Cancer Rehab Canada Celebrates First Birthday

Cancer Rehab Canada celebrates its first birthday in July 2014!

Helping Cancer Survivors to Feel Better, Stronger and Happier

On July 15, 2013 Cancer Rehab started blogging about ways that cancer survivors can feel better, stronger and happier. Over 45 blog posts and a year later, we have found participation in the online conversation about how to minimize survivors' disabilities to be an extremely rewarding experience.

Cancer Rehabilitation Benefits Optimal Recovery

We are still asking why cancer patients aren't routinely offered cancer rehabilitation services to help them return to normal life.

 These services are regularly provided for recovering cardiac patients and patients who had joint replacement surgery. Yet those people who have had cancer treatments such as chemotherapy, radiation or surgeries such as mastectomy, are often not receiving cancer rehabilitation service despite the growing scientific evidence that it is very beneficial in obtaining optimal recovery. Our 62 rehab clinics can offer assistance in minimizing the side effects of cancer and its treatment.

Cancer Survivors Often Suffer From Disabilities Associated With Cancer Treatments

Cancer survivors often suffer from the side effects of their diagnosis and related treatment. Their functional impairments may include persistent fatigue, radiation fibrosis, chemotherapy fog, lymphedema, frozen shoulder and pain. Many of these conditions can be improved with interventions from a rehabilitation professional with specialized training, such as a physiotherapist, occupational therapist or massage therapist.

According to the Canadian Partnership Against Cancer, there is estimated to be 1 million cancer survivors in Canada today, with that number expected to increase to over 2 million by 2020. Physical disability is a leading cause of distress in this population. It is critical that this population be appropriately screened and treated for their impairments, so that we minimize their disabilities and maximize their quality of life.

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How to Get Cancer Rehabilitation

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

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LifeMark Atlantic Participates in Bust a Move for Breast Health™

LifeMark Halifax Clinic Helps at Community Celebration Fundraiser for Breast Health Centre

LifeMark's finest massage therapists were on hand at Bust a Move for Breast Health™ in Halifax

The fifth and final Bust a Move for Breast Health™ was held on March 22 at the Canada Games Centre in Halifax. Hundreds of participants, sponsors and volunteers gathered to celebrate the Breast Health Centre in aid of better breast health. Dancers, yoga practitioners, and aerobics exercisers were taught by some of Nova Scotia’s finest instructors. And on hand to revive their aching muscles were none other than LifeMark’s finest massage therapists, who donated their time in support of the event.

Bust a Move for Breast Health™ Ends on a High Note

According to the QEII Health Sciences Centre Foundation, the Halifax community came together and raised $331,490 net for the Breast Health Centre in Halifax. In addition, the Canadian Breast Cancer Foundation – Atlantic Region, wowed the crowd by announcing a significant contribution of $250,000. That wonderful announcement, combined with the QEII Foundation and the IWK Health Centre Foundation each raising an additional $250,000 through generous community support, brought the 2014 breast health campaign to an amazing $1,081,490 net!

The Halifax community came together and raised $331,490 net for the Breast Health Centre in Halifax

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.

Nova Scotia
British Columbia
Alberta
Saskatchewan & Manitoba
Ontario

Benefits of Exercise for Cancer Management

Incorporating Exercise into Your Cancer Management Plan

Exercise is one of the most beneficial things that cancer patients can incorporate into their cancer management plan

Physical activity is important in all stages of cancer. Many cancer patients are reluctant to exercise for fear of ‘making things worse” when in fact it is one of the most beneficial things that they can do. The scientific evidence to support this is growing and every effort should be made to incorporate exercise as part of the accepted cancer management plan.

How Exercise Benefits Cancer Patients

During cancer treatment 

• Reduces pain and fatigue
• Prevents decline of physical function
• Manages stress and improves mental outlook

After cancer treatment

• Increase energy levels
• Assists in the recovery of physical function
• Improves quality of life

During and after cancer treatment

• Reduces the risk of cancer reoccurrence
• Reduces the risk of developing other long term complications

Advanced cancer

• Helps maintain independence and well being

How a Physiotherapist Trained in Cancer Rehabilitation Can Help

People living with cancer should be advised to gradually build up their physical activity to meet the recommended guidelines. A physiotherapist trained in cancer rehabilitation can assist them in preparing an exercise program that meets the energy expenditure amounts recommended in the research, in addition to making sure that they are safely adapting to meet any medical restrictions or physical impairments.

