The Challenges Faced By Cancer Survivors

Feeling On Your Own After Cancer

Some cancer survivors describe feeling a sense of abandonment, and feel "left hung out to dry"

Although there is a lot of cancer information out there, it is sometimes difficult for cancer patients after treatment to feel supported with the tailored information and care that they need. The way some cancer survivors have described it to us is that they feel a sense of abandonment, or feel "left hung out to dry". But with regular care from a cancer rehabilitation professional, these feelings can gradually be overcome and survivors can get back to their regular routines.

Dis-Ease Means Unease With a Disruption to Self

Some cancer patients indicate feeling a lack of ease with themselves and their physical fragility that no-one is addressing or helping them get through. This unease really speaks to a need for integrated cancer rehabilitation services to help patients:

• recover their identity
• learn how to manage and adapt to any permanent impairments
• have a regular exercise schedule that has been tailored for them and will help to overcome the sense of constant fatigue
• receive specialized physiotherapy to address movement restrictions, swelling and cancer related pain
• when necessary, have counseling to overcome the sense of being deflated, dejected and even jaded after surgery

Acquiring a New Meaning for Physical Activity

When exercise means lowering the chances of cancer ever coming back, it takes on a new meaning. As one patient puts it, "keeping her blood oxygenated" through everyday exercise is the best way to keep the cancer away. For her, exercise has become a tool for a second chance and the gateway for her to get back to living her life. Building up muscle mass that has deteriorated is another often challenging aspect of post-cancer physical activity, but the benefits of exercise for cancer management are numerous and encouraging!

Cancer Rehabilitation is Available In Canada at 62 Different Locations

We offer a means for cancer patients to overcome many of the challenges and impairments that have resulted from cancer and its treatment. These side effects are most effectively overcome with an individualized treatment plan designed by a Cancer Rehabilitation professional.

Please contact one of our Cancer Rehab locations across Canada. Links will direct to a Cancer Rehab provider in your area.

British Columbia

Alberta

Saskatchewan & Manitoba

Ontario

Nova Scotia

Other Helpful Links for Cancer Rehabilitation

Willow Breast Cancer Support Canada

Canadian Cancer Society

Livestrong Foundation

ELLICSR Kitchen - UHN Princess Margaret Cancer Centre

Childhood Cancer Canada Foundation

Canadian Partnership Against Cancer

Running Through Cancer and Beyond

Running Important to Physical and Mental Recovery After Cancer

Running is important to cancer recovery both physically and mentally

It’s been three years since my battle with cancer. I had always been a casual runner, venturing out for a 5 km jog a couple of times a week but lately I have been running a lot; enjoying the cooler temperatures and increasing ease in my stride. And I have my cancer diagnosis to thank for this transformation.

Running has been so important to my cancer recovery both physically and mentally allowing me to focus on getting better and cope with difficult times. My diagnosis of Stage Three Colon Cancer meant that I had to undergo surgery to remove a large portion of my colon and surrounding lymph nodes, followed by a six month course of chemotherapy. As any cancer patient understands, you end up feeling much worse after your treatment than you ever felt before. The side effects of therapy certainly left this 50 year old runner struggling to regain and maintain a confident stride through the daily demands as a health practitioner and mother of three active teenagers.  But it was because I felt so lousy and not in the drivers-seat for the first time in my life that I was relentless in my pursuit of recovery and a sense of well-being.

As a career physiotherapist I was well versed on the benefits of running to maintain a healthy lifestyle and more specifically well aware of the scientific research indicating the odds of surviving colon cancer are significantly increased with exercise such as running.  In fact exercise is now recommended during treatment as well as after, for colon and other types of cancers.  This knowledge gave me a means to participate in my own recovery and put me back in the driver’s seat, well at least shot-gun!

Practical Exercise Tips for Running While Battling Cancer

Running proved to be the best exercise for me while battling cancer.  Here are some practical exercise tips, that I learned along the way that may help others to stay active:

• Try a foam donut cut out over your port-a-cath (implant used for chemo) to minimize the irritation of your sports bra rubbing against it.  Camping foam, a couple cm thick works well & it can be easily taped in place, with first aid tape or just slipped under the bra strap.
• Don’t tie running shoes as tightly as you did before treatment; carefully adjust the tongue of the shoe to avoid constriction of the blood flow and minimize pressure on sensitive nerves. 
• Consider new shoes with more cushion support than you previously may have had, to protect the sensitivity of your feet if you are dealing with chemo-induced peripheral neuropathy.
• Consider wearing compression stockings if you have even mild swelling in your feet (a common condition if you have had lymph nodes removed).
• Use lemon or orange slices in your water bottle to minimize the metallic aftertaste of chemotherapy and encourage you to stay hydrated, which is most important during treatment.
• Get some new motivational music on your iPod. It is surprising the impact this can have on your mind and spirit – making the journey so much more tolerable.
• Run outside to avoid crowds and other sources of infection (like pools or gyms) when your white blood cell count is low. There is nothing like a little fresh air to clear the cobwebs of chemotherapy-related fogginess. 
• NEVER run to the point of complete exhaustion - be sensible in your energy expenditure. Always remind yourself not to ‘empty the gas tank’ and leave a little energy to deal with the rest of your day. 

