Observations on the impact of breast surgery from a breast cancer rehab practitioner in Evanston, IL
When people hear the term “lumpectomy,” it can sound deceptively simple, as if this is a minor procedure to “just remove the lump.” But for those who have experienced it, the reality is far more complex. A lumpectomy is major surgery and causes a physical and emotional toll deserved of recognition and support.
What Is a Lumpectomy (Partial Mastectomy)?
A lumpectomy involves removing the breast cancer tumor along with a margin of healthy tissue. In many cases, it’s accompanied by a sentinel lymph node biopsy, a procedure to identify and possibly remove the first lymph nodes to which cancer may spread.
Though surgery may be less extensive than a full mastectomy, a partial mastectomy still changes the landscape of the body and can significantly affect sensation, function, and daily life.
Why Language Matters
Calling this surgery a “lumpectomy” may unintentionally minimize the experience. The word suggests something small, even routine. But to the individual undergoing surgery, it’s anything but minor. From the physical changes to the side effects of follow-up treatments, the impact is real and lasting. Using language like “partial mastectomy” can help validate the seriousness of the surgery and the strength of those facing it.
Radiation Therapy: A Common Next Step
For many, radiation therapy follows a lumpectomy to destroy any remaining cancer cells. While it’s a critical part of treatment, radiation can come with side effects such as:
- Fatigue
- Skin changes and irritation
- Breast pain or swelling
- Tissue fibrosis (scarring) that affects mobility
These effects may not be immediate, and some may persist or appear months later, adding to the emotional and physical burden.
The Hidden Toll of Sentinel Lymph Node Biopsy
When people have lumpectomy, a second surgery is performed to determine the stage of the cancer and treatment options. This is called sentinel lymph node biopsy. Many people who I treat do not realize that this is a distinct second procedure. Even when only a few lymph nodes are removed, patients may experience:
- Pain and tightness in the shoulder, chest, or upper arm
- Paresthesias (numbness, tingling)
- Hypersensitivity to touch or pressure
- Reduced range of motion
- Low risk to develop lymphedema
These symptoms can interfere with everyday tasks such as getting dressed, lifting children, cooking, or simply reaching overhead.
Oncoplastic Surgery
Some people with whom I have worked are dissatisfied with the appearance of the breast after surgery. Fortunately, the outcome is not something they have to live with, as plastic surgeons offer options through oncoplastic surgery. A variety of options are available to improve the appearance of the breast and create symmetry between the two breasts.
Post-op recovery following oncoplastic surgery can be optimized by professional rehabilitative care.
Where Occupational Therapy Comes In
This is where an Occupational Therapist with CLT-LANA certification can make a profound difference.
An OT CLT-LANA can:
- Help restore mobility and strength through customized therapeutic exercises
- Manage pain and sensitivity using desensitization techniques and manual therapy
- Recommend supportive bras and clothing to support healing tissue.
- Instruct in individual risk factors and monitor for signs/symptoms of lymphedema.
- Treat or prevent lymphedema through specialized exercise programs, compression, and skin care education.
- Guide patients in adapting activities to regain independence in self-care, work, and hobbies.
- Provide emotional support and validation throughout recovery.
The goal is to help patients return to the life they love, whether that’s gardening, yoga, playing with grandchildren, caring for pets or simply putting on a bra without discomfort.
You’re Not Alone
A partial mastectomy is not “just a lumpectomy.” It’s a life-changing experience that deserves respect, support, and thoughtful care. By acknowledging the real impact of this surgery and advocating for skilled rehabilitation, we can ensure that survivors heal not just physically, but holistically.
If you or someone you love is preparing for or recovering from breast cancer surgery, consider including an OT CLT-LANA in your care team. Recovery isn’t just about surviving, it’s about confidence and thriving.
Healing is restoration. You deserve care that sees the whole you.
Need breast cancer rehab in Evanston, IL? Seeking post-op care? Click the link for my website and make an inquiry about occupational therapy services. Providing compassionate care for clients in the Chicago area and North Shore.
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