy Network

Mandi Dowdy, PT, DPT, Cert. MDT of The Therapy Network aptly sums up the essence of oncology physical therapy:

“Living through my mother’s experience with cancer inspired my passion for aiding patients with chemotherapy and radiation-induced fatigue syndrome. Oncology patients witness improved energy, strength, and function when engaged in a structured, positively enforced rehabilitation program. Diverse cancer types, constantly updated information, and innovative treatment plans continuously challenge me to discover novel approaches for excellence in patient care.”

At The Therapy Network, the therapy plan is tailored to the individual, encompassing strength and flexibility exercises, balance techniques, breathing exercises, manual therapy, cardiovascular fitness, nutritional guidance, and job re-training. The ultimate goal is to guide you through your cancer treatment and beyond, ensuring you have the strength and flexibility to enjoy life to the fullest with loved ones.

An outline of the Therapy Network’s oncology physical therapy offering is found on our website.

The Therapy Network in Virginia Beach, Chesapeake, and Norfolk, Virginia

Welcome to The Therapy Network, Virginia Beach's beacon of specialty physical therapy, steadfastly serving the community since 1987.

Always putting patients first, our six clinics across Hampton Roads offer extended hours for the utmost convenience. You can schedule an appointment as early as 6 a.m. or as late as 6 p.m. by calling (757) 496-3700. Furthermore, Direct Access means you don't need a physician's referral to start your therapeutic journey and a breast cancer recovery plan with us.

Our therapists, passionate about their craft, specialize in various fields, ensuring you receive the highest quality care. Join us and experience the pinnacle of physical therapy. Same-day appointments are available at most locations.

Falls and Balance, News, Resources marketing

Prompt Physical Therapy Can Significantly Reduce the Risk of Falling Among Individuals with Dizziness

Preventing Falls in Adults with Dizziness: How Therapy Network Physical Therapy Can Help

Dizziness is a common complaint among adults, and various underlying conditions, including vestibular disorders, can cause it. While dizziness can be troublesome, it often leads to another severe concern—falling. However, a recent study published in JAMA Otolaryngology-Head & Neck Surgery sheds light on a promising avenue for reducing the risk of falls among individuals with dizziness: timely physical therapy (PT) intervention. In this updated blog post, we'll explore how Therapy Network Physical Therapy can play a vital role in helping adults prevent falls.

dizzy fallen elderly woman being helped up by two women

The Study: Unraveling the Link Between Dizziness and Falls
Researchers at the University of Minnesota conducted a cross-sectional study involving 805,454 patients aged 18 years or older who received a new diagnosis of symptomatic dizziness or vestibular disorders. Their goal was to investigate the association between receiving physical therapy and subsequent falls requiring medical care within 12 months of the initial diagnosis.

Key Findings: The Power of Timely PT

The study's findings were both enlightening and encouraging. Here are some of the key takeaways:

Reduced Risk of Falls: Patients who received physical therapy within three months of their initial dizziness diagnosis experienced a significantly reduced risk of falling. The most significant risk reduction occurred within the first three months after PT.

Low PT Utilization: Surprisingly, only 6 percent of the patients in the study received PT within three months of their dizziness diagnosis. This suggests that PT is an underutilized resource in managing dizziness-related falls.

Demographic Differences: The study also identified demographic differences in PT utilization. Women, patients aged 50 to 59, and those with more comorbidities were less likely to receive PT. This highlights the importance of equitable access to PT services.

Therapy Network Physical Therapy: A Key Player in Fall Prevention

Now, let's delve into how Therapy Network Physical Therapy can make a significant impact on preventing falls in adults with dizziness:

Expertise in Vestibular Rehabilitation: Therapy Network Physical Therapy is staffed with skilled physical therapists specializing in vestibular rehabilitation. They have the knowledge and experience to assess and treat individuals with dizziness effectively.

Individualized Treatment Plans: Each patient is unique, and Therapy Network Physical Therapy understands this. They create personalized treatment plans tailored to each individual's specific needs and goals, ensuring that the therapy addresses the root causes of dizziness and balance issues.

Balance and Coordination Training: Physical therapists at Therapy Network are experts in improving balance and coordination. Targeted exercises and therapies can help individuals regain their stability and reduce the risk of falls.

