Exercisedduring and after Cancer Treatment, - CLL Support

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Exercisedduring and after Cancer Treatment,

Vindicatrix profile image
40 Replies

Hi All, I may have mentioned this subject before, but I would like to pass it by you all again if I may.

I have been on W&W for 5 years and am about to begin treatment soon, (What exactly that is I do not know yet)

I have done some research on a Cancer Treatment Hospital, in Perth Australia, who specialise in a 'Medically Supervised' exercise program for Cancer patients undergoing Chemo treatment. It takes place on the same day as their treatment almost immediately, in the same hospital.

After treatment, those participating walk to properly a fitted out Gym, where they are given a program suited to their specific needs. This all done with Oncologists, Physiotherapists, and other medics in attendance. The exercises include Aerobics, Calisthenics, and Weight Lifting, at varying progressive levels.

From what I have read they have been going for a few years now, and the results are extremely encouraging, relating to quality of life certainly and perhaps some longevity.

I have found so far, that they appear to be the only Cancer Hospital that does this, there is certainly nothing similar in our NHS. Although I am informed that there is some Physiotherapy involved in some cases.

My query is, is there any groups in the UK who specialise in this type of program, albeit(At a very much lower level )

Personally I find that this idea has merit, and is exciting and progressive with regard to the effects of some of the treatments we have to endure.

I appreciate it will not be every ones 'Cup of Tea' (Horses for Courses) but I would be very interested in any thoughts you all may have on the matter.

All the best to all. Ron

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Vindicatrix profile image
Vindicatrix
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40 Replies
CycleWonder profile image
CycleWonder

Ron - I started treatment on Nov 1, 2022 on Pirtobrutinib. I went on a bike ride the day before, my preferred mode of exercise. We also do a lot of walking and hiking.

After starting treatment, we took walks, gradually increasing the difficulty and length. I started riding again after the first couple of weeks, and have been gradually increasing the frequency, length and difficulty of the rides.

I’ve been loosely following the advice of others on this forum of giving my body more rest and food for the first eight weeks.

Exercising outdoors is my preference. I find it more fun and lifts my mood to be outside. I believe exercising outdoors has helped me minimize the importance of minor side effects. For example, I often get a headache after taking my medication. I usually forget about it once I’m on a ride or hike. Perhaps being in better shape helps protect against some more serious side effects but I have no evidence to support this view.

I find exercise helps me feel better physically and mentally and let’s me focus on the business of living.

I did not start out as a great athlete. About 10 years before being diagnosed, I started riding bikes again. I was overweight, had arthritic knees and one hip showing signs of arthritis. My first ride was two miles. The next ride four miles. Within a couple of months, I could ride 12 miles. During Covid (after my diagnosis), we rode 12 to 15 miles per day. I learned I could be athletic if I wanted to by training almost everyday.

Our approach is to prioritize exercise each day. We build our day around our exercise, even if it’s a two mile hike.

Patti

Vindicatrix profile image
Vindicatrix in reply to CycleWonder

I so liked your Post Cycle Wonder, and after what you have been through you are indeed one.

I too, think that exercising in the fresh air is by far the best.

Some times however it is easier and more practical to do it, with the minimum amount of organising. At the moment I prefer to get out of bed, limber up, exercise, shower, then start my day.

It's a balance I think, and I try to mix the two. Whatever suits you, do, would be my advice.

I hope you achieve all your goals, and you are an inspiration to all.

Regards Ron

CycleWonder profile image
CycleWonder in reply to Vindicatrix

Too be honest, it’s a bit of a struggle this summer. I react strongly to forest fire smoke and heat. We’ve had both. Two days ago on a hike I was overheated and couldn’t really cool off until we got back to the car. We were all sweaty but the humidity prevented the sweat from cooling us down.

We hiked back to the car and the immediate blast of AC was wonderful. At home I took a cool shower, drank some cold water with electrolytes and had some hot tea. The next morning I felt like I had been hit with a truck.

It’s continued to be hot and muggy since. I am relegated to walking around the neighborhood after the sun goes down when it’s a bit cooler.

Tomorrow we may have forest fire smoke from Canada again. So working out insidecmay be required.

I prefer Fall and Spring or even Winter to this!

Vindicatrix profile image
Vindicatrix in reply to CycleWonder

Same ole same ole, wth this CLL of ours, good days, bad days, and 'Where the heck am I days'. You gotta laff,😀

'Keep on keeping on'.

Regards Ron.

Sepsur profile image
Sepsur

I exercised right through ( a different ) treatment - needed to on a physical, emotional and mental level - no proof that it helped me but I’m still alive & kicking

Vindicatrix profile image
Vindicatrix in reply to Sepsur

Thank's for the info, Sepsur, do you feel any different either way, or much the same?.

I'm glad you are alive and kicking and likely to be so for many years, by the sounds of it.

All the best. Ron

Sepsur profile image
Sepsur in reply to Vindicatrix

I’m fitter & leaner than I’ve ever been. I now do a Pilates/ strength building class once a week & walk my dogs 2hrs a day & my day is physically challenging - am I glad to have exercised - yes & I think I’ve benefitted.

