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"Yes" to exercise for breast cancer survivors CMAJ 1998;159:1358 Donald McKenzie's article about dragon boat racing1 confirms my experience over the past 30 years in caring for patients who have undergone mastectomy [full text]. The generally accepted wisdom is that the affected arm should not be used in a normal manner and certainly should not be used for exercise. This advice is based on the suspicion that exercise will cause lymphangitis or inflammatory lesions. I have not found this to be the case. I advise patients to use the affected arm normally. However, I do suggest that the arm be protected from excessive ultraviolet radiation, insect bites and cat scratches. In addition, I caution against using the affected arm when blood samples are withdrawn for diagnostic purposes. It's always tempting for the expert to say "no" to a patient, but I am usually able to say "yes" to inquiries about normal activity and exercises.
Charles M. Godfrey, MD
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