Exercise is an Opportunity to do More Than Just Survive Cancer

Exercise gave me an opportunity to do more than just survive cancer; it helped me to begin living my life again and in many ways helped me to transform into a better human being.  My wish for cancer survivors and runners alike comes from the words of one of my favourite running songs, “May your paths be the sound of your feet upon the ground”. You never know where a run might take you or where life will lead you.

To find out more about Cancer Rehab Canada please see our website.

Please contact one of our 62 Cancer Rehab locations across Canada. Links will direct to a Cancer Rehab provider in your area.

British Columbia
Alberta
Saskatchewan & Manitoba
Ontario
Nova Scotia

Integrating Exercise on the Cancer Care Pathway

Growing Evidence Supports the Role of Physical Activity During and After Cancer Treatment

Research indicates that with tailored programs, exercise is likely to have a positive effect on cancer patients

In a Macmillan Cancer Support Review of the evidence for integrating the promotion of physical activity within the cancer care pathway, a team of medical researchers* found that if exercise prescriptions are individually tailored to each individual and the potential for side effects taken into account, exercise is likely to have a positive effect on cancer patients.

The review reports that exercise during treatment prevents a decline in functional outcomes without increasing fatigue. One study within the review highlighted the fact that the loss of physical function experienced by cancer survivors apply to longer-term survivors, not just patients who have just completed treatment:

“Limitations in physical functioning were reported by a significantly higher proportion of both short-term (54%) and long-term (53%) cancer survivors… The commonest problems experienced (crouching, kneeling, standing for long periods, walking short distances and lifting/carrying a load) are all vital for carrying out basic daily activities…”

 General Exercise Safety Precautions During and After Cancer Treatment

It is important to see a rehab professional with special training in cancer-related physiotherapy techniques for help in deciding what and how much exercise is recommended both during and after treatment. Below are some potentially adverse events associated with physical activity and cancer, with precautions you can take to avoid them:*

To prevent the exacerbation of symptoms (eg pain, fatigue, nausea, dyspnea) - Avoid high-intensity exercise; monitor symptoms; modify exercise type based on site of treatment (eg avoid exercise bike after prostate/rectal surgery).

To prevent immunosuppression – If patient has low white blood cell counts, avoid high intensity/volume of exercise (keep to light – moderate intensity).

To prevent falls – If patient has dizziness, frailty, peripheral sensory neuropathy: incorporate balance and coordination exercises (eg tai chi) and avoid activities needing considerable balance/coordination (eg treadmill).

To prevent bone fracture – If patient has bone metastases/osteoporosis risk avoid high impact or contact activities.

To prevent lymphedema – Progress resistance exercises in small and gradual increments. To avoid exacerbation of lymphedema, avoid strenuous repetitive exercise with affected limb;  wear compression garment.

* Written by Dr. Anna Campbell, University of Dundee; Jo Foster, Macmillan Cancer Support; Dr. Clare Stevinson, Loughborough University; and Dr. Nick Cavill (Cavill Associates Ltd).


A current Canadian study hopes to inspire health-care professionals to incorporate exercise into standard cancer care programs.

To find a Cancer Rehab Canada location near you, please see our list of British Columbia, Saskatchewan, Ontario, and Nova Scotia locations.

Chemo Brain is Real

There appears to be a tie between chemotherapy and the cognitive processes of the brain

Mental Fogginess After Chemotherapy Can Provoke Feelings of Insecurity

Chemo Brain is real.

One of my strongest memories of returning to work after receiving 6 months of chemotherapy is the feeling of fogginess. I was happy to be back in the saddle, surrounded by supportive co-workers, but I had this sense of being dazed and distracted for the first several months. I would sit in front of my computer screen and simply stare, wondering why it was taking me so long to respond to an email. Approving the bimonthly payroll took me three times as long as I knew it had previously, but the numbers just never added up as easily as they used to. I would call someone and then forget what I was calling them about, or I'd forget the name of someone I know well during the conversation. It left me feeling insecure, inadequate and unsure as to whether I should be there or not.

Chemo Brain Symptoms Include Poor Memory, Difficulty Focusing and Problems with Multi-tasking

I had challenges with things such as:

• Multi-tasking
• Word/name recall
• Numerical calculations
• Difficulty focusing
• Poor memory

Chemo Brain Is As Real As the Problems It Causes

Many cancer survivors struggle with mental fogginess or "chemo brain" that occurs during and after their cancer treatment. Although the exact cause of it is still not known, there does appear to be a link to the effect that chemotherapy has on cognitive processes of the brain. These symptoms can range from being very vague to being a major impairment, and they can last only a short time or years. An MRI of the "chemo brain" will show actual changes to the grey matter. Chemo brain is as real as the problems it causes, so don't let anyone tell you otherwise.