It is important that we continue to encourage, support and assist cancer survivors to initiate and maintain a lifestyle that regularly includes physical activity at all stages of their journey with cancer.

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

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

8 Ways to Keep Cancer Survivors Healthy

Lifestyle Guidelines for Cancer Survivors Promote Continued Health

Exercise provides physiological and psychological benefits for cancer survivors

1. Get Regular Exercise

Regular exercise is one of the primary ways that survivors can stay healthy.  Exercise lowers reported fatigue in cancer patients by 40-50%, and the scientific evidence supporting exercise as the best intervention for fatigue is very strong. In a study on Exercise and Cancer Rehab, evidence indicated that exercise can provide both physiological and psychological benefits for cancer survivors.  As a prescription therapy for cancer survivors, studies have suggested that regular physical activity will help to reduce the risk of cancer recurrence, given the known anti-inflammatory effects of exercise.  Here are 10 things you should know about cancer exercise.

2. Eat a Healthy Diet

Eating a healthy diet and getting plenty of exercise both give you energy and help you feel better. The Canadian Cancer Society reports that good nutrition is vital at every stage of your cancer treatment and recovery. Following their nutritional guide will help you heal and recover after treatment.

3. Get Regular Check-Ups with Your Healthcare Provider

Having regular check-ups with your healthcare providers is essential for your preventative care to be ongoing. As well, the long-term care of the cancer survivor can be effectively coordinated in an individualized survivorship plan that takes into account the cancer diagnosis, treatment, side effects, follow-up visits, the availability of psychological and support services, and tips on the best ways to maintain a healthy lifestyle.

4. Get Cancer Rehab to Overcome Side Effects of Cancer Treatment

Research strongly supports the effectiveness of cancer rehabilitation in improving the quality of life in cancer patients. Early rehabilitation interventions can help with some of the side effects of cancer and its treatments – including fatigue, cancer-related pain, peripheral neuropathy, adhesions & fibrosis, chemo fog, emotional distress, lymphedema and range-of-motion limitations.

5. Don't Smoke

Over twenty per cent of Canadians over the age of 11 still smoke, even though smoking is a known risk factor for many conditions including lung cancer. According to Statistics Canada, however, the rates of smoking in 2012 lowered significantly from 2008 levels. The World Health Organization has declared smoking a preventable cause of death. (2008. WHO Report on the Global Tobacco Epidemic, 2008: The MPOWER Package. Geneva.)

6. Avoid Weight Gain

Another important way to improve your health is to keep your weight in check. Cancer treatment can be complicated by weight gain, and excess body weight is also associated with cancer recurrence, reduced quality of life, and reduced survival. 

7. Drink in Moderation

Drinking alcohol in moderation is important for cancer survivors to stay healthy. As described by our guest blogger DebiLyn Smith in Alcohol and Cancer, drinking more than the maximum three alcoholic drinks a week for women, or seven to fourteen for men, can adversely affect health as well as cancer risk.

8. Stay Connected with Family and Friends

Make sure to have regular visits with your family or friends to maintain your overall health. By maintaining these supportive connections, quality of life is improved and stress, depression and fatigue is reduced.

Please contact one of our 48 Cancer Rehab locations across Canada. Links will direct to a Cancer Rehab provider in your area.

British Columbia
Saskatchewan
Ontario
Nova Scotia

How Physiotherapists Get You Moving Throughout the Cancer Journey

Staying Active Helps Patients from Cancer Diagnosis through Post-Treatment

Exercise reduces risk of prostate-specific mortality

In our rehabilitation of cancer patients we have found that exercise helps them in every stage of the cancer journey - whether during cancer treatment, after cancer treatment, or both during and after cancer treatment. In advanced cancer stages as well, physical activity improves well-being as well as independence. One of the most important ways we can support people regarding the recommended amount and type of physical activity is through carefully tailored cancer exercise programs and rehabilitation treatment plans.

Evidence Indicates that Exercise Reduces Cancer Recurrence

The evidence from cohort studies of cancer survivors indicates reduced mortality risk related to leisure-time exercise. A recent Macmillan Cancer Support review reports that with three hours per week of moderate physical activity (such as brisk walking), prostate cancer survivors had a lower risk of prostate-specific mortality of approximately 30%, as well as a lower rate of disease progression of 57%.

