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©2019 by My Healing Choice. 

Your Healing Choices

Oncology Rehabilitation

Lymphedema

Therapy

Chronic Venous Inssuficiency  Edema Control

Emotional

Support

ONCOLOGY REHABILITATION

Oncology Rehabilitation Program:  

 

Oncology rehabilitation is the specialty that  has as objective the recovery, optimization and enhancement of the physical and psychological capacities that have been affected by cancer as well as complications generated by the treatments. It uses diverse therapeutic methods to improve, maintain, restore,  the physical and functional capacity of patients  with cancer , before , during and after the treatments to which they are subjected hand in hand with the interdisciplinary team ensures a better quality of life .

 

My Healing Choice Therapist are trained in Oncology Rehabilitation to provide a program tailored to specific diagnosis and treatments which is specific to the patient, and oriented to decrease the side effects of the treatments and improve their physical condition. 

 

As it is well known not every pt is alike and not every type of cancer is treated with the same drugs or interventions . The different cancer treatments like surgery , chemotherapy , radiation therapy , produce secondary side effects that affect the daily function of the person in many areas including strength , ROM , ADL’s, functional ADL’s , balance , endurance , nutrition , mental ability, communication , emotional function. Oncology rehabilitation include the participation of Physical Therapist , Occupational Therapist , Nurses , Speech Therapist , Social Workers , Aids and Holistic practitioners to address all this issues . 

 

REHABILITATION PROGRAM: Physical Therapy , Occupational Therapy , and Speech Therapy Programs 

 

  • Different treatments for cancer such as surgery, chemotherapy , radiation , can cause  short and long term  side effects , such as :  

  • Fatigue (physical , mental and emotional exhaustion).

  • Limitation of ROM  and joint pain

  • General muscle weakness

  • Instability when walking

  • Changes in balance and coordination 

  • Numbness , cramps tingling in hands and feet (Neuropathy)

  • Changes in the skin and soft tissue of the radiated areas

  •  Alteration in body weight 

  • Pain

  • Swallowing and nutritional issues

  • Chemo brain

  • Dry mouth , Nausea Vomiting 

  • Edema and Lymphedema (refer to Lymphedema Program )

 

BREAST CANCER PROGRAM:  After diagnosis of breast cancer, pt can be exposed to different treatments starting by surgery radical or partial mastectomy with removal or not of lymph nodes,  reconstructions after mastectomy and all the implications of a surgery . In addition to surgery, patients will undergo chemotherapy and /or radiation with their subsequent side effects. 

Every patient after surgery may experience pain , numbness, altered sensation , contractures, limited ROM, edema and risk of lymphedema , among others.  With any of these procedures, early intervention with physical therapy , or occupational therapy by using manual techniques , ROM, strengthening exercises , taping , ADL’s training ,and training of equipment that may be needed , will help to improve functional mobility to return to optimal level of function as soon as possible .  

 

PELVIC FLOOR PROGRAM: The debility of the pelvic floor can cause one or many of the following problems : Urinary incontinence , prolapse, , sexual dysfunctions , among others . The types of cancers closed to the pelvic area like : prostate cancer, colorectal, uretra , vaginal , uterine ; in addition with brain , spinal lung , or esophageal cancer ( due to the the chronic cough that can cause overworked bladder ), breast cancer because of the hormonal changes also can cause dryness of the urethra). The different treatments like radiotherapy in the pelvic region , or different chemotherapy agents side effects also like nerve damage, dryness, may cause changes in the pelvic region and also hormonal changes secondary to them too. 

The program of pelvic floor consist of  pelvic and perineal area electro stimulation , exercises to strengthen the muscle of the pelvic region and improve the function of the urethral or rectal sphincter, bladder reeducation. 

 

NEURO ONCOLOGY PROGRAM : This is related with brain , cerebelar, spinal cord tumors , nerve plexus problems , peripheral neuropathy among others . The therapy is guided towards implementing compensatory strategies to improve general function. 

The treatment may involve pain control , improve functional mobility , correct and improve posture, improve strength, improve static and dynamic balance and coordination, gait training , pt and family education  equipment , home adaptation for life changes . 

 

RESPIRATORY THERAPY : Patients that are being treated for cancer at thorax level may presents respiratory problems  when undergo surgical procedures, radiation and also as side effects of chemotherapy . The effects can be fatigue, dyspnea (difficulty breathing) , difficulty in the elimination of  secretions or mucus, shortness of breath . decreased endurance . The main objective of the therapy is to increase : 1: ventilatory capacity , incentive spirometer, stretching, diaphragmatic exercises,  breathing exercises in general . 2:  reduce fatigue by using training of lower extremities, physical fitness , anaerobic exercises as (weight and theraband exercises ) , and aerobic exercises to improve endurance . 3: Increase home and community activity . 

