Breast Cancer Advocate (BCA) | Treatment Education, Advocacy, Reconstruction Options & Support for Women

Using Exercise As A Cancer Weapon

Who Knew Walking Could Be Such a Powerful Breast Cancer Ally?

Cancer Annihilating Workouts

Infographic that highlights the significance of exercise on breast cancer healing

How Does Exercise Affect Cancer Cells?

Exercise plays a significant role in both treating breast cancer and preventing a recurrence. Here are some key ways exercise helps:

Reduces Inflammation: Regular physical activity helps lower inflammation in the body, which is linked to breast cancer development.
Maintains Healthy Weight: Exercise helps control weight, reducing body fat. Female body fat has estrogen receptors. Being “over-fat” will stimulate estrogen + breast cancers.
Boosts Immune System: Physical activity strengthens the immune system, helping the body fight off breast cancer cells.
Regulates Hormones: Exercise helps eliminate xenohormones (EDCs) that contribute to breast cancer development.
Improves Mental Health: For breast cancer survivors, exercise reduces standard of care treatment side effects, improves mood, and enhances sleep and overall well-being.
Breast Cancer Cells: grow in low-oxygen environments (hypoxia). Being sedentary encourages this condition in your body. Exercise does just the opposite – it improves overall oxygen circulation in the body, which supports the immune system – -thereby creating a hostile environment for breast cancer cells.

I’ve never worked out before where do I start

Consult Your Doctor: Before beginning make sure you are cleared to walk. Rarely will your doctor say no to walking. Start here. A 30 minute walk every day.

Set Realistic Goals: Once cleared walk from your house as fast as you can that you can keep for 15 minutes. Then turn around and repeat until you get home – then you’re done!

Create a Schedule: Pick a time of day when other responsibilities and activities won’t interrupt your walk. Stay true to yourself with your walk.

Warm Up and Cool Down: this is easy with walking because you will naturally do both.

Stay Hydrated: Drink clean water before leaving the house and upon returning.

Eat Well: Eating the BCA way will fuel your body with nutritious foods and give you plenty of energy for your daily walk.

Listen to Your Body: Pay attention to how you feel during and after exercise. Increase your walking speed and incline as your body adapts to your walking routine.

Add in Additional Activities: Once you get into a routine of walking every day without fail, add in 15 minutes of Pilates 3 times a week. Find a Youtube video for beginners. When you get that into your weekly routine then look for another physical activity you really love. That’s your workout for life!

I just had surgery how do I exercise?

First follow your surgeon’s instructions to the letter for allowable activities. Then start with allowed activities slowly as if you are a beginner working out and pay attention to your body. If something hurts don’t do it. As your activity level is allowed by your surgeon and your energy increases work back up to your pre-surgery workout levels as quickly as you can, while still following your surgeon’s instructions. Use this process every time you have surgery, this will help you recovery much more quickly.

How to exercise in between surgeries

If you are having multiple surgeries, usually reconstruction surgeries 12 weeks apart, you will be on a rollercoaster of working out.It’s ok – just ramp back up as quickly as you can, following your surgeons instructions and paying attention to your body, to your pre-surgery workout and maintain that until your next surgery.BCA Recommends that you exercise the morning of surgery if you can. This helps to keep your body revved up during the downtime of the first few days when you tend to not be moving around too much.

Workouts During Successful Surveillance

Breast Cancer Surveillance is a life-long “new normal” part of life for any woman who has been diagnosed with breast cancer and completed her initial treatment, regardless of the stage. This is just a new fact of her life.

Continued consistent workouts will help you significantly to keep the upper-hand on the breast cancer that showed up in your body. As we said before Breast Cancer is relentless – you have to be more so. Everything you did to put it down you have to keep doing to keep it down.

Continued consistent workouts are an integral part of your continued successful surviving and thriving.

Strength Training

Building muscle enhances overall health by improving metabolism, hormone regulation, immune function, and inflammation control,  all of which are critical for breast cancer recovery and to help prevent recurrence. Combine a strength training workout with an aerobic exercise – walking, dancing or swimming for a full breast cancer annihilating workout!