How Exercise Helps Cancer Patients During and After Treatment

• During Cancer Treatment - Studies show that if they exercise during cancer treatment, cancer patients are less tired and experience improved physical activity
• After Cancer Treatment - Research also indicates that cancer survivors experience better recovery of physical function if they exercise after cancer treatment
• Both During and After Cancer Treatment - With regular physical activity both during and after treatment, the risk of cancer recurrence or the development of other long-term conditions can be reduced

At Cancer Rehab Canada we tailor our exercise programs to meet the specific needs of each individual patient, taking into account any special precautions they may have based on their diagnosis and medical history. Many modifications can be made that will safely allow individuals to meet their physical activity goals and, in doing so, improve their survival outcomes in addition to increasing their overall health.

Please contact one of our 48 Cancer Rehab locations across Canada. Links will direct to a Cancer Rehab provider in your area.

British Columbia
Saskatchewan
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.

Cancer Rehab LifeMark Supports Hearth Place Cancer Centre Ski Day

Cancer Rehab/LifeMark Clinics Give Massages at Hearth Place Ski Day

Cancer Rehab/LifeMark clinic give massages at Hearth Place Ski Day 

Ask anyone who attended the 19th annual Hearth Place Ski and Spa Day what they remember most about this year's event, and you'd probably get a variety of answers from the spectacular views, to the great après ski, to the massages offered at the bottom of the hill!

"Many of the skiers were pleasantly surprised when they saw our massage chair set up near the slopes", said Devin Dawson, Registered Massage Therapist from LifeMark Physiotherapy Cambridge Clinic, who donated his massage talents to help restore skiers between runs or after they had finished their runs. "We had a chance to get to know some of the participants as well as chat with them about our cancer rehab program, our support of Hearth Place as well as our variety of other physiotherapy and massage therapy programs."

LifeMark Oshawa and Whitby Clinics Join Hearth Place Fundraisers as Breakfast Sponsor

Krista McIntyre, Clinic Director and Physiotherapist at LifeMark Physiotherapy Whitby, attended the Ski and Spa Day and reported that the fundraiser was an overwhelming success. "Our Oshawa and Whitby clinics donated $300 as a Breakfast Sponsor for the event.We also donated a basket of health and wellness items as a 'gift in kind', consisting of an exercise ball, a gift certificate for a 30-minute massage, exercise band, pens and a calendar." Participants also paid $10 for 10 minute massages by our volunteer massage therapist, Devin Dawson, RMT from LifeMark Physiotherapy Cambridge, with all funds for massages being donated directly to Hearth Place. In total, the net fundraising for Hearth Place from this one day event amounted to $8,200.

Check out these photos of this year's Hearth Place Ski and Spa Day!

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

Limited Joint Mobility Can Be Improved With Cancer Rehabilitation

Celeste Petrusevski, Registered Physiotherapist at LifeMark Physiotherapy on Bay, guides a patient in range of motion exercises

Joint Stiffness and Reduced Range of Motion Can Happen Months or Even Years After Patients Have Already Completed Their Cancer Treatments

One of the impacts of cancer treatment sometimes experienced by patients after cancer treatment is limited range of motion, or the reduced ability to easily move their limbs from particular joints. This reduced ability to move occurs due to joint stiffness, pain, swelling, or muscle aches. These are among the less recognized problems that can occur after chemotherapy, radiation, hormone therapy or biotherapy treatments. Sometimes side effects of cancer treatment can arise months or even years after the treatment has already ended. Cancer rehabilitation specializes in assisting patients to recover from those side effects and improve their quality of life.

Cancer physiotherapy can help improve limited range of motion through specialized exercise techniques called "range of motion" exercises. These exercises, which are done very gently, are designed to move the stiff joints through to their full range of movement. When working with a cancer rehab physiotherapist, a patient will be prescribed range of motion exercises that are required to be done daily in prescribed repetition according to their individualized treatment plan.

"Many patients will experience loss of mobility and strength following cancer treatment and/or surgery", says Celeste Petrusevski, a Registered Physiotherapist at LifeMark Physio on Bay. "This can greatly affect daily activities and lead to pain and weakness over time. As Physiotherapists we work closely with our patients to guide them through specific exercises that are prescribed on a daily basis and completed at home or in the clinic. These client specific exercise programs will work to restore full mobility to the joint in a safe and effective way. Clients can then return to work, activities and hobbies pain free. Having a health professional such as a Physiotherapist address and improve the functional limitations associated with cancer treatment is an integral part of a full recovery."

