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- Level 2 exercises
Level 2 exercises
Get started with level 2 exercises after completing the level 1 moves, or when your doctor or physiotherapist says it’s okay. These simple movements help you to regain strength and flexibility.
Learn how to do the:
You can start these exercises 7 days after surgery, and after any drains have been removed.
Arm stretch

- Clasp your hands together in front of your chest, elbows by your side.
- Stretch your arms out in front as far as you can, aiming for straight elbows.
- Pull shoulder blades together as hands go back to the start.
Elbows together
This exercise is best done lying down.

- Put your hands together behind your head, with your elbows out to the side.
- Bring your elbows together in front of you, keeping hands clasped together behind your head.
- Gently return elbows back to the side. Keep hands together and move on to Elbow push back exercise.
Elbow push back
This exercise is best done lying down.

- Clasp your hands together behind your head, with elbows out to the side.
- Gently stretch elbows backwards, pushing them gently downwards into the bed or floor and hold for up to 10 seconds.
- Relax muscles completely and rest before repeating.
Arm lift
If you can’t lie down, sit and lean back into the chair instead.

- Lie down – with a pillow under your head if you like. Hold a stick, broom handle or ruler or just clasp hands together.
- Relax your shoulders and avoid shrugging them towards your ears.
- With straight arms, gently lift them to above your head – only as far as feels comfortable.
- Gently return your arms back down to your hips and the starting position.
Wall crawl
This exercise should be done standing up.

- Stand facing a wall with feet shoulder-width apart. Move close to the wall (about 20 cm away). Put your hands flat onto the wall at about shoulder height, with fingers pointing up.
- Use your fingers to walk up the wall (like a spider), or keep your hands flat and slide them upwards. Use your “good” arm to help move your surgery arm if you need to.
- Go as high as feels comfortable – so you feel a stretch, but no pain. Try to hold for 10 seconds.
- Gently slide or walk your hands back down to shoulder height and where you started.
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This information has been developed by Cancer Council NSW using information from the Cancer Council Australia Understanding Cancer series and Cancer Council SA Breast cancer surgery: Information for women having breast cancer surgery as source material.
We thank the reviewers of this fact sheet: Jen McKenzie, Lymphoedema Physiotherapist, ESSA Accredited Exercise Physiologist, Director at The McKenzie Clinic, QLD; Sharon Dreise, Consumer; Prof Elisabeth Elder, Specialist Breast Surgeon, Westmead Breast Cancer Institute, University of Sydney, NSW; Eliza Macdonald, Accredited Exercise Physiologist, Sydney Cancer Survivorship Centre, Concord Repatriation General Hospital, NSW; Annmaree Mitchell, Consumer; Chris Rivett, 13 11 20 Consultant, Cancer Council SA.
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