Cancer Rehabilitation in the Twin Cities
At OrthoRehab Specialists, our Cancer Rehabilitation program in the Twin Cities provides specialized, evidence-based care for people recovering from breast cancer treatment or other oncology interventions. We focus on restoring physical function, reducing swelling, alleviating pain, and empowering you to return to the activities you love with confidence.
Who Benefits from Our Program
Our team works closely with patients who have experienced:
- Breast surgery including lumpectomy, unilateral or bilateral mastectomy
- Lymph node dissection or sentinel node biopsy
- Radiation therapy to the chest wall or lymphatic regions
- Chemotherapy-related neuropathy, fatigue, and deconditioning
- Hormone therapy side effects such as joint stiffness and mood changes
- Surgery for other cancers requiring upper-body rehabilitation
Comprehensive Initial Evaluation
Your first visit includes a thorough assessment to create an individualized plan:
- Medical Record Review: We review surgery reports, radiation fields, chemotherapy schedules, and any cardiac or pulmonary concerns to ensure safe progression.
- Postural and Biomechanical Analysis: We screen for rounded shoulders, thoracic kyphosis, or pelvic tilt that may develop after treatment.
- Shoulder and Scapular Mobility Testing: Active and passive range of motion measurements identify restrictions and guide stretching routines.
- Lymphedema Risk Assessment: Circumferential limb measurements, skin texture evaluation, and patient education on early warning signs.
- Functional Movement Tests: Sit-to-stand, overhead reach, gait analysis, and balance screening to detect compensation patterns.
- Goal Setting: Collaborative establishment of short-term and long-term objectives, such as driving safely, lifting grandchildren, returning to work, or resuming sports.
Phased Treatment Approach
Phase 1: Acute Post-Surgical Care and Education
In the first four to six weeks after surgery or radiation, we emphasize:
- Gentle pain relief modalities including ice, heat packs, and TENS.
- Safe incision and drain care instruction to minimize infection risk.
- Early pendulum and assisted range-of-motion drills to prevent adhesive capsulitis.
- Introduction to diaphragmatic breathing and gentle lymphatic self-massage.
- Education on posture, ergonomics, and activity modification to protect healing tissues.
- Introduction to our manual therapy techniques for scar mobilization once cleared by your surgeon.
Phase 2: Restoring Mobility, Strength, and Function
As healing progresses, we shift focus to:
- Active assisted and active exercises for shoulder flexion, extension, and abduction.
- Progressive strengthening of rotator cuff and scapular stabilizers using light resistance bands or hand weights.
- Scar tissue mobilization and myofascial release to improve tissue glide.
- Targeted core and trunk stabilization exercises to support overall posture.
- Incorporation of functional tasks like lifting a water jug or reaching into a cabinet.
- Integration of functional movement screens to refine movement patterns and prevent re-injury.
Phase 3: Lymphedema Management and Risk Reduction
For patients at risk or experiencing early lymphedema, our certified therapists provide:
- Manual lymphatic drainage (MLD) techniques to encourage fluid movement.
- Compression garment fitting and education on wear schedules and garment care.
- Skin care protocols to reduce infection and irritation.
- Pneumatic compression pump options when clinically indicated.
- Exercises to promote lymph flow such as gentle deep breathing and scapular pumps.
- Lymphedema risk-reduction education for daily self-monitoring and early intervention.
Phase 4: Functional Integration and Wellness
Once core goals are reached, we transition to:
- Work-task simulation training to prepare for job demands such as typing, lifting, or standing for long periods.
- Balance and proprioception drills to reduce fall risk.
- Cardiovascular conditioning including treadmill walking, recumbent cycling, or water therapy.
- Introduction to Wellness Pilates for ongoing core stability, posture, and mind-body connection.
- Group wellness classes for social support and motivation.
- Referral to community fitness programs or survivor networks for lifelong healthy habits.
Individualized Home Exercise Program
To sustain gains, we provide a detailed home program, including:
- Daily pendulum and wall-climb stretches for shoulder mobility.
- Resistance-band rows and external rotations for scapular strength.
- Diaphragmatic breathing, trunk rotations, and gentle lymph pumps.
- Postural cues such as chin tucks and shoulder blade squeezes throughout the day.
- Printable exercise sheets and video links via our secure Patient Portal.
Multidisciplinary Collaboration
We partner closely with:
- Oncologists and Surgeons: Ongoing communication to align rehab with medical treatments and clearance.
- Nutritionists: Advice on anti-inflammatory diets, healthy weight management, and bone health.
- Psychologists and Counselors: Support for emotional well-being, stress management, and quality of life.
- Support Organizations: Resources like BreastCancer.org and the National Lymphedema Network.
Advanced Modalities and Technology
In addition to hands-on care, we utilize:
- Therapeutic ultrasound to enhance tissue healing.
- Low-level laser therapy for inflammation reduction.
- Neuromuscular electrical stimulation (NMES) for muscle re-education.
- Kinesio taping to support soft tissues and lymphatic flow.
- Biofeedback devices to improve posture and muscle activation.
Patient Education and Workshops
We offer regular seminars on:
- Lymphedema self-management and garment care.
- Nutrition for cancer survivors.
- Posture and ergonomic workstation setup.
- Stress reduction techniques such as guided relaxation and meditation.
- Fall prevention and home safety modifications.
Insurance, Scheduling, and Locations
We accept most major plans, including private, Medicare, Worker’s Comp, and auto. To verify your benefits:
- Call our billing office at 612-355-2254.
- Check your insurer’s member portal for PT coverage details.
- Bring your insurance card and any required referral to your first appointment.
Our clinics in Edina and Minneapolis offer early mornings, evenings, and weekend slots for your convenience.
Frequently Asked Questions
- Do I need a physician referral?
- No. Minnesota’s direct access law allows you to begin therapy for up to 90 days without a referral. Chronic conditions previously diagnosed by a doctor also do not require a new prescription.
- How long does rehab take?
- Most patients complete 8–12 weeks of therapy, though timelines vary based on individual goals, treatment tolerance, and healing rates.
- Is telehealth available?
- Yes. Virtual check-ins and guided home exercise sessions are offered through our secure Patient Portal.
- Can I join Pilates during rehab?
- Absolutely. Our Wellness Pilates instructors are Doctors of Physical Therapy who integrate clinical Pilates into your care once clinically appropriate.
Get Started on Your Recovery
If you are ready to begin your cancer rehabilitation journey, contact OrthoRehab Specialists today. Our compassionate team is here to support your physical and emotional well-being every step of the way.
