Clinical Services & Survivor Topics

Clinical Services

Each woman with breast cancer has unique survivorship needs and deserves an individualized rehabilitation plan. At TurningPoint, women are provided with a comprehensive plan to address these needs. Specialized rehabilitation can:

  • Restore arm strength and motion
  • Decrease pain and stiffness
  • Restore energy and endurance
  • Decrease arm swelling
  • Enhance mood and coping skills
  • Improve nutritional habits
  • Decrease the risk of recurrence through exercise, weight management and life style changes

All TurningPoint clinicians are licensed professionals who blend clinical excellence with compassion. Services include:

  1. Physical Therapy and Lymphedema Management
    Physical therapy includes hands-on stretching, manual therapy and exercise for joints and muscles that are stiff, painful and have lost range of motion after mastectomy, lumpectomy, radiation or reconstruction. Specific strengthening for the shoulder and core (abdominal and trunk muscles) can help women return to their usual functional level. Treatment is gentle and appropriate for each woman’s phase of recovery and treatment. Lymphedema (arm, hand or breast swelling) is a condition that affects up to 25% of women following breast cancer treatment. Our evidence-based management approach includes individualized education regarding risk reduction and early detection as well as baseline measurement of arm volume on our state-of-the-art perometer. Should lymphedema develop, TurningPoint clinicians work with patients to establish an effective management plan tailored to the individual’s life style. Treatment for lymphedema may include massage, compression and exercise to reduce or control swelling.
  2. Counseling
    Emotional support can be helpful to navigate difficult emotions that commonly arise with breast cancer, including coping with diagnosis, side effects, treatment decisions, survivorship, recurrence, or metastatic cancer. Many women feel overwhelmed and have challenges with sleep, fatigue, pain, anxiety, interpersonal relationships, body image, intimacy, and parenting. Counseling has been shown to promote stress management, enhance coping skills including mindfulness and relaxation, and reduce anxiety improving quality of life and day-to-day functioning. TurningPoint’s counselors are well educated about breast cancer and its effects on mental and emotional well-being. In addition to individual counseling sessions which are available on a short-term basis, two support groups, After the Storm for women up to 5 years out of treatment and Coffee and Conversation for women with advanced/metastatic cancer are available monthly to TurningPoint patients.
  3. Exercise
    Exercise is critical to wellness during and after the breast cancer journey and has been shown to decrease fatigue, increase quality of life, assist with weight control and reduce the risk of breast cancer recurrence. Individualized exercise programs are offered by our physical therapists to help our patients regain mobility and function and return to an active lifestyle.TurningPoint offers two group exercise programs each week, a Pilates class and a Stretch & Strengthen class. Both classes are taught by physical therapists who are certified instructors who understand the breast cancer journey and can adapt the class to individual women’s needs.
  4. Nutrition
    Sound nutrition has been found to boost the immune system, assist women in achieving ideal body weight and may reduce the side-effects of chemotherapy.
  5. Massage Therapy
    Massage reduces tension, stress, stiffness and soreness in chest, arms and torso, and decreases pain and swelling. It has also been shown to increase immune system function in women with breast cancer.

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