recovery After Mastectomy

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Proper recovery agenda is a key factor which influences life ability of women after mastectomy. The recovery starts with psychological and corporeal making ready for surgery, which means, studying gymnastic exercises for upper limbs and help with accepting the ensuing situation. We begin recovery on the second day after surgery in order to avoid adverse effects of surgery, such as:

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1. Reducing muscle impel of upper limb on the operated side.

2. Limitation of shoulder joint request for retrial on the operated side

3. Lymph circulation disorder

Upper limb exercises

Upper limb exercises are valuable to recover corporeal fitness straight through restoring full shoulder joint range, enhancing muscle impel and straight through antiedematous activity. In the first postoperative period it is very foremost to tone the scar (first 3 weeks after surgery). The lack of exercises can lead to "tightening" of a hand by the scar and limit hand request for retrial considerably. We exercise twice a day, but we cannot allow over-exhaustion of a hand at the same time. Each day brings condition improvement, request for retrial range expands and pain symptoms disappear.

Analgesic effects

Physical exercises based on the dynamic work of the muscles are the basis for anti-edematous action. Measured muscle contractions originate the most convenient conditions of supervene on lymphatic law and blood vessel system.
Exercising twice a day causes the "motion" of lymph and it prevents its retention. A fight with already ensuing edema is difficult, long-standing and does not all the time end up successfully. For that reason, we should pay special concentration to prevention of edema appearance.
Apart from exercises, it is foremost to lay one's limb high so that edema can flow in accordance with the law of gravity. It is especially valuable during sleep, when the muscles are relaxed and edema is not pushed by "muscular pump" produced during the work of the muscles. Such position can be achieved straight through putting hands on a special chock, a rolled blanket or hard pillows, so that a limb could rest above shoulder joint.
Excess limb strain straight through corporeal effort, especially in positions facilitating edema retention, should be avoided. After mastectomy it is allowed to do the work with a hand on the operated side if the impel does not exceed 2 kilograms. It is also foremost to execute a self-massage - when a inpatient gives a massage to herself - we teach self-massage during further recovery at an outpatients' clinic after medical injury.

Prosthesing

Wearing prosthesis is a very valuable part of rehabilitation, which is related not only with aesthetic qualities but also with corrective properties. After bigger breast muscle discharge a body asymmetry occurs. It can lead to posture disorders such as:

1. Lowering or raising of shoulder on the operated side

2. Shoulder protruding

3. Stoop

4. Curvature of the spine

In order to keep good corporeal and mental state of a inpatient in the first postoperative period, the loss of breast is made up by a light and soft thing (i.e. Cotton wool or sponge), which allows to heal injury. After injury is healed and sensitivity of the operated place to touch is lessened, a regular prosthesis should be worn. It is superior agreeing to the shape, weight and size of a remaining breast. Each inpatient after mastectomy gets a designate for breast prosthesis from her oncologist or surgeon. It can be dispensed in master shops or in furnish points with orthopedic equipment.

Further recommendations

Limb security against overexertion
Protection against cuts, injections, blood sample taking
Further recovery at an outpatients' clinic:

- addition of muscle strength

- preventing lymphatic edema

- studying self-massage

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