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| | | October is Breast Cancer Awareness Month. In recognition of the incredible resilience of those affected by breast cancer as well as the challenges that they face from diagnosis and treatment into survivorship, we have focused this issue on sharing our resources and current work. In this issue, we highlight promising research we are conducting to address symptoms and side effects in people with breast cancer. Patient advocate and breast cancer survivor Jodi MacLeod talks with fitness expert Donna Wilson about the importance of exercise during and beyond breast cancer. We also explore the evidence of black cohosh for menopausal symptoms, and our integrative medicine nurse practitioner Eugenie Spiguel shares tips for how breast cancer survivors can improve their sleep. Best wishes and be well, | | Dr. Jun J. Mao Chief, Integrative Medicine Service | | |
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| Since I completed treatment for breast cancer, I am having a hard time sleeping. What can I do to fix this? Sleep disturbance is quite common after a cancer diagnosis and can occur at any time. Symptoms from breast cancer treatment such as peripheral neuropathy, hot flashes, and joint pain may cause nighttime awakenings. Once awake, anxiety or intrusive thoughts may make it hard to fall back to sleep. Fortunately, there are some easy lifestyle changes you can make to help. If you have tried strategies like having a relaxing bedtime routine and you are not seeing results it may be time to seek insomnia treatment. Integrative Medicine has non-medication therapies that have been shown to be effective for treating insomnia. Treatment options such as cognitive behavioral therapy for insomnia, or CBT‑I, and acupuncture, have both been shown to be helpful for insomnia. These approaches can help you set better sleep patterns and relieve symptoms of peripheral neuropathy, joint pain, and more so you stay asleep longer at night. Read more advice from Eugenie about improving sleep in this issue of our newsletter. Join Integrative Medicine nurse practitioner Eugenie Spiguel and mind‑body therapist Beth Sandweiss for the upcoming virtual workshop, Relax Yourself to Sleep, Thursday, November 11, 2021, 7:00 PM to 8:15 PM. | | |
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| | | | | I had a follow-up with my doctor last week and she asked me how I was doing. I told her how one of the most important parts of my survivorship journey has been the Integrative Medicine at Home program . . . I was never an athlete or a daily exerciser until cancer. Now I do a class every day and have never felt better. | | |
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| | About Herbs Feature: Black Cohosh | | By Jyothirmai Gubili, About Herbs Editor A perennial plant native to the eastern United States and Canada, black cohosh has been used by Native Americans to treat colds, cough, malaria, and menstrual disorders. It has gained popularity over the last few decades in the United States and Europe as a nonmedication approach to address menopausal symptoms such as hot flashes and night sweats. In oncology settings, an observational study reported black cohosh to be associated with prolonged disease-free survival in breast cancer patients. But investigations of its ability to reduce hot flashes resulting from breast cancer treatment produced mixed data. Whether black cohosh mimics estrogen in the body is also not fully known. Patients with breast cancer or at risk of breast cancer should consult with their doctors before taking it. | | Read More
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| | Exercising Through Breast Cancer Treatment | | by Jodi MacLeod, Patient Advocate As a breast cancer survivor, staying physically active is an important part of how I maintain my health and wellbeing. I spoke with Donna Wilson, nurse and clinical fitness expert, who advocates for inclusion of exercise as part of ongoing care for people living with breast cancer. Donna shares that the common complaints post‑breast cancer treatment include pain, restricted shoulder range of motion, joint pain, chest tightness, shoulders that cave in, poor posture, and fatigue. “These issues occur because the muscles become tight and shortened, which creates muscle imbalance and leads to neck and back problems,” says Donna. “Movement is the key to decrease the negative side effects. Simple mobilization stretching can be done every day to decrease pain, and ease tight muscles, soft tissue restriction, and increase joint range of motion.” Donna Wilson teaches group fitness classes with our Integrative Medicine at Home program and virtual private personal training sessions. Call 646‑888‑0800 to join as a member or schedule a private session with Donna. | | Read More |
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| | | | | | | | Workshop: Yoga for Chemotherapy‑induced Peripheral Neuropathy Thursday, October 23, 2021 12:00 PM EST Research conducted at MSK has demonstrated that yoga can help reduce the tingling, numbness, and pain you may feel if you have been diagnosed with chemotherapy‑induced peripheral neuropathy (CIPN). Attend this workshop to hear from Dr. Ting Bao, Director of Integrative Breast Oncology at MSK and lead investigator of these studies. Two MSK yoga instructors will teach a series of gentle yoga poses you can repeat at home to help reduce CIPN symptoms. |
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| | | | | | Relax Yourself to Sleep Thursday, November 11, 2021 7:00 PM EST In this workshop, an MSK nurse practitioner and sleep expert and an MSK mind‑body therapist will discuss normal sleep patterns and share habits that may impact your ability to sleep well. You will also learn how meditation can help calm your mind, how to start a meditation practice, and simple reflections you can repeat at home to promote relaxation. |
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| | | | | Acupuncture and Acupressure for Chemotherapy-induced Peripheral Neuropathy Saturday, December 4, 2021 12:00 PM EST Acupuncture is a non-pharmacologic therapy that has been shown through clinical trials to reduce pain and other symptoms that commonly occur with CIPN. Acupressure and self‑massage are simple yet effective home practices you can learn to extend the benefits of acupuncture treatments. Join Dr. Ting Bao, Director of Integrative Breast Oncology, and two MSK acupuncturists for an interactive discussion of the research and rationale behind acupuncture for CIPN care. |
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| Follow MSK Integrative Medicine on Twitter — @MSK_Integrative | | For updates on our research, events, and exclusive self‑care tools to practice wherever you are. | | | |
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| | | Join Integrative Medicine at Home | | Visit www.MSK.org/AtHome to start your membership today. Schedule a telemedicine visit with our nurse practitioner, a specialist in lifestyle medicine, to make a personal wellness plan that may include Integrative Medicine at Home. Call 646‑888‑0845. | | | |
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