For breast cancer patients, strength training specifically helps:

  • Reduce cancer: related fatigue and improve energy levels.
  • Preserve lean body mass: countering muscle-wasting effects of treatment.
  • Enhance treatment tolerance: by improving circulation and reducing side effects.
  • Lower recurrence risk: by regulating estrogen levels and reducing body fat.
  • Boosts immune response:  stimulating anti-cancer activity through muscle-derived molecules.
  • Even moderate resistance training: has been linked to better survival outcomes and quality of life in breast cancer patients!

Pilates

This is a low impact fitness method that strengthens muscles, especially core muscles. while improving posture, flexibility and body awareness. it combines controlled movements with breath work to build balanced strength and enhance mind-body connection.

BCA Pilates Routines

These workouts are tailored specifically for breast cancer recovery, focusing on rebuilding strength, improving mobility, and supporting lymphatic flow. These routines are mindful of post-surgical limitations, fatigue, and emotional well-being. Breast Cancer patients are encouraged to adapt these as  their healing progresses. 

Beginner Recovery Routine (Post-surgery, cleared by surgeon)

Focus: Gentle mobility, breathwork, and lymphatic support

  1. Diaphragmatic Breathing: 2 minutes (hands on ribs, inhale deeply)

  2. Shoulder Rolls: 10 slow reps forward, then 10 slow reps backwards

  3. Wall Angels: 8 reps (arms slide up/down wall)

  4. Pelvic Tilt: 10 reps (lying on back, gentle core activation)

  5. Bridge (Supported with a small pillow under the lower back): 8 reps, hold last for 5 seconds

  6. Seated Arm Circles: 10 reps each direction

       Tip: Focus on breath and ease of movement. Adaptation: Repeat for a a second set when able. Advance to next level as tolerated.

 
Intermediate Recovery Routine (6–12 weeks post-op or as cleared by surgeon)

Focus: Core strength, posture, and upper-body mobility

  1. Modified Hundred (knees bent, arms low): 30 seconds, lie on your back with knees bent and feet on the mat, arms reaching forward, and pump your arms gently while inhaling for 5 counts and exhaling for 5, repeating for up to 100 counts

  2. Wall Push-Ups: 8–10 reps

  3. Side-Lying Leg Lifts: 10 reps per side

  4. Spine Stretch Forward: 5 reps

  5. Resistance Band Rows (light band): 10 reps

  6. Cat-Cow Stretch: 6 slow reps

Tip: Get clearance from your surgeon for overhead movements if you’ve had lymph node removal or radiation.

 

Advanced Recovery Routine (3+ months post-treatment, with strength return)

Focus: Full-body strength, endurance, and confidence

  1. Roll-Up (with bent knees if needed): 8 reps, lie flat, extend arms overhead, then curl up  one vertebra at a time to reach toward your toes. It’s a fluid sit-up with a focus on precision and breath.

  2. Swimming (prone, alternate arms/legs): 30 seconds

  3. Side Plank (on knees):  10 seconds per side

  4. Push-Up (on knees or full): 6 reps

  5. Standing Arm Presses (light weights or band): 10 reps

  6. Mermaid Stretch: 3 reps per side, a seated side-bending movement that opens the torso and lengthens the spine

Tip: Listen to your body. Fatigue and range of motion may vary day to day.

Combine the above routines with 30-45 minutes of walking, slow, moderate or brisk for a full workout that will speed your healing!

Weight Lifting

Strength training is necessary for an optimal healing outcome. Take it slow and be consistent, making it a plan for life. Weight training can be done at home. Used weights from the thrift store work just fine! It’s annoying to have to start over if you are an experienced weight lifter but it’s very necessary for your healing. It will pickup fast once you hit the 8 week mark and you will be back to your normal routine quickly after that time frame if you are on a normal healing path. 

