Many people want to try to get back to their usual activities as soon as they can after cancer treatment, but this may not always be possible. There may be some things you are no longer able to do or it may take more time to regain your energy levels or physical abilities. You may need practical help with everyday activities for weeks or months after treatment has finished.
The physical side effects of your treatment may include:
- Fatigue – extreme tiredness
- Tingling or numbness
- Pain
- Shortness of breath
- Unsteadiness
- Anxiety
- Feeling overwhelmed by all that has happened.
These problems, and many others, can be helped by an occupational therapist or physiotherapist. They can work with you and advise on equipment or adaptations to your home to increase your independence. They can also look at how you can plan your daily routine to prevent becoming overtired or suggest ways of coping with stress.
Most people do find that their energy levels pick up, although this may take several months. However, it is important to check that there is no physical cause for your tiredness such as anaemia. Your GP (family doctor) will be able to arrange a blood test and, if necessary, treatment.
Returning to work or study
Returning to work after a long break can be tiring when you are well, let alone after you have been ill. Perhaps you did not need to take much time off work during your treatment. If you do find that you are tired, you may want to consider taking a break from work. It may be better in the long term to allow time for your body to recover rather than continuing to struggle with tiredness. Sometimes, working part-time can be a useful route back into work.
You may have been studying at the time your cancer was diagnosed or you may be thinking of starting a course now. Many people find that they lack the ability even to concentrate on a newspaper, novel or TV programme. If a course is very demanding, you may want to wait for a while. Your college tutors may be able to help you to make a decision.
Leisure activities
If you took part in sports, you may wonder when you can start again. This will depend on how you feel and the type of treatment you have had. You may have had to accept that, because of your illness or treatment, there are certain activities you can no longer take part in. Whatever physical activity you want to take part in, start slowly and build up exercise gradually. If you have difficulties, stop.
You may have already seen a physiotherapist during your treatment and have asked them for advice about this. If not, ask your doctor or another member of the team to refer you to a physiotherapist now. It can be arranged for you to see a physiotherapist at the hospital or nearer to your home via your GP.
There may be other reasons why your activities are restricted, such as a low blood count following chemotherapy. You may be told to avoid crowds for a while, meaning you will not be able to go to social events. This may be very frustrating if you are someone who enjoys going out. Your doctor, nurse or another member of the team looking after you will be able to advise you when you can start socialising again.
Sex
You may have concerns about when and if you can start, or resume, sexual activity. All sorts of things will affect this, such as your illness, treatment, side effects and how you feel about yourself. Talking to your partner may be helpful so that they understand how you feel about this. It’s impossible to give general advice. Discuss your concerns with your doctor, nurse or another member of the team caring for you. They may be able to advise you about physical aspects of sex, suggest ways of showing love and affection or refer you for more help.