Yoga & metastatic breast cancer

Many women living with metastatic, or stage IV, breast cancer practice yoga. Gentle and restorative yoga may improve concentration and fatigue, lessen anxiety and pain, and control stress. A mental yoga practice can help manage feelings of uncertainty as you wait for test results. It can also help you deal with the daily stresses of living with metastatic disease.

Keep in mind some special precautions as you pursue a yoga practice:

• Your providers may advise against doing some common yoga poses, such as:
  • twists
  • forward-bending stretches
  • backbends
  • balance poses
  • inversions, poses that put your head lower than your heart
• If you have bone metastasis, your bones may fracture more easily.
• With liver metastasis, avoid poses that pull or cause tension on the abdomen, a feeling common to many yoga poses.
• Lung metastasis sometimes interferes with breathing. Some pranayama practices include very deep breaths or quickened breathing, or have you take a partial breath and then pause, holding the breath. During pranayama, you may lie on the floor with a blanket or pillow under the upper body to open the chest. Review such practices with your providers first.
• Pay attention to your body. Avoid breathing practices that cause pain, dizziness, lightheadedness, or shortness of breath. Change your position if lying flat causes trouble breathing or pain.

Your providers may suggest ways to modify poses or advise you to avoid group yoga classes or some yoga styles. Be specific about the practice of interest to you, including room temperature, poses (photos help) and body positions during meditations.

There is no standard, one-size-fits-all advice—only your providers can confirm whether a practice is safe for you.