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Cancer: staying active and connected through treatment

Reviewed by Dr Namrata Bagaria, MBBS, MPH (Harvard)Last reviewed

5-step guide

Movement and company during and after treatment for breast or other cancers. About living alongside treatment, not about the treatment itself.

Step by step

  1. Step 1: Ask your team what is right for you

    This is the first step because it has to be. What is safe depends entirely on your treatment, your blood counts, any surgery and your own recovery, and only your oncology team can tell you. Ask them specifically what movement they recommend and what to avoid. Everything below assumes you have had that conversation.

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  2. Step 2: Move gently, even when tired

    The instinct during treatment is to rest completely, and complete rest tends to deepen fatigue rather than relieve it. Gentle activity, within what your team has agreed, usually helps energy, appetite, sleep and mood. Little and often, stopping well before exhaustion, and nothing on the days your body says no.

    Learn more: Movement as a community habit
  3. Step 3: Hold on to muscle where you can

    Treatment and inactivity both cost muscle, and muscle is what carries you through recovery and back into ordinary life. Gentle, light resistance work, if your team agrees it is safe, protects more than strength: it protects independence. After surgery involving the arm or chest, follow the specific exercises your physiotherapist gives you rather than general advice.

    Learn more: Chair dance for bone and muscle
  4. Step 4: Do not disappear from company

    People often withdraw during treatment, from tiredness, from appearance, from not wanting to be the ill one in the room. Company helps, and a group where nothing is expected of you is easier than seeing people one at a time. Turning up occasionally and sitting out most of it is entirely fine.

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  5. Step 5: Look after mood and sleep too

    Anxiety, low mood and broken sleep are common alongside treatment and are worth raising rather than enduring, both with your team and with your own doctor. Ask what support is available: many cancer services have counselling and support groups, and using them is sensible rather than self-indulgent. Nothing on this page is medical advice or guidance on treatment.

    Learn more: Sleep & recovery

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Sources

The guidance on this page draws on the following.

  1. Fatigue and cancer treatment(opens in a new tab)

    National Cancer Institute · 2023

    Supports: Cancer-related fatigue and the place of gentle activity in managing it.

  2. Physical activity(opens in a new tab)

    World Health Organization · 2024

    Supports: That activity is recommended for adults living with chronic conditions.