The role of physical therapy in the rehabilitation of patients with mastectomy and breast reconstruction.

Women faced with breast cancer may develop musculoskeletal impairments following mastectomy and breast reconstruction. The purpose of this review is to highlight physical therapy considerations with these surgeries. Our experience at a large medical center is described, and suggested exercise guidelines are provided. Close communication between physician and physical therapist is emphasized. Physical therapists facilitate patient education, skillfully evaluate and treat musculoskeletal dysfunctions, and provide individualized patient exercise prescriptions. Physical therapists also serve as valuable members of a multidisciplinary breast cancer team.