At Hands-On-Care we offer therapy for patients who have just undergone radical mastectomy.
- Regaining ROM in the affected upper extremity
- Individualized Exercise program to regain ROM of the affected shoulder
- Managing/ preventing edema (lymphoedema)
- Edema garments (pressure garments)
- String wrapping techniques etc
- Scar Management
- Scar pad if needed
- Preventing future shoulder problems but correcting posture and improving strength
Majority patients who do not have lymphoedema may need maximum of 6 visits to regain their range back, manage their scar and establish a home program for strengthening so that they do not have problems in the future.
|Pulley helps in gaining the range in the initial stages||Laying on 3″ then progressing to a 6″ foam roll to perform very slow snow angel stretches to let the scar stretch out while slowly gaining ROM||elbow by side 0 deg
Shoulder at 90 deg elbow 90 deg.
|Pts develop limitation in IR if not stretched in the early stages||Progression of Flexion and abduction||Abduction progression in standing|
|Strengthening is crucial to maintain the scapula against the rib cage, if weakened, the scar will cause protraction of shoulder and rounded shoulder creating shoulder problems in the future||Shoulder extension||External rotation|
|Progressing to bands||Ball excercise||High level patients or wall pushing for Serratus strengthening|