5 Suggestions to Help You Cope With Chemo Brain

As a result of the challenges brought on by chemo brain, it is not surprising that many people are unable to cope like they used to - and begin to feel anxious and depressed. In my experience, the changes were subtle and not that noticeable to an outsider, but very evident and upsetting to me. A real blow to one's self-esteem. Here are some of my strategies to try and overcome these challenges.

5 simple suggestions to help you cope with chemo fog:

1. Get adequate rest and plan to do challenging mental activities when you are well-rested.
2. Be present in the moment, focus on the task at hand and learn to ignore the background noise and confusion. Many cancer survivors benefit from regular meditation. I found that having a quiet work space was essential.
3. Exercise regularly to keep your mind clear and feeling more alert. Get outside when you can, as I found the fresh air really helps bring clarity.
4. Create "to do lists" to keep track of tasks at hand. I became reliant on my phone, adding notes constantly to help get me organized and on task.
5. Slow down your mind and your body. This is a difficult one to do when you are feeling anxious already. I found that deep breathing is really great - three deep breaths will bring everything into clear focus.

Treatment is Available For Ongoing Cognitive Problems Experienced After Receiving Chemotherapy

If your problems persist, you may require a cognitive abilities evaluation and have a rehab professional, such as a neuropsychologist or occupational therapist, work with you to provide cognitive enhancement training. Recent research shows that there is a great deal that can be done to improve an individual' memory and other brain functions. At Cancer Rehab Canada, we believe in your ability to retrain your brain and and encourage you to seek treatment for ongoing cognitive problems. Please contact us to find the clinic nearest you.

To find a Cancer Rehab Canada near you, visit the list of British Columbia, Saskatchewan, Ontario, or Nova Scotia locations.

Cancer Rehab Canada/LifeMark Donates $1,000 to Hearth Place Cancer Support Centre at Annual 5K Run

Cancer Rehab Canada's LifeMark Physiotherapy clinics participated in the 4th annual Hearth Place event

Hearth Place 5K on the Runway Takes Off

Several colleagues from Cancer Rehab Canada's LifeMark Physiotherapy Clinics in the Durham Region stood ready for takeoff at Oshawa's municipal airport to support runners in the 4th annual Hearth Place 5-kilometre event that took place on September 22. A total of $1,000 was donated by the group, as a sponsorship to Hearth Place's Cancer Support Centre.

Information on Cancer Rehabilitation Services Distributed to Hearth Place Run Participants

Cancer Rehab Canada/LifeMark was on hand to let the runners, their friends and family know about the benefits of cancer rehabilitation to address the pain, fatigue, joint restrictions, and cognitive & memory problems often faced by cancer patients. Led by Krista McIntyre, Clinic Director and Physiotherapist of LifeMark Physiotherapy Whitby, members of the Cancer Rehab Canada/LifeMark team gave out water and hand sanitizer, as well as literature on the ability to empower each cancer survivor to take control of their life and feel better, stronger and happier. Massage beds were also set up on site where the team provided complimentary 5-minute pre-and post-race massages to runners.

Krista McIntyre, Clinic Director and Physiotherapist of LifeMark Physiotherapy Whitby, offers supplies to participants

"The Hearth Place 5K on the Runway was a wonderful opportunity for Cancer Rehab Canada/LifeMark to let people know about our cancer rehabilitation services. We not only had a chance to meet with different survivors and practitioners, but felt that the community responded with great interest in our new specialty programs", said Krista McIntyre.

Clinic representatives at the race included Krista McIntyre, Clinic Director and Physiotherapist of Whitby, Nadia Ramprasad, Physiotherapist of Whitby, Luke Tavernier, Exercise Therapist of Whitby, Michelle Gray, Massage Therapist of Whitby, Joy Brooks-Desbarres, Clinic Director and Physiotherapist of Oshawa, Michelle Lees, Kinesiologist of Oshawa, and Graham Doig, Clinic Director and Physiotherapist of Ajax. The team also gave out pens, ice/heat gel packs, and lip balm to participants both before and after the race.

Over 700 participants took part in Hearth Place 5K on the Runway, raising $69,000 for Hearth Place

There were over 700 participants and overall donations raised for Hearth Place at this year's run totaled $69,000.

Hearth Place addresses the social, practical, emotional, educational and spiritual needs of people dealing with all types of cancer. It is a well-known cancer resource centre in Central East Ontario for its wellness programs focusing on coping with cancer, healing, living well beyond cancer, and cancer support.

To find a Cancer Rehab Canada near you, visit the list of British Columbia, Saskatchewan, Ontario, or Nova Scotia locations.