Every joint has its own normal range of motion, and when joints are functioning properly it is possible to move around freely and perform regular activities without pain. Early rehabilitation can often prevent problems such as joint stiffness from developing, so please don't wait - it is best to seek treatment in the early stages.

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

Urban Poling Improves Quality of Life for Cancer Patients

Urban Poling is a growing wellness trend that combines specialized poles with walking

Urban Poling Help Survivors Recover from Cancer and Cancer Treatment

Walking poles are an excellent choice for people recovering from cancer and the cancer treatments they have received. The poles improve your balance and posture while walking. They allow you to walk further with less fear of falling and less stress on your joints. By using your upper body as well as your lower body, you will burn more calories which will assist you in weight loss. The swinging motion of your arms is particularly good exercise for the mobility of your shoulders. Shoulder restriction is so often a problem for breast cancer patients who have had surgery or radiation in the area.

Proven Benefits of Walking Poles

Evidence based studies have indicated the effectiveness of walking poles on shoulder function in breast cancer survivors. Other proven beneficial effects are:

• Self-esteem

  

  Anne Edgell-Kennedy, Clinic Director of
  LifeMark/Centric Health in Fonthill ON
  instructs a patient in proper use of urban poling

• Social interaction
• Improvement in pain management
• Anxiety
• Depression
• Quality of life
• Functional independence
• Core strength
• Upper extremity mobility and strength
• Muscular endurance
• Posture, stability and balance
• Exercise tolerance
• Personal exertion limits

Ensure Proper Height of Poles

It is important that the poles are the right height for you. Stand up straight with your elbows at your sides and bend them to 90 degrees (an "L" shape) and then adjust your poles so you are holding the handles while your arms stay in this position. A physiotherapist can help get you properly fitted and help you with your poling technique. It can take some practice to feel comfortable using the poles.

More Resources on Urban Poling

Read about the Health Benefits of Nordic Walking.

To see how Urban Poling works in action, check out our video.

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

Calgary Volunteers Raise Awareness for Cancer at Run for the Cure

by Barb Morrison, Clinical Director, Max Bell Physiotherapy

Run for the Cure Shows Spirit of the Calgary Community

This year, Calgary's Mayor Naheed Nenshi sent out a message to Calgarians about volunteerism. Whether it is bringing this city back to life after the floods or supporting events such as the Run for the Cure, volunteers make it happen. "This is Calgary, folks," he said. "This is the spirit of the Calgary community."

Centric Health's Calgary Region Provide CIBC Run for the Cure Team and Massages to Participants

On October 6, 2013, Centric Health's Calgary Region once again gave back to the community by providing a CIBC Run for the Cure team. For the eighth year in a row, employees provided massages to the participants as well as entered a team that walked or jogged the five kilometre route.

Clinical Director Barb Morrison gets a 'selfie' with Calgary Mayor Nenshi

As Physiotherapists, Chiropractors, Kinesiologists and Massage Therapists, we are fortunate to have a skill set that allows us to provide this service to our community. More than 7,780 registered runners and about 1,000 volunteers took part in this year's CIBC Run for the Cure, which raised more than $1.3 million in Calgary alone. At the start of the race, I took a moment to get a 'selfie' with Mayor Nenshi.

We all have very busy lives and we may question whether we have the time to volunteer, but having the opportunity to participate in events such as Run for the Cure is very rewarding. At the end of the event, a woman in a pink 'Survivor' shirt came over and gave me a hug. She said "Thank you for what you... I am still here because of people like you who volunteer to raise awareness about the impact of cancer."

A huge thank you goes out to all of the Centric Health employees and family members who participated. Every year Centric Health has a strong presence at this event and we are recognized as a key player in the Calgary Run for the Cure.

See you next year!

Barb Morrison
Clinical Director, Max Bell Physiotherapy

What Causes Lymphedema?

Lymphedema is Experienced as a Side Effect of Cancer Treatment by Many Cancer Survivors

Anything that damages lymph nodes or vessels can cause lymphedema.