Education and Prevention: Beyond treatment, Therapy Network Physical Therapy focuses on educating patients about fall prevention strategies they can incorporate into their daily lives. This empowerment empowers individuals to take an active role in their own safety.

woman looking a dizzy person fallen at bottom of stairs

If you would like to learn more about Dizziness, Falls and Balance, and more, you can check out the links below:

Epley Maneuver

Vestibular Exercises

Balance and Gait Training

The Importance of Fall Prevention

Falls Prevention - A Necessity For All Of Us

Conclusion: A Step Toward Preventing Falls with Therapy Network Physical Therapy

Dizziness can be debilitating and, if left untreated, can lead to severe consequences such as falls. However, this study provides hope by demonstrating that timely physical therapy interventions can significantly reduce the risk of falling among individuals with dizziness. By seeking the expertise of Therapy Network Physical Therapy and integrating timely PT into managing dizziness, we can enhance the quality of life for countless individuals and prevent potentially life-altering falls. Together, we can progress towards a safer, healthier future for adults with dizziness.

Back Pain, News, Resources marketing

School Backpacks and Pain: Protecting the Backs of Our Future

We all want the best for our teens—especially as they embark on another exciting school year in Hampton Roads, Virginia. However, sometimes the tools meant to support their learning, like backpacks, can lead to unexpected pain.

This blog will look at overloaded school backpacks and the pain that might affect your teen-aged child. We will also explore ways to address this issue, including how to shop for a new school backpack.

The Strain of the Backpack

By design, the back will compensate for any load applied to it. Picture this: A teen, excited for their day in a Virginia Beach school, slings on their backpack, not realizing that the weight is slowly harming their back. Picture your teen's backpack - X-Box Controllers, water bottles, computers, extra batteries, and more. This isn't a one-time event. This chronic routine may cause them to experience back pain throughout their school years, including college.

What are the effects of an overloaded backpack? From a physical therapy view, here is a list of impacts:

Exert undue pressure on the lower back, potentially leading to disc compression.

Distort the natural curves in the middle and lower backs, causing muscle strain and irritation to spine joints and the rib cage.

Cause lumbar asymmetry or curvature in the lower back.

Lead to rounded shoulders, which in turn affects posture.

Pull on the neck muscles, giving rise to headache, shoulder pain, lower back pain, and neck and arm pain.

Make someone lean forward, hampering balance and raising the risk of falls.

Preventative Tips: Backpacks and Pain

Backpacks and back pain don’t have to be lifelong partners! Back-to-School is the perfect time to review some tips with your kids. (These tips are also helpful for adults that regularly use a backpack during their commute to work or for hobbies and adventures.)

Some precautionary steps include:

Use both shoulder straps for balance.

Opt for lightweight, padded backpacks.

If available, pick backpacks with wheels.

Make use of lockers to reduce carrying weight.

Regularly empty backpacks of unnecessary items.

Limit backpack weight to 15% of a child's body weight.

Shopping for the Perfect School Backpack

Shopping for a new school backpack is exciting—no matter the student's age. But choosing a backpack isn’t just about colors or trendy designs; it’s about ensuring it supports your teen's health. You have read about the link between school backpacks and pain. Now, here are some tips from the Therapy Network staff to keep in mind when shopping for a new backpack:

Opt for backpacks with wide, padded straps.

Seek multiple sections for even weight distribution.

Consider waist belts to help distribute weight.

Reflective material is a plus for children commuting during low light.

Aim for a lightweight design.

Physical Therapy: The Solution to Backpack-Induced Pain

If your teen in Hampton Roads feels the aftermath of a heavy backpack, physical therapy is the way forward. It alleviates pain and strengthens muscles, ensuring future resilience against injuries. School backpack-induced pain should not be ignored.

“A great way to prevent back injury is to strengthen the stabilizing muscles of your torso, including your lower back and abdominal muscles.”—KidsHealth.org

Enter The Therapy Network…

When the talk comes to expert physical therapy, look no further than The Therapy Network. With six accessible offices throughout Coastal Virginia, including Virginia Beach, Hampton Roads, and Chesapeake, we are always within reach. What makes us even more special? No need for a physician's referral to start your teen's healing journey with us! We prioritize convenience with immediate appointment availability.

In conclusion, while backpacks are a school staple, ensuring the correct use is vital. As we've learned, overloaded backpacks can be the villain behind back and shoulder pain. But with the right backpack and the expert care from The Therapy Network, we can ensure our teens and children are pain-free and ready to conquer the world!

If your teen is experiencing back or shoulder pain, don’t wait. Visit one of our six locations in Coastal Virginia today. The health of our future, our children, rests in the balance. School backpack-induced pain may not resolve on its own.

