Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 8/19/2025

Shoulder Rehabilitation for Breast Cancer Survivors

Introduction to Shoulder Dysfunction

  • The American College of Physicians recommends physical therapy, including stretching and exercises, for managing post-surgical musculoskeletal symptoms in breast cancer survivors 1
  • Assessment and treatment of shoulder range of motion restriction, strength, impingement signs, and scapular mobility are important in breast cancer patients, as suggested by the American Academy of Physical Medicine and Rehabilitation 2

Treatment Components

  • Gentle stretching and mobilization techniques focusing on external rotation and abduction are recommended for treating shoulder pain, according to the American Heart Association 3
  • Exercises focusing on neck, rotator cuff, and posterior shoulder girdle strengthening, as well as addressing anterior shoulder girdle flexibility, are suggested by the American Academy of Physical Medicine and Rehabilitation 2

Pain Management

  • The American Academy of Neurology recommends considering analgesics such as acetaminophen or ibuprofen for pain relief, if there are no contraindications 3
  • Acupuncture may be considered as an adjunctive treatment for pain, as suggested by the American Society of Clinical Oncology 1

Additional Interventions

  • Subacromial corticosteroid injections may be considered for pain related to inflammation, according to the American Heart Association and the American Stroke Association 3, 4
  • Botulinum toxin injections may be considered if spasticity is contributing to pain, as recommended by the American Heart Association and the American Stroke Association 3, 4

  • All facts related to patella alta, knee rehabilitation, and treatment of knee conditions.

  • The role of physical therapy in shoulder rehabilitation for breast cancer survivors
  • Exercises and stretches specifically designed for shoulder rehabilitation in this population
  • Pain management strategies for shoulder pain in breast cancer survivors
  • The importance of assessing and treating shoulder range of motion restriction, strength, impingement signs, and scapular mobility in breast cancer patients.