Pat Killingsworth Pat Killingsworth

Exercise & Multiple Myeloma: (Part Six)

Welcome back from what I hope was a wonderful family holiday!  Time to get back to work.  What better way to get in the spirit of moving than the next column from our lifestyle and nutritional guru, Danny Parker… Exercise & Multiple Myeloma: (Part Six)

Don WrightDon Wright is on to something.

Don is a rightful myeloma poster boy these days. The guy is 72 years old and has had myeloma for ten years. Oh, and since his diagnosis he has run marathons in all fifty states!

http://myelomahope.blogspot.com/

Lately Don has had a run of ill fortune. His 100-year-old father recently died—a great personal sadness. And then on the very day of his father’s funeral, his son’s home was struck by lightning and burned to the ground. More tragedy.  Isn’t myeloma enough? Our hearts go out to Don. Yet, we all have our struggles. And so, Don keeps on trucking along. He eats well with judicious supplements and staying active. He is well-informed about his disease and treatment, but doesn’t dwell on that. What does he follow? As he says, “a celebration of life.” And when he is running, much of it is outdoors—that beautiful space where the ceiling is the sky of our lovely world. He even has a blog you can visit:

http://minnesotadon.blogspot.com/

Role model?  Yes!

Danny-Parker-Two1-150x150If you have been reading the preceding columns you’re likely seeing that there is strong evidence that exercise can help multiple myeloma patients. Moreover, it’s nearly certain that to enjoy the benefits you don’t run marathons. Or even close.

Over recent months I have waited a while to accumulate information for this column and not being a physical therapist, I have taken care to have the information reviewed. And while exercise can help, it is very important that I place some cautionary warnings up again.

With multiple myeloma, our bones may be damaged. Accordingly, it is vitally important to consider each patient’s physical condition so that exercise is done safely and cautiously and in full consultation with your doctor. So talk to your doctor before you begin an exercise program. Your doctor can consider your body’s condition, blood counts, side-effects of medicines and help to select routines that will be most safe for you.

The ways in which exercise can help are numerous. Activity can help maintain or extend your range of motion in your joints and muscles. Properly done, it can also help with your energy level, reduce lethargy and fatigue and cultivate an appetite. Perhaps most importantly, exercise can help to reduce stress, anxiety and even depression. Exercise can help you to enjoy your life.

As with individuals with osteoporosis, certain exercises may also help strengthen muscles and even bones and ligaments.

The level of exercise for you strongly depends on your current condition and ongoing treatment.  When receiving active treatment for the disease, it is important not to do vigorous or harsh exercise regimes as the cancer is active in bones and affected limbs may be very vulnerable to fractures.  Those receiving radiation or chemotherapy and are already on an exercise program may need to throttle it back and practice at a somewhat slower place. However, an important objective should be to maintain range of motion and activity as much as possible.

For patients who had limited activity before diagnosis, lower intensity routines such as gentle yoga, short distance neighborhood walks and similar activities should be begun and only slowly increased.

Let’s face it, many of us are older. There are special considerations as we age, with bone disease or special issues such as arthritis or neuropathy. In particular, balance and balance training should be emphasized to reduce the risk of falls.

It is important to discuss with your doctor about regions of bone damage in your own body so that any routine is approved or modified to protect delicate bones.

One idea is to have your physical therapist contact your doctor. Your doctor can inform them of your health conditions and of any safety measures needed.

Many insurance plans cover the cost of a physical therapist in a hospital. But you may need to pay out-of-pocket for outpatient services or home visits. Check with your insurance policy about coverage for physical therapy. Insurance does not usually cover the cost of personal fitness trainers. However, a few initial visits with a qualified personal therapist may be enough to get you started safely. It could be money well spent.

Once you have completed initial treatment for myeloma, your goals might be to regain bone and muscle strength, and, as much as possible, to return to normal daily physical activities. More than that, added strength and a feeling vibrancy can help to improve your outlook and quality of life.

Keep this in mind: we don’t want to just survive myeloma. We want to survive and thrive!

Don Wright says it best: “Live one day at a time and make it a masterpiece!”

Amen, Don and Danny!  Amen.

Feel good and keep smiling!  Pat