As a side effect experienced by many cancer survivors who have undergone cancer treatment, secondary lymphedema can be caused by surgery, sentinel node biopsy, radiation therapy, or infection. Primary lymphedema is genetic in nature and is caused by problems in the lymph system from birth.

According to the Canadian Lymphedema Framework, which was put together in 2009 to construct a national strategy on lymphedema, it is an "under-recognized and undertreated condition that affects many cancer survivors." They identified some of the reasons for this as being:

• Lack of awareness among medical professionals about the condition
• Insufficient education about the lymphatic system
• Limited access to lymphedema treatment
• Lack of research

Since the lymphatic system can spread cancer through the body, sometimes the cancerous lymph nodes are removed as part of cancer treatment. And in radiation therapy, while the cancerous cells in lymph nodes or vessels become destroyed, the vessels and nodes can become damaged. It is important to recognize this damage to the lymphatic system and work to minimize the impact through careful monitoring, early intervention and good management of the subsequent swelling that may result.

Early Physiotherapy Intervention Can Be Effective in Prevention of Lymphedema Following Breast Cancer Surgery

There is evidence to suggest that early physiotherapy intervention could be effective in the prevention of secondary lymphedema in women following surgery for breast cancer. Judy Boivin, a physiotherapist working with all types of cancer patients states "We are monitoring cancer patients closely for lymphedema throughout the first year following treatment, at the same time as we are ensuring full range of motion of the limbs and providing education regarding regular exercise and skin care." It is important to minimize the risk factors and identify lymphedema in the early stages.

So although the damage of the lymph system from cancer treatment may be inevitable, there is a great deal that can be done to minimize the impact. Consulting with a cancer rehab professional in the early stages following cancer treatment is recommended.

For related information, read Lymphedema - Canadian Strategy for Management, and our post on What is Lymphedema?

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

November is Lung Cancer Awareness Month

Public opinion is turning a blind eye to lung cancer patients' need for support

Lung Cancer Awareness Month Signals the Need for Greater Public Awareness

In a first-ever public opinion poll on Canadians' understanding of lung cancer, Lung Cancer Canada found that while over half of respondents knew of someone with the devastating disease, very few knew that more women die of lung cancer than breast cancer in Canada every year - and the five-year survival rate for lung cancer patients has remained only 15% for years. As reported in Lung Cancer Canada's Spring 2013 newsletter, "The fact that most Canadians are unconcerned about a disease that accounts for over a quarter of all cancer deaths in this country only reinforces how much work we have to do," said Dr. Natasha Leighl, President of Lung Cancer Canada and a medical oncologist at Princess Margaret Hospital in Toronto. "Ignoring this dreadful disease won't make it go away."

Public Opinion Turning a Blind Eye to Lung Cancer Patients' Need for Support

Fundraising for lung cancer research and assistance for lung cancer patients have both been compromised by the public's association of lung cancer with smoking. This has caused public opinion to turn a blind eye to patients' need for support. Additional support for lung cancer patients could include greater public understanding of the disease, more dollars raised to help fight it, and increased awareness of the benefits of cancer rehabilitation to help patients recover from the side effects of cancer treatment.

Cancer Rehabilitation Can Help Manage Treatment Side Effects for Lung Cancer Patients

Greater public awareness of lung cancer can also encourage lung cancer patients to seek cancer rehabilitation, which may help reduce anxiety and overcome feelings of shortness of breath, whether they have survived the disease or are in palliative care. Some other concerns experienced by lung cancer patients are difficulty breathing, pain, fatigue, and post-surgical mobility restrictions. Many of these conditions can be improved with interventions from a rehabilitation professional with specialized training, such as a physiotherapist, occupational therapist or massage therapist. People who have had cancer treatments are often not receiving cancer therapy or rehabilitation service despite the growing scientific evidence that it is very beneficial in obtaining optimal recovery.

To find out more about lung cancer, visit Lung Cancer Canada.

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

Physician Information When Referring Patients to Cancer Rehab

How can I convince my cancer patients of the therapeutic value of exercise?

How Can I Convince My Cancer Patients of the Therapeutic Value of Exercise?

Although exercise for cancer patients is strongly supported in studies, surprisingly few patients realize that physical activity can actually improve their survival outcomes and reduce their odds of reoccurrence, especially for colorectal and breast cancer patients. This is documented by Barbaric et al in Effects of Physical Activity of Cancer Survival: A Systematic Review. Physiotherapy Canada. 2012: 62:25-34.

