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Cancer Treatment Centers of America


What are mobility challenges?

For cancer patients, immobility is a lack of movement that may be caused by joint pain, muscle pain and stiffness, malnutrition, cancer metastases, medication, anxiety or depression. Immobility can also be a symptom of soft tissue sarcoma, a cancer that forms in the muscle, fat, blood vessels, nerves, tendons and the lining of joints. Immobility can lead to infections, including pneumonia, which the body may be too weak to fight. It may also increase the risk of blood clots. Remaining in one position for a long period of time puts extra pressure on the spine, which may cause back pain and other sources of debilitating discomfort. Depression is another common risk for bedridden patients who may be unable to care for themselves or maintain an active social life.

How likely are cancer patients to experience immobility?

A number of cancer patients experience physical impairments because of their disease and its treatment. American adults who have been diagnosed with cancer are more likely than those without cancer to request help with basic, daily living activities.

How can integrative care help?

By incorporating traditional and supportive therapies, integrative services can help address a number of the underlying causes of immobility. Integrative therapies work together to help patients get stronger, build their immunities and, for some, regain their mobility and quality of life.

Chiropractic Care

Chiropractic clinicians help patients manage musculo-skeletal issues with drug-free, non-surgical interventions, and they are often able to restore mobility using gentle techniques. Chiropractic adjustments can help increase mobility, flexibility, strength and function, as well as help improve the patient’s well-being. Chiropractic care may help alleviate muscle weakness caused by chemotherapy treatments. A chiropractor can also address posture weakness and improve muscular and skeletal issues to improve patients’ range of motion and overall strength.

Oncology Rehabilitation

Oncology rehabilitation uses individualized treatments, including massage, physical and occupational therapies, to help immobile patients get back on their feet. Oncology rehabilitation therapists design specific programs for each patient that may include range-of-motion training and light-resistance exercises, along with manual manipulation, especially if immobility is a byproduct of pain. These workouts aim to reduce muscle weakness and improve physical function, safety and well-being. Oncology rehabilitation therapists may also prescribe pre- and post-op strengthening exercises to help patients prepare their bodies for surgery.

Pain Management

The pain caused by cancer can be overwhelming and constant for some patients. If the patient has difficulty moving because of pain, pain management specialists may be able to help. These specialists may recommend over-the-counter or prescription medication, chosen to suit each patient and to reduce side effects. Other pain management techniques, such as implanted pain pumps and nerve-block therapies, may also be an option. The pain team can also help coordinate with rehabilitation services and other integrative therapies.