Ps I hate the gym

Vindicatrix profile image
Vindicatrix in reply to Sepsur

I understand that, I was never a big gym man, but with regards to the Australian Cancer Hospital I referred to, it is a case of needs must.

You seem to have found an excellent way of exercising in a way that includes others.

I suspect also that you are aksodoing this with support from your 'Haematology' Team.

Regards Ron

Sepsur profile image
Sepsur in reply to Vindicatrix

supported in words not financially - we set up a charity to help people rehab after ICU - we fund 12 different sessions per week

Vindicatrix profile image
Vindicatrix in reply to Sepsur

That is very interesting to me Spsur, is that in the UK, and what does it involve. regards Ron

Sepsur profile image
Sepsur in reply to Vindicatrix

have a look at cc-sn.org 😊

Ballyhoo777 profile image
Ballyhoo777 in reply to Sepsur

I love your attitude, and you are exactly right,exercise will definitely help you with everything and anything.😎

Kwenda profile image
Kwenda

For myself it has been lots of long walks in the Swiss mountains and also cycling in the forests in England.

This has resulted in a 17 year watch and wait period and now on Acalabrutinib with very minor side effects.

I suspect, but cannot prove, that the exercise increased the watch and wait length and also helped when starting treatment.

There is a university in Southern England doing research on this, while I am assisting Southampton University with a research program.

You will find many references on HU regarding the benefits of exercise.

Dick

Dawson21 profile image
Dawson21 in reply to Kwenda

The University of Surrey is currently running a research programme in this area. They are still looking for volunteers. I am starting in September 3 months after finishing my treatment.

pompeym profile image
pompeym in reply to Dawson21

I started on that HIT-CLL Study in February that is being run by Dr David Bartlett at University of Surrey. It is a long term study looking at the effects of exercise & diet on CLL. You are correct, they are looking for volunteers, it has involved two 4 hour visits to the Universitg so far, in 6 months.

Dawson21 profile image
Dawson21 in reply to pompeym

I'm booked in for 2 on-site visits then the supervised exercise routine will be remotely administered

Vindicatrix profile image
Vindicatrix in reply to Dawson21

Sounds exciting Dawson, and good luck with it. I do like to hear info such as this.

Regards Ron

pompeym profile image
pompeym in reply to Dawson21

Yes, I've been given guidance of what to do when at tge gym. I'm hmjust awaiting what changes if any to name ti my diet. I am due back at UoS towards end of August for another assesment. I understand we are randomised in to different groups.

mrsjsmith profile image
mrsjsmith in reply to pompeym

Yes we are randomised into three different groups so I got the control group ( couch potato ), and no money changed hands as a friend of mine suggested but my friend has been running up hills. I found all the testing fascinating.

Good luck

Dawn-Marie profile image
Dawn-Marie

I will be starting treatment soon and I am not planning on laying in a bed. I want to continue my lifestyle as it’s is now❤️

Vindicatrix profile image
Vindicatrix in reply to Dawn-Marie

Spot on Dawn, your bottle is obviously half full, keep topping it up, and good luck.

Regards Ron.

Thursday45 profile image
Thursday45

That is so worthwhile, if only we had something like that here in the UK. Wishing you all the best for your treatment.

Vindicatrix profile image
Vindicatrix in reply to Thursday45

So do I Thursday,, but our systems in this country,, are never going to be able, or perhaps want to embark on such an ambitious and, much needed project.

But there seems to be an appetite for exercise during and after treatment, and it appears that many Health Services are doing all they can to promote this.

Thanks again for the input, and all the best to you in any ongoing or upcoming treatment.

Ron

Thursday45 profile image
Thursday45 in reply to Vindicatrix

Well said. Many thanks, Ron

bennevisplace profile image
bennevisplace

If you were physically active before CLL slowed you to a standstill, the end of treatment should be like Superman shaking off the kryptonite. I can attest, it doesn't always work that way. For me it's a long slow haul back to fitness, and I salute those who get back in the saddle next day, or take on a walk of hundreds of miles, as in healthunlocked.com/cllsuppo...

Vindicatrix profile image
Vindicatrix in reply to bennevisplace

So true, bennevispalce, but as you will be aware, we all react differently to treatments, depending on the , so many, variables, associated with this CLL of ours.

It is entirely possible that your treatment will kick in, and you will find a level which you can work with, thereby enjoying the quality of life you and every one deserves.

I am extremely hopeful

All the best Ron

bennevisplace profile image
bennevisplace in reply to Vindicatrix

Thanks Ron. I do believe in the value of physical exercise, and each to their own level.

It's not CLL that's held me back. My kryptonite is chronic migraine, which came on post treatment but is probably incidental not consequential. Once I shake that off, I'll be in training for An Teallach. My last attempt ended in a sudden blizzard - late May!

Onwards and upwards.

An Teallach (stock photo)
Vindicatrix profile image
Vindicatrix in reply to bennevisplace

I feel like a wimp, there's you climbing mountains, as I grapple with logistics of tripping over, or not. 'We will keep on keeping on'. I'm sure.

