Cancer Physiotherapy

As there are many different cancer types there are also numerous treatment options available, and this means that the side effects can vary significantly from one person to another as can the goals that people wish to achieve through physiotherapy.

Cancer physiotherapy is patient focused and aimed at improving your quality of life as well as your general health, therefore we will always ensure to complete a thorough assessment with you when we will talk through your aims of treatment and come up with a plan together that meets your needs.

Studies now show that an increase in physical activity can improve survival rates in breast cancer, prostate cancer and colo-rectal cancer1. These cancer groups are the most researched and therefore the benefits may well carry over to other patient groups that so far have been under researched.

Due to the advances in medical treatment, many people are living much longer after a diagnosis of cancer, with the survival rates having doubled in the last 40 years2. The attention paid to the side effects experienced by people has been lacking, with Macmillan reporting that 1 in 3 cancer survivors have unmet needs3. In part, this is due to a lack of services offered, but it also seems that many health professionals don’t know whose role it is to address important issues such as how keeping active throughout treatment can reduce side effects. People themselves also don’t always feel comfortable raising these secondary issues, but your quality of life during and after treatment is something that is very valid, and you should be able to discuss anything that effects this with the appropriate professional, whether it be your consultant, nurse or physiotherapist.

Chemotherapy and radiotherapy are aggressive treatments that will undoubtedly have effects on other parts of the body, as well as the cancer site, so it is important that through rehabilitation we focus on you as a whole. You are likely to have some specific areas of concern surrounding the area you have had treated, and this is where an in depth assessment can ascertain if physiotherapy will be helpful. A good example of this is pain and movement restriction following treatment for breast cancer, where soft tissue release techniques can be incredibly effective at improving your range of movement and reducing your levels of discomfort.

Pre-habilitation is also something that consultants are starting to favour, particularly in the field of oesophago-gastric cancer, in order to improve cardiovascular fitness before surgery, and reduce post-operative complications.

If this is something that your consultant has discussed with you or you would like to know more about, then please feel free to get in touch.

Examples of possible side effects from cancer treatment that physiotherapy can help with include:

  • restricted movement of a joint or limb, for example shoulder tightness after treatment for breast cancer

  • scarring from surgery or radiotherapy

  • decreased muscle strength

  • fatigue
  • decreased fitness levels

  • pain

  • lymphoedema (lymphoedema management advice is offered by specialists in this field, but we can help you with regard to exercising with lymphoedema)

Treatment options offered include:

  • Advice and education regarding safely increasing activity levels

  • Exercise therapy (including pilates) to help manage fatigue, muscle strength and cardiovascular fitness before, during and after treatment

  • Hands on therapy for specific problems such as reduced shoulder movement following breast cancer treatment, scarring and joint and muscle tightness

Due to the many different types of cancers there may be some symptoms that are outside of our scope of practice, and in these instances we will endeavour to help you find the appropriate professional for your concerns. Examples may include pelvic floor issues following radiation or surgery where a Women’s Health or Men’s Health specialist physiotherapist may be able to offer you a wider range of treatment options, in addition to the ways in which we can help you.

Please still feel free to call if you are unsure as to who might be the best professional to help and we will do our best to guide you.

1 Lahart IM, Metsios GS, Nevill AM, Carmichael AR. Physical activity, risk of death and recurrence in breast cancer survivors: a systematic review and meta-analysis of epidemiological studies. Acta Oncologica 2015;54:635-54.

Meyerhardt JA, Giovannucci EL, Holmes MD, Chan AT, Chan JA, Colditz GA, Fuchs CS. Physical activity and survival after colorectal cancer diagnosis. Journal of Clinical Oncology 2006; 24, 3527-34

Kenfield SA, Stampfer MJ, Giovannucci E, Chan JM. Physical activity and survival after prostate cancer diagnosis in the health professionals follow-up study. Journal of Clinical Oncology 2011; 29:726-32.

2 https://www.cancerresearchuk.org/health-professional/cancer-statistics/survival

3 https://www.macmillan.org.uk/_images/recovery-package-sharing-good-practice_tcm9-299778.pdf

Prices

Initial Assessment

£65
  • (60 mins)

Follow up

£50
  • (30 mins)

Cancer
Physiotherapy

Following a cancer diagnosis physiotherapy and exercise will probably be the last thing on your mind, however it can offer huge benefits before, during and after treatment, so when you’re ready to hear about it, we’re ready to help.

Pilates

Small friendly classes to guarantee confidence in technique, and best results. We combine matwork exercises and small equipment in the classes to focus on strength and flexibility in order to improve core stability and postural endurance.