Physiotherapy

Physiotherapy’s Role in Cancer Rehabilitation and Recovery

A plain-English guide to what Physiotherapy addresses during and after cancer treatment in Australia, including lymphoedema, range of movement, scar-tissue mobility, and rehabilitation alongside your oncology team.

Physiotherapy’s Role in Cancer Rehabilitation and Recovery

Cancer Treatment

When someone is undergoing cancer treatment, physiotherapy may not be the first healthcare field that comes to mind. Early cancer treatment is met with oncologists, radiologists, nurses, and surgeons. These healthcare practitioners are essential to the treatment and management of cancer. However, we should also consider the role of physiotherapy in cancer recovery.

Cancer treatment is an exhausting course, leaving many people fatigued, weak and with a compromised immune system. Just getting out of bed can be a huge and daunting task. This is where a physiotherapist comes in. Despite advances in medical treatments, individuals that receive cancer treatments typically experience extensive physical limitations during and after treatments, these limitations include and are not limited to cancer-related fatigue (CRF), pain, nerve damage, lymphedema, deconditioning as well as incontinence.

The Role Of Physiotherapy

There is strong evidence to support conservative management of these impairments through physiotherapy. As each individual experiences different impairments during and after cancer treatment, it is important to have an individualized evaluation to focus on rehabilitation. Physiotherapy can address common cancer-related impairments including lymphoedema, CRF, pain, peripheral neuropathy, deconditioning and genitourinary complications.

Physiotherapists in cancer care play a role in prevention, screening (red flags), management of cancer symptoms, proactive prevention/ management of acute, chronic and latent effects of cancer treatment (systemic therapies, surgery, radiation therapy).

Physiotherapists in palliative care work across all clinical areas – cancer care, neurology, renal, cardiology for instance. Physiotherapists assist with prevention and management of symptoms under a palliative model and do also play a role in a person’s end of life care.

Lymphoedema is usually associated with women post breast cancer surgery. However, lymphoedema can be primary or secondary and caused by a number of factors. Cancer treatment is just one. Injury/ trauma, congenital deficiencies, obesity, and infection are other causes. Lipoedema is also managed under this broader heading of lymphoedema.

The growing global population with cancer faces unique challenges from their disease and from the treatments they receive. Physiotherapists can make a unique contribution to helping them achieve health and a good quality of life. The prescribed exercises and lifestyle advice that physiotherapists provide can also help people reduce their risk of getting cancer.

The good news is that it is never too late to utilize rehabilitation services for cancer recovery. If you find that you are having trouble accomplishing daily tasks or functioning at your prior level of independence, seek out a rehabilitation expert and regain your vitality.

References:

Australian Physiotherapy Association (APA)

Alappattu Meryl et al. Clinical Characteristics of Patients with Cancer Referred for Outpatient Physical Therapy. Physical Therapy. April 2015 95 (4) 526-538.

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CLINICALLY REVIEWED BY

Kieran Doyle

APA Titled Musculoskeletal Physiotherapist APAM MACP
MMuscPhysio, GradCertMuscPhysio, MPhty, BAppSc(Ex&SpSc)

NATIONAL HEAD OF CLINICAL DEVELOPMENT (PHYSICAL REHABILITATION),
OPTIMUM HEALTH SOLUTIONS

With over 18 years of experience across Australia and the United Kingdom, Kieran is an APA Titled Musculoskeletal Physiotherapist, a qualification held by fewer than 1 in 10 physios, with a background spanning private practice, sports medicine, and complex neurological rehabilitation. He reviews all musculoskeletal content for clinical accuracy.

Kieran Doyle
Common questions

Frequently asked questions

No. Our Physiotherapists work alongside your Oncologist, surgical team, and other cancer-care professionals, and they do not diagnose or treat cancer. They support physical recovery across treatment and survivorship, working on range of movement, lymphoedema, scar-tissue mobility, neuropathy, deconditioning, and pain.
Physiotherapy can help with several common after-effects: reduced range of movement, scar-tissue tightness, lymphoedema, chemotherapy-induced peripheral neuropathy, balance changes, deconditioning, and pain. Australian and international evidence supports individualised rehabilitation as part of routine cancer care, and programs are shaped around the cancer type, the treatment, and your current function.
For most people, yes, with the right program. The Clinical Oncology Society of Australia recommends movement-based care as part of standard cancer care. Sessions during active treatment are usually gentle and short, and built around how you feel that day. The Physiotherapist coordinates with your oncology team where needed.
As early as the diagnosis allows. Screening for movement, swelling, and function before problems appear is increasingly part of best practice, particularly for breast cancer. Earlier involvement often allows smaller, more manageable steps, rather than waiting until restrictions are larger and harder to address.
No, you can refer yourself directly. A GP referral under a Medicare GP Chronic Condition Management Plan may allow rebated visits, depending on eligibility. NDIS participants can include Physiotherapy in their plan. Department of Veterans' Affairs cover, private health extras, and self-funded options are also available.
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