Good luck, and all the best. Let me know how you are getting on.

Regards Ronn

bennevisplace profile image
bennevisplace in reply to Vindicatrix

I should add it was May quite a few years ago.

camper2 profile image
camper2 in reply to bennevisplace

An teallach - is that Gaelic for The fireplace? Strange name for something so obviously not couch potato material!

bennevisplace profile image
bennevisplace in reply to camper2

Hehe, you're warm....the English translation is usually The Forge or The Anvil. Supposedly because the mountain is often wreathed in mist and cloud resembling smoke.

totara profile image
totara

I am 72 and was on watch and wait for three years and now have been on ibrutinib for two and a half years and blood counts are normal apart from the odd spike in creatinine levels. The day I started my ibrutinib I stopped having a daily glass of wine and weekend beers but apart from that life has carried on as normal. In summer I do some surfing and in winter I am active on our farm planting native trees, using a chainsaw or splitting wood with a Fiskars axe. The CLL does not seem to have affected any of this. Unlike recommendations I read, my scratches from blackberry etc as I plant trees all seem to heal well. I am not on any fitness regime but try to keep fit by the physical work I carry out. I tell others that CLL is something I live with and not battle. I am still active as an accountant working from home and running our family enterprises. It is a strange disease as unfortunately it seems many suffer more physical side effects than me. However you never know what lies around the corner and I do find waiting for the results of my monthly blood tests rather like waiting for exam results many years ago.

uide3095 profile image
uide3095

Hi, I have actually been on a program at Surrey University, its called CLL HIT Study.

It is run by David Bartlett who is an Immunologist who is analyzing the benefits of exercise (and diet ) to our immune system, checking the individuals immune system before and after the exercise program.

We started with some exercises where current health and fitness levels were taken and then a second week taking us to a level to ensure the program worked us to 85% of our individual capacity, again taking into account current levels of health and fitness.

We then moved on to a 3 month program of regular exercise 3 times a week based on the levels found.

This study is specific to CLL patients, some on W&W and others on treatment such as myself on Acalabrutinib.

I finished my 3 months about 3 weeks ago and am waiting on the results, it will be interesting to see what they have found.

My current levels of CLL are now stable with all blood within the normal ranges, however the Acalabrutinib still reduces our immune system as it fights the dodgy cells in our bone marrow, hence the Aciclovir and Dapsone to help protect us. These blood levels were improving anyway from starting Acalabrutinib in January 2022 after the initial rise so I will be interested to see what the final results are.

I will update you all when I have the latest update

Will

Vindicatrix profile image
Vindicatrix in reply to uide3095

That's fantastic, I hope your results justify all your efforts uide, and I would be most interested in your thoughts afterwards.

All the very best. Ron

ViPOR profile image
ViPOR

I think walking is wonderful. I have been walking faithfully all through 12 years of chemos for aggressive FNHL relapsing into DLBCL NHL and 2 CAR T trials, 1 VIPOR immune therapy trial and 1 Ibrutinib trial. Husband and I walk 11/2 miles a day with our trekking poles. I do believe my walking early AM has helped keep me alive and in decent shape…no longer on any B/P meds!

Vindicatrix profile image
Vindicatrix in reply to ViPOR

That is so, heartening ViPOR, and I am delighted that your obvious stoicism and resolve have got you where you are. You are indeed an inspiration.

All the very best to you, and your husband, and may you have 'Many more treks.

Regards Ron

Vindicatrix profile image
Vindicatrix

Sounds like you are in great shape considering Justhawk, and an inspiration to many I'm sure., With what you are dealing with, my hat comes off to you. 'Keep on Keeping on'.

All the best Ron

CycleWonder profile image
CycleWonder

For those of us on this forum who want to exercise or start, when we can’t exercise outside, we use Team Body Project on YouTube. There’s no charge.

The workouts are about 30 minutes long. They have workouts where you sit in a chair, standing only, and some harder workouts.

Having had both knees and one hip replaced, I prefer workouts that don’t require me to get on the floor!

There are many places now where it may be unsafe to exercise outdoors due to heat, humidity, and/or smoke.

Vindicatrix profile image
Vindicatrix

That is fantastic justhawk, you seem to have a very positive, and determined attitude, and a sound program to get you back to full fitness. (CLL style perhaps but nevertheless, absolutely amazing.)

I am 76, and most of my muscle mass has disappeared, and I am skeletal in most area's. I never have been a 'Gym Bobby' or into weight lifting, but I feel the need to increase my levels.

Can I ask you justhawak, how old you are, and if you participated any high end exercise, and gym work in your life, before your CLL. For if you are my age, I find it absolutely phenomenal., and I am awfully jealous.

Hope I'm not impertinent in asking, it is purely scientific.😀👍

All the very best.

Ron

Vindicatrix profile image
Vindicatrix

No problem at all, I totally understand, I wasn't fully aware that there is a way of otherwise answering those type of questions, and I will use it from now on. No offence meant at all justhawk'..

All the best.Ron

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