That's a good question. I have done a lot of research to try and find the
answer to this. I even sat down with a Rad Onc to have a discussion of tissue
properties, combed through his text books to see how the cellular matrix is
effected but didn't find a lot of concrete advice. I would be interested to
hear if anyone has a clear answer.
That being said, what I did find is the cellular matrix is essentially dried
out with high levels of cytokines for at least 3 months. I asked the Physicist
how long these elevated cytokine levels last and his exact words " no one
really knows. "
I usually err on the side of caution as to not cause more inflammation
furthering scar tissue in the long run, but it does kill me not to be able to
get in aggressively right away.
-----Original Message-----
From: aptaoncology-bounce@xxxxxxxxxxxxx
[mailto:aptaoncology-bounce@xxxxxxxxxxxxx] On Behalf Of Canaday, Cheryl A
Sent: Thursday, March 03, 2022 1:10 PM
To: APTAOncology@xxxxxxxxxxxxx
Subject: [aptaoncology] Re: Radiation and STM
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To add to that question, I would also like to know what is the best practice
for STM over radiated field after many years where there is significant
radiation fibrosis
Cheryl Canaday, PT, DPT, CLT-LANA
Physical Therapist, Certified Lymphedema Therapist
Baptist Health South Campus ǀ Rehabilitation Services
Phone: 904-271-6575 ǀ Fax: 904-271-6678 ǀ Cheryl.canaday@xxxxxxxxxx
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-----Original Message-----
From: aptaoncology-bounce@xxxxxxxxxxxxx
[mailto:aptaoncology-bounce@xxxxxxxxxxxxx] On Behalf Of claudia wiser
Sent: Thursday, March 3, 2022 1:04 PM
To: APTAOncology@xxxxxxxxxxxxx
Subject: [aptaoncology] Radiation and STM
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I received a call from a physiatrist yesterday who specializes in onc rehab and
he advised me that I should be doing more aggressive STM in a patient’s axilla
where he is currently receiving radiation. I typically go hands off when skin
starts to get pink, sooner if there are other factors that concern me.
What is the current best practice for STM in the radiated field?
Thank you!
Claudia Wiser
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