 

PAIN MANAGEMENT PROGRAM :  Pain is one of the most common problems among cancer patients, than can affect the quality of life not only physically but emotionally that as a consequence affect social relations . The treatment then not only can be managed with medications , it requires a comprehensive management that include psychological ,spiritual , medical , and  physical rehabilitation  that helps patient in and integral way . the objective is to decrease ,control and as possible eliminate the pain . 

The rehabilitation part may  involved  Soft tissue massage, manual lymphatic drainage when able and approved , therapeutic exercises , mobilizations , stretching , bandage, relaxation.

 

PERIPHERAL NEUROPATHY PROGRAM : The patients treated with  with chemotherapy  and /or Radiotherapy, may have side effects like numbness, tingling , burning , shutting pain , diminish sensation , affected fine and motor sensation  of hands , proprioception , weakness , muscle pain , muscle mass reduction ,  balance and coordination problems among others as a consequence of changes in sensation on feet. We use  rehabilitation techniques as a compensatory strategies , and also relaxation techniques , Manual Lymphatic Drainage, balance training , strengthening , and proprioception exercises to improve condition and quality of life  

 

 

EMOTIONAL SUPPORT : Live with a cancer diagnosis and treatments and its consequences means dealing not only with the physical problems related with the cancer and treatments, but also with the emotional and spiritual problems that can affect the patient’s capacity of coping with the disease ,relate with the family and  the  community that patient is part off.  All this may cause emotional issues as insomnia , stress, anxiety ,depression , among others, with consequent deterioration or may affect compliance with treatments and quality of life . 

 

In addition is well known that cancer has a very high emotional component in its origin, therefore for a better outcome and coping with the treatments is very important that patient explore and manage the disease with an holistic approach that involve not only the medical component but also emotional and spiritual area . ( see emotional support page ) 

 

EQUIPMENT, AND OTHER TOOLS :  Bras, Lymphedema bandages , lymphedema garments and sleeves, compression pumps , exercise, medical equipment Theraband and weights.

 

 

 

 

 

LYMPHEDEMA THERAPY

Do you have swelling or edema in your arms and legs, poor circulation , recurrent wounds, or changes in the skin of your legs?

Have you been diagnosed with Lymphedema or Chronic Venous Insufficiency CVI? you might be a candidate for Complete Decongestive Therapy (CDT) provided by and experienced Certified Lymphedema Therapist.

CDT includes :

  • Lymphatic drainage Massage

  • Skin Care and Hygiene

  • Remedial Exercises 

  • Short Stretch compression Bandages

  • Compression Garment Fitting

  • Compression Pump if needed 

Lymphatic drainage Massage is a gentle type of massage that helps to promote proper flow of Lymphatic fluid throughout the body, it is typically use to reduce swelling and to detoxify the body. 

Who might benefit? patients with edema related to any of the following conditions:

  • Primary and secondary Lymphedema

  • Chronic Venous Insufficiency

  • Cancer related Lymphedema 

  • Post DVT 

  • Trauma, wounds

  • Post Surgical Procedures

  • Radiation Therapy

  • Post mastectomy

  • Diabetes

 

 

CHRONIC VENOUS INSUFFICIENCY, EDEMA CONTROL

Lower extremity edema occurs not only to patients suffering from cancer, there is people with leg swelling resulting from primary or secondary lymphedema , morbid obesity, Chronic Venous Insufficiency, post - surgical swelling , dependent edema. By reducing the edema we can also effectively improve the healing process for leg ulcers and wounds.  The therapy we provide helps with the full range of conditions resulting from edema , pain, stiffness, loss of function, scar tissue and fibrosis, recurrent skin infections, wounds, weakness, fatigue, restricted range of motion and difficulties with reintegration back to work life, home life and recreation activities.

  

 

EMOTIONAL SUPPORT

Live with a cancer diagnosis and treatments and its consequences means dealing not only with the physical problems related with the cancer and treatments, but also with the emotional and spiritual problems that can affect the patient’s capacity of coping with the disease ,relate with the family and  the  comunity that patient is part off.  All this may cause emotional issues as imsomnio , stress, anxiety ,depression , among others, with consequent deterioration or may affect compliance with treatments and quality of life . 

 

In addition is well known that cancer has a very high emotional component in its origin, therefore for a better outcome and coping with the treatments is very importan that patient explore and manage the disease with an holistic approach that involve not only the medical component but also emotional and spiritual area .