Surgical Oncology

A new patient sits in a comfortable recliner receiving her first chemotherapy treatment for breast cancer. Like all patients she is curious and a bit confused about the oncology massage program and says, “I thought that I couldn’t have a massage because of the cancer treatment.” This is a perfect opportunity to educate this patient about the benefits of oncology massage.

Massage Therapists training varies from state to state, many states have adopted the certification program of The National Certification Board for Therapeutic Massage & Bodywork. The entry-level training at massage schools does not include oncology massage. This training is essential when working with cancer survivors. Why? Chemotherapy, radiation treatment, surgery, and hormonal therapy all have unique long and short-term side effects. Oncology Massage Therapists understand the physical and emotional side effects of treatment and are confident in adapting a massage that fits each survivors’ needs. Cancer treatment necessitates massage changes that include site restrictions (staying away from ports, drains, and surgical incisions), pressure restrictions (no deep pressure), positional adaptations and the proper time to schedule a massage appointment during your chemotherapy schedule, so not to over tax you body during treatment. An Oncology Massage Therapist’s goal is to decrease anxiety with a comfort oriented massage, help with neuropathy (pain in hands and feet) brought on by chemotherapy, and teach relaxation techniques. Recent research has shown that massage helps with the side effects of treatment; situational anxiety, insomnia, and pain. The American Cancer Society, Oncology Nursing Society and National Institute of Health all endorse massage, but emphasize “when done by qualified Massage Therapist.”

Any patient that has a history of regular massages hopes to continue massage during cancer treatment. The confusing, muddle of information that is heard from friends, and even healthcare professions, “massage is good, no massage during treatment,” would confuse anyone. Patients need clear and concise information and this is part of the job of an Oncology Massage Therapist, we recognize short and long term side effects of cancer treatment and regularly adjust a massage for our clients.

“I didn’t know a simple massage was so involved,” the new patient says. “What about lymph edema, I am so afraid of getting that, more than the treatment itself. I have heard so many horror stories and I warned about anyone touching my arm.”

Education is vital to reduce the risks of lymphedema. Nurses routinely educate their patients about avoiding blood pressure or needle stick on the arm that had nodes removed to prevent lymph edema. Lymph edema is a lifetime risk. Massage Therapist can also help their clients understand the risk and prevention of lymphedema and how massage done incorrectly can cause lymph edema.

When looking for a Massage Therapist during or after cancer treatment always remember to ask:

1. I have had nodes removed; do you know how to safely massage my arm?

2. I am in cancer treatment; do you have special training in oncology massage?

3. I have lymph edema; do you know how to give me a safe massage?

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