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What does Get Your Oomph Back include?

Blog post written by Carolyn Garritt, author of ‘Get Your Oomph Back – A Guide to Exercise after a Cancer Diagnosis’,  now officially launched.

 

There are many tools described in the book. Often the best starting point is simply to walk – outdoors if possible. Walking mindfully and seeking out nature (in an urban environment as well as the countryside) can feel really soothing and, as long as the walk is brisk, it can help to restore physical fitness as well as a sense of wellbeing.

If you’re not able to stay on your feet for long, then marching in a chair, and chair-based exercises in general, can elevate the heart rate more than many people imagine. You can get properly out of puff at home if that’s what you need to do, for now. There’s a chair-based cardio routine in the book.

In the book I also talk about Nordic walking – using poles – which I boldly describe as ‘perfect exercise’. It is very clever – it elevates the heart rate, gives the lungs space to work, improves the posture, protects the joints, strengthens the bones, supports the balance (pain and numbness in your feet is a common side effect of chemo). It helps reduce the risk of, and manage, a condition called lymphoedema, helps rebuild upper body strength and uses 95% of your body’s muscles.

And yet – perhaps most importantly – it feels really nice. The poles propel you along, so walking can feel more manageable. The fact that it’s outdoors, in nature, it’s low-cost and highly sociable, just seals the deal. Possibly my most used and useful type of activity.

Strength training

In the book there’s a lot of information about strength training – often overlooked, and definitely one aspect of exercise that folks are unsure about. Strength training – using weights, resistance bands or our own bodyweight – can help us to feel less tired after cancer treatment. Most people feel they lose some strength while they’re on the injury bench, and if we’re out of action for a while we can lose muscle mass.

Building (or rebuilding) stronger muscles is known to reduce our risks of cancer returning. It can also make everyday activities seem more manageable. Many of the people I’ve worked with (regardless of their age) have found that they can’t climb stairs as easily as they could before. There’s some specific information in the book about how to tackle stairs.

Do what you enjoy

One important theme throughout the book is that we should, I believe, do what we love when it comes to exercise. If you don’t love any type of exercise at all, there are some suggestions about how you might find acceptable, even likeable forms of activity. In my mind, nothing is out of the question – I’ve trained people to play croquet and to tackle ultra-marathons. And pretty much anything in between.

There’s definitely scope to get into, or return to, team sports, such as football, rugby and/or basketball, after a cancer diagnosis, and there are now organisations that run group-based activities specifically for people with a cancer diagnosis, such as the wonderful Active Ostomates.

Parkrun

In the book I also talk about parkrun which is, in my view, community, grassroots exercise at its very finest.

Running (slowly) is without doubt the exercise I love most. There’s a ‘couch to 5k’ running or walking programme that incorporates a monthly trip to parkrun.

Boxing

Boxing features too because it is a superb stress-buster. It helps sharpen our hand-eye coordination, which can be a bit foggy after treatment, and if done properly it works the whole body. (You don’t have to spar or hit actual people – I’m talking about using pads, mitts or a punchbag.) You do have to really think on your feet and stay light on your toes, yet it can be for anyone. My oldest trainee boxer is 84.

Combining boxing with using a skipping rope is one way to push ourselves and strengthen our hearts, lungs and bones as we go.

Yoga

Yoga, particularly restorative yoga, is another tool described. It’s important for people to find ways to relax (not easy, I know) and also to stay flexible as this can help deal with some of the aches and pains associated with taking cancer drugs.

Making time

Too much? I know that the idea of exercising can feel overwhelming. Fair enough. If you know you’re short of time or energy (or enthusiasm), then the book contains several cunning ways to incorporate movement into your daily routines. It can be as simple as getting off the bus a stop early and then walking, or taking the stairs rather than the lift. These actions can all add up to a more active day.

How am I doing?

And so, 18 months down the line, how am I doing? I know I’m not as fit as I was before, but I’m working on it and I’m doing my own strength training rather relying on what I do for a job to keep me strong. I’m less anxious about the cancer coming back, for sure. The drug I’m going to take for 5-10 years (tamoxifen) does make me tired and achy but I’m figuring out ways to minimise that.

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How to Get Your Oomph Back by Carolyn Garritt

Blog post written by Carolyn Garritt, author of ‘Get Your Oomph back – A Guide to Exercise after a Cancer Diagnosis’, launching on 25th November. Available for pre-sale now. 

At the start of the pandemic, I was working as a personal trainer specialising in exercise for people with cancer, a job I had adored for more than seven years. I was fit, and mostly worked outdoors, one-to-one or with groups. As the realities of coronavirus became clear I knew I wouldn’t be working much, but I imagined I’d use the time to update my website, do the bookkeeping, and finish that book (about exercise and cancer) that I’d been writing for, well, ages.

And then, three weeks into lockdown, I found a breast lump. Quite by accident, after I had been shadow boxing, holding weights, with a couple of clients online. I thought I had just inflamed one of my pectoral muscles.

I was wrong.

 

The diagnosis

Going through a cancer diagnosis felt odd, almost dreamlike. Doing it at a time of global crisis just made the whole thing even more surreal, and it felt incredibly strange to be facing decisions as a cancer patient after years of working with them. It was suddenly happening to me too.

I was very lucky as I already had a network of support through my work. I was also fortunate because I knew a great deal about the side effects that I might encounter, and I knew what I could do to promote my own recovery.

 

Why exercise is so important

Research has shown – convincingly – that being active after a cancer diagnosis is really, really helpful in aiding rehabilitation and in improving our outlook for the future. In fact, exercising after cancer can help reduce the risk of it coming back by between 30% and 40%. That’s huge, and it has often been said that if exercise was a pill, it would be prescribed to every patient. For those living with secondary or advanced cancer, exercise can help to slow down the cancer’s progression, again, just as drugs can.

More immediately though, exercise can help us to feel better. Clinical studies have shown that exercise can help combat most of the commonly experienced side effects of cancer treatment:

Fatigue – Anxiety and depression – Hot flushes and night sweats – Weight loss / weight gain – Pain and joint stiffness – Bone thinning – Lymphoedema

 

Exercise to improve treatment side effects

Cancer treatment can be completely debilitating, and the side effects often drag on for months. Research shows that 95% of people find that they experience fatigue. For those living with cancer, life can become cyclical, as you go through endless treatment cycles and experience the associated ups and downs.

There’s also the anxiety – will it come back? Did the treatment really work? Will my next scan be okay?

 

Why my new book?

The reason I started to write my book was because I found in my work that increasingly people knew, or had been advised, to try to be more active after a cancer diagnosis, but they were often unsure what to do. What would work, what was safest, and when, during their cancer ‘journey’, could they start? Get Your Oomph Back aims to answer these questions and more.

There is a solid and growing body of evidence to show that exercising can help alleviate some of the anxiety, tiredness, pain and body changes that frequently accompany cancer treatment. In many ways it made writing the book very easy as I could find loads of really helpful, robust knowledge to call upon.

 

I’m really pleased to say that my book is being published in November. I still haven’t caught up with the bookkeeping!