What is recommended to begin as early as day 1 post mastectomy?

Beginning early postoperative exercise after a mastectomy is essential for several reasons. Engaging in early exercise has been shown to enhance recovery, improve mobility, and reduce the risk of complications such as stiffness and lymphedema. Starting light exercises as soon as day one post-surgery allows patients to regain their range of motion and strength gradually without overwhelming their bodies.

Active movement helps maintain blood circulation, which can, in turn, promote healing and decrease the likelihood of venous thromboembolism, a risk after major surgeries. Additionally, gentle exercises can empower patients, providing a sense of control over their recovery process and helping to alleviate anxiety.

While manual therapy and stretching may have their benefits, they are typically considered components of a broader rehabilitation strategy and may not directly address the immediate need for movement post-surgery. Complete rest is not advisable, as immobilization can lead to additional complications, such as decreased flexibility and muscle atrophy. Thus, early postoperative exercise is the most beneficial approach beginning right after surgery.