And remember, at The Therapy Network, a healthier future is just an appointment away!

Exercise, News, Resources marketing

Sun Safety: 6 Rules for Basking In Health

If there’s one thing we cherish in Virginia Beach, Norfolk, and Chesapeake, it's our sunny and fun coastal environment. It provides a natural playground for an active lifestyle. However, as we enjoy the great outdoors, it's essential to remain mindful of the health implications of exposure to the hot summer sun in Virginia. In this blog, you will find sun safety tips for this summer—or any season.

Physical therapy provides a powerful tool for supporting your body. It helps you heal, maintain strength and stay limber. The key to successful treatment isn't just diligent attendance at sessions at The Therapy Network—it's also incorporating the principles learned at our centers into your everyday life.

Outdoor activity promotes healthier living while building resistance against injury. But how do we balance this with being sun-smart?

1. Striking a Balance with Sun Safety: The Dawn and Dusk Advantage

One sun safety tip is moving in the morning and evening when the Virginia sun is less intense.

An early morning walk along the Virginia Beach Boardwalk or a sunset yoga session in First Landing State Park can be excellent options. Not only will you avoid the peak sun exposure and the associated risks, but you'll also find these times of day provide a less-crowded or tranquil atmosphere.

Another sun safety tip is to choose the correct location. The location can further limit your sun exposure. Look for shady areas for your outdoor activities, such as in the shade in Red Wing Park, or consider taking advantage of the water. Aquatic exercises in a pool are an effective way to exercise while staying cool and a great sun safety tip.

2. Dressing for Sun Safety: UPF Rated Clothing

Did you know there's more to sun protection than slathering on sunscreen?

Remember also to keep your clothing light. Not only in color—light colors reflect the sun's rays more efficiently—but also in weight. The lighter the clothing, the less heat it retains, aiding your body’s natural cooling mechanisms.

Use UPF (Ultraviolet Protective Factor) rated sun-protective clothing. These garments are designed to block a significant amount of harmful UV radiation, providing a physical barrier between your skin and the sun.

3. The Secret Weapon: Sunscreen

A blog about sun safety tips would only be complete with a discussion on sunscreen. While clothing can protect covered areas, exposed skin is still vulnerable. This is where sunscreen protection steps in. Apply a broad-spectrum sunscreen with an SPF of 30 or more before you venture into the Virginia Beach region. Remember to reapply at least every two hours.

Wearing sunscreen is one of the best — and easiest — ways to protect your skin’s appearance and health at any age. Used regularly, sunscreen helps prevent sunburn, skin cancer, and premature aging. (Hopkins Medicine on Sunscreen)

Making sunscreen a staple in your outdoor routine in Virginia Beach, Chesapeake, and Norfolk is an easy yet effective step towards being sun-smart.

4. Quenching Thirst: Stay Hydrated, Stay Healthy

An active lifestyle, particularly in the hot summer sun, demands hydration. But be smart about Sun Safety and what and how much you drink. Water remains your best pick, providing pure hydration without any additives.

Sports drinks can be helpful during intense exercise. You should be wary of those high in sugar, though. Remember, your drink choice should be replenishing your body, not working against a healthy lifestyle.

How Much Water Do You Need To Be Sun Safe? Calculate below:

Water Intake Calculator

Water Intake Calculator by GIGAcalculator.com

5. Embrace the Water: Diving into Summer Activities

Here is a sun safety tip that is unique to our coastal community. Virginia Beach and the surrounding areas offer plenty of opportunities for water sports. Whether kayaking in Back Bay, surfing, or paddleboarding along the Chesapeake Bay, these activities provide a refreshing way to stay active while keeping cool in the summer heat.

6. Know Your Limits: Sensible Sun Safety and Heat Exposure

Lastly, remember to listen to your body. An active lifestyle and physical therapy aim to enhance your well-being. A sun safety tip is not to push your limits excessively.

If the Virginia sun is particularly fierce or you feel fatigued, seek shelter and cool down.

Healthy Outdoor Activities

Healthy outdoor activities under the Virginia sun can be a cornerstone of your physical therapy journey and broader lifestyle. By being sun-smart and following the six sun safety tips from the team at The Therapy Network, you can safely enjoy the benefits of an outdoor lifestyle.
In Hampton Roads, we can have everything: the sun, the sea, the physical strength to exercise, and safety. Let's make the most of it.

family paddle board sun safety — Enjoying a day in the sun

For an outdoor, active lifestyle, you may also enjoy reading blogs from our library. Here is just a selection of blogs that cover outdoor activities:

Can Physical Therapy Help Your Pickleball Game?