When Should Patients be Referred for Cancer Rehabilitation?

The Cancer Rehab Canada program is appropriate for those who have completed their cancer treatments and are medically stable. Early referral to rehabilitation allows us to recognize and treat cancer-related physical impairments before they negatively impact daily function and increase emotional distress. Candidates must be willing to actively participate in their rehabilitation process.

Why Cancer Rehabilitation?

The goal of Cancer Rehab Canada is to optimize your patient’s functional abilities, enabling them to gradually return to work in a safe and timely manner in a capacity suitable to their abilities.

Cancer rehabilitation is strongly supported in the research for all types of cancer diagnosis and at all stages of survivorship. As stated in Advances in Survivorship Care: Resources, Lessons Learned and Promising Practices. Canadian Partnership Against Cancer, good survivorship care includes a plan to help patients achieve their optimal level of function.

What Types of Cancer Impairment Can Rehab Help?

Functional impairments that benefit from rehabilitation include:

• Cancer Related Fatigue
• Pain
• Chemo Brain
• Radiation Fibrosis Syndrome
• Scar Tissue Management
• Lymphedema
• Frozen Shoulder & other movement restrictions
• Axillary Web Syndrome
• Chemo Induced Peripheral Neuropathy

What Safety Measures Are Followed by Cancer Rehab Canada?

We monitor for potential problems such as bony metastasis, cardiac autonomic insufficiency, balance issues, fever, and fluctuating blood lab values indicating problems such as anemia or neutropenia. We will be reporting any medical red flags to you immediately and asking for your assistance in directing the appropriate medical follow up.  Cancer patients should be carefully screened for impairments prior to participating in community or group exercise, in order to address their individual needs, as outlined in Patient Safety in Cancer Rehabilitation. Physical medicine and rehabilitation clinics of North America. 2012:23(2): 441-56 by Cristian et al.

Principles of the Cancer Rehabilitation Program

 Client-centered, active rehabilitation and empowerment are the principles of the program that is now offered at over 60 LifeMark/Centric Health clinics.

Client Centered – individualized, evidence based care provided in your community

Active – increasing your physical activity will have the biggest impact on your recovery

Rehabilitation – includes a multi-disciplinary team of rehab professionals

Empowerment – providing you with the tools you need to regain control of your life

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

Ontario
British Columbia

Alberta

Saskatchewan & Manitoba

Nova Scotia

What is Lymphedema?

Lymphedema Experienced as a Side Effect by Many Breast Cancer Survivors

Lymphedema is a protein rich swelling caused by a defect or blockage in the lymphatic system. It is seen as a side effect experienced by many breast cancer survivors who have undergone cancer treatment. Lymphedema presents with a feeling of heaviness or achiness of the affected limb because of the accumulation of lymphatic fluid within the lymphatic vessels and affected lymph nodes. The reason lymphedema is so dangerous is the risk of developing infection in the affected limb. Areas affected by lymphedema are prone to infection, since bacteria can grow easily in protein-rich lymphatic fluids.

Laurel Osborne, RMT performs lymphatic drainage at LifeMark Physio on Bay

"Best Kept Secret in the World of Cancer"

Even though its dangers are widely acknowledged within the medical and clinical communities, lymphedema is still not an everyday term. According to the Lymphedema Chronicles, lymphedema is the best kept secret in the world of cancer. "Many women do not even hear the word lymphedema nor receive any instructions for precautions to lessen their risks of developing lymphedema. Additionally, for the women who do develop lymphedema, they are hard pressed to find information let alone where to find treatment," cites author Carol Enters.

At LifeMark Health/Cancer Rehab Canada, we urge early rehabilitation treatment for cancer patients and cancer survivors to lower their risk of developing lymphedema. It is vitally important to manage signs and symptoms early, and through physiotherapy exercise, manual lymph drainage, bandaging and other education and techniques, lymphedema can be effectively managed.

Lymphedema is Manageable With The Proper Treatment

"Lymphedema is a manageable condition. With the proper treatment measures and ongoing home care, lymphedema can be reduced and maintained so that swelling remains minimal", says Laurel Osborne, RMT at LifeMark Physiotherapy on Bay.

