Swimming After A Mastectomy

Because it's so gentle, swimming after breast surgery is an excellent way to exercise all your major muscle groups and avoid muscular atrophy that's sometimes seen in post-surgical patients who remain sedentary for prolonged periods. W

"Can I swim after my Mastectomy?" The answer is a resounding "Yes."

Because it's so gentle, swimming after breast surgery is an excellent way to exercise all your major muscle groups and avoid muscular atrophy that's sometimes seen in post-surgical patients who remain sedentary for prolonged periods. When doctors recommend moderate exercise to post-mastectomy women, swimming is one of the best first steps. Many doctors and swimming experts endorse it as one of the safest and most comfortable ways to get back into exercise.

"One of the big plusses of swimming comes from the magic buoyancy of water. There is no pressure or strain placed on the muscles and joints," says Jane Katz, Ed.D., Professor of Health and Physical Education at John Jay College at City University of New York.

There's also the built-in cooling effect of the water, which keeps your temperature down throughout your workout. This is especially important for women who may be experiencing hot flashes associated with chemical or natural menopause.

Swimming strengthens muscles and burns calories

After breast surgery, you're likely to have a slightly different centre of gravity, and you'll have to learn to posture yourself differently. Swimming strengthens your abdomen, back and shoulders, which all help carry your frame easily, reducing the likelihood of back discomfort. Stronger and more toned muscles, especially the abdominal, shoulder and chest muscles, make for an easier recovery from breast surgery.

The cardiovascular benefits are great too. Once you've worked up to a fast and steady pace, you will be improving your heart condition - the most important muscle in your body - each time you swim.

Burning calories is great for the post-chemotherapy weight gain some women experience. Yet, for many women, high-impact sports such as running can be uncomfortable, and even risky if you fall. Swimming and water exercises, on the other hand, can help you exercise to burn calories gently and safely. Unlike tennis or other competitive sports, you can swim alone, at a pace you set, and stop when you feel tired.

What about the hot tub, sauna or Hammam?

Lots of women ask about using hot tubs and saunas with their breast forms. Here are Amoena's recommendations:

•The highest safe temperature for a silicone breast form is 60°C (140°F). Take care to know the water temperature before using a hot tub or sauna.

•Typical Hammam temperature is around 50°C (122°F), which is acceptable for a breast form, including Aqua Wave.

•Avoid sulfur baths. Your breast form will absorb the smell and colour.

•Aqua Wave is highly recommended for swimming and spa.

Here are five tips for swimming after breast cancer surgery:

•Do no more than 20 minutes of any stroke. The dog-paddle is good for upper-body conditioning. The breaststroke is a relaxing option, helpful for toning and stretching leg muscles. The backstroke helps strengthen back muscles. The sidestroke may work well after a lateral mastectomy (working the opposite arm). The butterfly stroke is strongly discouraged since it is very strenuous and requires an arched back.

•Always do warm-up and cool down stretches. Five minutes of each. These can be done both in and out of the pool. You can sit at the edge of the pool and kick water or stretch your calf muscles. In the pool, you can do a slow walk or jog to help your body adjust to the water. Avoid overstretching your surgical site.

•Don't overheat. Changes in your body may make it less adaptable to heat so always be careful. If you live in a warm climate and swim outdoors, swim in the early morning or later in the day to avoid the hottest part of the day. Make sure you drink water before and after your swim.

•Don't overdo it. If you feel tired, then stop. You should be relaxed, not enervated. Now is not the time to rev up your target heart rate.

•Before starting this or any exercise program, always check with your doctor. If you aren't a swimmer, don't start now with 50 laps of breaststroke. Instead, try gentle water exercises, such as arm circles and wall push-ups, that will give you many of the same benefits.

For more information on swimming after breast cancer surgery, visit www.amoena.com

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