Exercise at the Beach-5 Fun Ways

Walk Your Way to Health

Physical Therapy for Runners

When Walking on the Beach is Painful

Can Physical Therapy Improve Your Golf Game?

Chronic Pain, Exercise, News, Rheumatoid Arthritis marketing

Optimal Rheumatoid Arthritis Treatment: First Time Exercise Guidelines Highlight Physical Therapy as Key

Rheumatoid Arthritis and Physical Therapy

Rheumatoid arthritis (RA) is a chronic autoimmune disease that causes inflammation, pain, and joint damage. While antirheumatic drugs are the primary treatment for RA, the American College of Rheumatology (ACR) has recently released its first-ever guidelines recommending the integration of exercise, rehabilitation, diet, and additional integrative interventions into Rheumatoid Arthritis Treatment. These guidelines emphasize the crucial role of physical therapists and occupational therapists in a multidisciplinary treatment team. This blog post will explore the key recommendations outlined in the guidelines and the importance of physical therapy in the management of RA.

Development of the Rheumatoid Arthritis and Physical Therapy Guidelines

The development of the guidelines involved a comprehensive process that included a systematic review of the research literature, input from a panel of patients with RA, and collaboration with experts in the field. A team of APTA (American Physical Therapy Association) members actively participated in the development of the guidelines, ensuring that the perspectives of physical therapists were incorporated.

PT Exercise Recommendations for Rheumatoid Arthritis

The guidelines strongly recommend consistent engagement in exercise as a part of Rheumatoid Arthritis Treatment. The specific type, frequency, intensity, and duration of exercise should be tailored to each individual's needs and goals. While more research is needed to determine the most effective exercise approaches, physical therapists play a vital role in guiding patients in identifying the exercises and treatments that best suit their unique circumstances.

female physical therapist treating patient

The guidelines also provide conditional recommendations for aerobic, aquatic, resistance, and mind-body exercises, such as Tai Chi or yoga, over no exercise. These recommendations are supported by varying levels of evidence certainty, ranging from low to very low certainty.

Rehabilitation Recommendations

Participation in comprehensive physical therapy and occupational therapy is strongly recommended throughout the course of RA. Early referral to these therapies is encouraged to ensure that interventions can be tailored to each patient's specific needs. The guidelines also provide additional recommendations for hand therapy, splinting, orthoses, compression, bracing, joint protection techniques, activity pacing, assistive devices, and vocational rehabilitation.

Diet Recommendations

Based on available evidence, the guidelines conditionally recommend a Mediterranean-style diet for individuals with RA. However, they acknowledge that patient preferences, accessibility, and associated burdens may affect the ability to adhere to this diet. The guidelines also recommend following established dietary recommendations without relying on dietary supplements.

Additional Recommendations

The guidelines include recommendations for and against various interventions. Some of these recommendations include the use of standardized self-management programs, cognitive behavioral therapy, acupuncture, massage therapy, and thermal modalities. They also advise against the use of electrotherapy and chiropractic therapy for individuals with RA.

The Role of Physical Therapy in RA Management

The guidelines highlight the significant role of physical therapy in the management of Rheumatoid Arthritis Treatment. Physical therapists are crucial in guiding patients through exercise programs, rehabilitation interventions, and providing education on joint protection techniques. By integrating physical therapy into routine care, patients with RA can experience improved outcomes and a better quality of life.

Barriers to Implementation

While the guidelines represent an important step in incorporating physical therapy into RA care, several barriers to full implementation exist. These barriers include a lack of knowledge about the importance of exercise among rheumatology providers, limited awareness of the role of physical therapy among individuals with RA, varying levels of expertise among physical therapists in treating RA, payment policy challenges, and a need for further research in this area. Addressing these barriers is essential to ensure the successful implementation of the guidelines and to enhance the role of physical therapy in meeting the healthcare needs of adults with RA.

Conclusion

The release of the first-ever guidelines for exercise, rehabilitation, diet, and additional integrative interventions in the treatment of RA marks a significant milestone in RA management. These guidelines highlight the importance of physical therapy and occupational therapy as essential components of a multidisciplinary treatment team. By following the recommendations outlined in the guidelines, healthcare providers can optimize the care provided to individuals with RA, leading to improved outcomes and a better quality of life.

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