As an integral part of the immune system, the lymphatic system fights infection and removes toxins from body tissues.

Lymphedema can happen when lymph vessels are damaged and damaged lymph nodes cannot handle the lymph fluid. If lymph nodes aren't functioning properly, the vessels can no longer stretch and they become enlarged, causing pressure on the lymph vessels. When this goes on for a long time, the vessels can no longer carry lymph fluid, so the lymph collects in nearby tissue.


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

Standing Room Only For Cancer Rehab Training

Increased Demand from Patients Prompts Clinicians to Seek Out Cancer Rehab Training

"Tell me and I forget, teach me and I may remember, involve me and I learn." - Benjamin Franklin

12 physiotherapists, 5 occupational therapists, 7 kinesiologists and 1 massage therapist take cancer rehab training

As a final taste of summer was sweeping across most of the country, 25 professionals from LifeMark/Centric Health came together at LifeMark Meadowvale during the last weekend in September. The purpose of the gathering was a one-day introductory course on Cancer Rehabilitation. "Many of the clinicians have recognized the lack of specialized cancer rehab services as well as the increased demand from patients, so they are eager to learn how they can improve their knowledge and rehab skills for cancer patients," said Judy Boivin, Clinical Practice Lead for Cancer Rehab Canada.

This is the third time Cancer Rehab Canada has offered the course in Ontario since March 2013, and it has been fully registered each time, with some participants being put on a waiting list.

The group consisted of 12 physiotherapists, 5 occupational therapists, 7 kinesiologists and one massage therapist.

Taught by Judy Boivin and Swapnil Rege, both registered physiotherapists, the session's content included:

• Pathophysiology of cancer
• Cancer treatments such as chemotherapy and radiation
• Side effects experienced by cancer survivors
• Rehab techniques that have been proven to be beneficial in treating these side effects
• The importance of safety considerations when working with cancer patients
• Latest research confirming the need for cancer rehab

Cancer Rehab Services - Transitioning from Illness to Wellness

Special emphasis was made on the provision of rehab services for all cancer patients to help them resume their normal lives as quickly and fully as possible. So many people need help in the "survivorship phase" transitioning from illness to wellness.

The hands-on educational session was hosted by LifeMark Meadowvale, and participants traveled from as far away as Windsor and Ottawa to be involved in the training.

LifeMark/Cancer Rehab Canada now has 30 clinics able to offer this standardized cancer rehab program in their own communities across Ontario.

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

Minimizing the Effects of Breast Cancer Through Cancer Rehab

Getting Back to Living - Not Just Surviving - After Breast Cancer

Even after surviving breast cancer, many patients find that although the treatment has ended, the cancer experience has not. The impact of cancer treatment and surgeries on psychological, emotional and physical well-being affects individuals in many ways causing problems such as:

• Pain
• Fatigue
• Decreased strength and mobility in shoulders
• Muscle aches
• Tingling in hands and feet
• Lymphedema

Cancer Rehabilitation Helps Minimize the Side Effects

The risk of developing lymphedema, or swelling in the arm, can be minimized through early cancer rehab treatment. A specially trained Physiotherapist can help to minimize the risk of developing lymphedema through exercise and education. It is vitality important to manage signs and symptoms early. Manual lymph drainage, provided by a certified therapist, has also been shown to effectively treat lymphedema and should even be considered proactively to prevent it in the first place.

Patient receives acupuncture after undergoing cancer treatment

Other benefits of cancer rehabilitation include exercise prescriptions to reduce the pain and fatigue that may be a result of the radiation or surgery that breast cancer patients have received.   Massage therapy, acupuncture and TENS can be used successfully to manage pain and parathesia, in addition to reducing stress. By seeking rehabilitation early, the research has shown we can prevent complications from occurring down the road, such as shoulder tendonitis or frozen shoulder. 

Restoring breast cancer survivors' previous level of function is a primary goal of cancer rehabilitation, and each client will have a tailored treatment plan to meet their individual goals.

Breast Cancer Affects 1 in 9 Canadian Women

Breast cancer survivors can minimize the risk of developing lymphedema through cancer rehabilitation

According to the Canadian Breast Cancer Foundation, breast cancer affects 1 in 9 Canadian women in their lifetime, and it is estimated that in 2013 23,800 Canadian women will be diagnosed with breast cancer. Non-modifiable risk factors are listed as gender and age, personal & family cancer history and genetics, early menstruation and late menopause, breast density and breast conditions. Lifestyle choices included in the list of modifiable risk factors are smoking, body weight, physical activity, alcohol use, exposure to hormones (the Pill, in vitro fertilization, and hormone replacement therapy), among others. 