Beginner Workout (Weeks 1–6 post-clearance)

Focus: Gentle reactivation, posture, and lymphatic support

  • Wall Push-Ups:2 sets of 8

  • Seated Bicep Curls (1–2 lb weights): 2 sets of 10

  • Shoulder Shrugs:2 sets of 10

  • Standing March with Light Weights: 30 seconds

  • Pelvic Tilts (on mat): 10 reps

  • Breathing with Arm Raises: 5 slow reps

Tip: Prioritize breath and range of motion over weight. Avoid overhead lifts if lymph nodes were removed

 

Intermediate (6–12 weeks or as tolerated)

Focus: Strengthening major muscle groups, improving endurance

  • Incline Push-Ups (on bench or wall): 3 sets of 8

  • Overhead Press (light dumbbells, if cleared): 2 sets of 8

  • Resistance Band Rows: 2 sets of 10

  • Bodyweight Squats: 2 sets of 10

  • Side-Lying Leg Lifts: 10 reps per side

  • Standing Lateral Raises (light weights): 2 sets of 8

                   Tip: Use resistance bands for joint-friendly strength building. Monitor for swelling or fatigue

 
Advanced (3+ months post-treatment, with strength return)

Focus: Full-body strength, balance, and confidence

  • Dumbbell Deadlifts (light to moderate weight): 3 sets of 8

  • Push-Ups (on knees or full): 3 sets of 10

  • Bent-Over Rows: 3 sets of 8

  • Overhead Press (moderate weight): 3 sets of 8

  • Step-Ups with Dumbbells: 2 sets of 10 per leg

  • Plank Hold: 30 seconds

                       Tip: Focus on form and rest between sets. Progress slowly and celebrate every gain.

Kettlebells

This is a strength and conditioning routine using a cast-iron weight with a handle to perform dynamic, functional movements like swings, squats, and presses. It builds muscle, improves cardiovascular fitness, and enhances balance and coordination – all in one compact tool.

Adaption for Breast Cancer Recovery: Avoid weight over what your surgeon allows for your stage of recovery and avoid overhead movements until cleared by your surgeon. Once cleared by your surgeon this workout will fast-track you on to a great recovery! Move up to a heavier Kettlebell for a more challenging workout.

Beginner Kettlebell Recovery Routine (15–20 min)

Use a light kettlebell (2–8 lbs) or substitute with a small dumbbell.

  1. Kettlebell Deadlift (Hip Hinge): 2 sets of 8 Strengthens glutes and hamstrings while protecting the back.

    • Stand with feet hip-width apart, kettlebell between feet.

    • Hinge at hips, keep back flat, and lift kettlebell by standing tall.

  2. Seated Shoulder Press (If Cleared): 2 sets of 6–8 Improves shoulder mobility and strength.

    • Sit upright, press kettlebell overhead slowly, then lower with control.

    • Use one arm at a time; avoid if overhead motion causes discomfort.

  3. Kettlebell Halo (Around the Head): 2 sets of 5 each direction Mobilizes shoulders and upper back.

    • Hold kettlebell by the horns and slowly circle it around your head.

    • Keep elbows close and movement smooth.

  4. Goblet Squat (Holding Kettlebell at Chest): 2 sets of 8 Builds lower body strength and core stability.

    • Hold kettlebell at chest, squat down keeping chest lifted and knees aligned.

  5. March in Place with Kettlebell Hold: 30 seconds Improves balance and engages core.

    • Hold kettlebell at chest and gently march in place.

  6. Cool Down: Arm Circles + Deep Breathing: 1 minute Promotes lymphatic flow and relaxation.

 
 

Emotional Support is critical to your healing.  Even if everything goes smoothly with your treatment a cancer diagnosis is stressful. Reach out to your support network to help you emotionally on a regular basis. Use Duality to fill in the gaps!

References
  • Cleveland Clinic – Research shows t regular exercise before and after a breast cancer diagnosis minimizes recurrence risk by 25% & improves survival outcomes
  • National Cancer Institute (NCI) – Evidence that physical activity benefits cancer survivors, reducing inflammation, improving immune function, and lowering recurrence with better survival outcomes.
  • Breast Cancer Research Foundation (BCRF) – Research indicates that maintaining an active lifestyle post-diagnosis significantly  improves prognosis

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