If you are a breast cancer survivor or a friend or family member of a breast cancer survivor, please visit one of our 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.

Physiotherapy Can Help Childhood Cancer Patients Regain Quality of Life

Physiotherapy can help childhood cancer patients regain quality of life

Cancer Rehabilitation Can Help Childhood Cancer Survivors

It is important to recognize the role rehabilitation can play in helping childhood cancer survivors overcome the damage to their growing bodies from cancer treatments. Although childhood cancer survival rates have improved from 71% to 82% over the last 30 years, the impact of long-term effects of treatment can also be lessened through cancer rehabilitation.

Adverse Effects Related to Childhood Cancer Treatment Experienced Later in Life

There are currently 10,000 children living with cancer in Canada. As documented in the publication Cancer in Children in Canada, about 800 new cases of childhood cancer are diagnosed in Canada every year, with treatment consisting of a combination of chemotherapy, radiotherapy, and surgery. The report states that "approximately two-thirds of survivors experience adverse effects related to treatment later in life known as late effects."

Greater Awareness of Physiotherapy Needed for Childhood Cancer Survivors

Because cancer treatments have such negative effects on growing organ systems, childhood cancer survivors often develop chronic conditions that lead to being less active later in life. Rehabilitation techniques such as physiotherapy, chiropractic and occupational therapy can help to address the neurological, musculoskeletal and cardiovascular "late effects" in childhood cancer survivors. Cancer rehab can help cancer survivors get back to normal. The goals of physiotherapy are to develop, restore or maintain normal function as much as possible, teach ways of coping when normal movement cannot be restored, and adapt survivors' environments so that movement can occur as much as possible.

In a study Physical Therapy and Chiropractic Use Among Childhood Cancer Survivors with Chronic Disease: Impact on Health-Related Quality of Life, it was reported that long-term childhood cancer survivors do not seem to make use of rehabilitation services to increase physical function. This could be changed through greater awareness of cancer rehabilitation. The potential for active rehabilitation to restore movement so that childhood cancer survivors can participate more fully in daily life is still largely unrealized.

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

Cancer Patients Need a Plan to Help Them Get Back to Work

Cancer patients need a plan to help them get back to work

If you have completed cancer treatment and want to improve your abilities so you can return to work and leisure activities, you are a candidate for the Cancer Rehab Canada program. Here are a few things that you can expect on your first visit:

An Assessment Allows Your Rehab Team to Make a Treatment Plan

You will be assessed by a physiotherapist and/or occupational therapist on your first visit. Your functional status may also be assessed by a kinesiologist, testing for your ability to do things such as lifting, walking, squatting etc. From this information, together with your input, the rehab team will make recommendations and prepare an individualized treatment plan based on your needs.

What a Typical Treatment Program Can Involve

Your treatment sessions will likely vary in length, and your therapist will advise you of this after the first visit. Often sessions become longer as you are able to tolerate more exercise/work conditioning. Although treatment varies for each individual based on their goals, some of the more common type of treatment for cancer rehab may include:

• Exercise
• Work Conditioning
• Manual Therapy
• Cognitive Behavioural Therapy
• Lymphedema Management
• Acupuncture
• Education & Coping Strategies
• Techniques to Reduce Dizziness or Vertigo
• Pelvic Floor Treatment

What You Should Bring to Your First Appointment

We recommend that you dress in comfortable clothing that you can easily move around in, and bring running shoes and a water bottle if possible. Since some clients feel more comfortable using their own mats, so you can also bring your own “yoga” mat if desired.

Principles of the Cancer Rehabilitation Program

Client-centered, active rehabilitation and empowerment are the guiding principles of the program that is now offered at 24 LifeMark/Centric Health clinics.

Client Centered – individualized, evidence based care provided in your community

Active – increasing your physical activity will have the biggest impact on your recovery

Rehabilitation – includes a multi-disciplinary team of rehab professionals

Empowerment – providing you with the tools you need to regain control of your life

Contact us for more information at judy.boivin@lifemark.cajudy.boivin@lifemark.ca.