RACHEL BERG, PT, INTERVIEW
Undergoing a mastectomy can feel overwhelming — physically, emotionally, and mentally . It’s a major procedure, and recovery can present unexpected challenges. Physical therapy can play a powerful role before and post-mastectomy, helping patients feel stronger, more prepared, and more in control.
Rachel Berg, PT, DPT, at Wilmington Health, shares her experience working with patients at every stage of their journey and how breast cancer physical therapy can offer more than just physical results.
What are the benefits of physical therapy before a mastectomy?
Many people don’t realize physical therapy for breast cancer can begin even before surgery, but it absolutely should. I always tell my patients that the stronger and more flexible you are going into surgery, the better the recovery tends to go.
As a physical therapist, I work closely with my patients to support shoulder range of motion, improve strength, and prepare their body for the healing process ahead. But it’s not just about the exercises. It’s about building trust and building community. When my patients have a sense of what to expect with someone they already know walking with them through it, that can bring a lot of peace of mind.
I make sure I’ve answered all their questions and walked through expectations for their post mastectomy physical therapy. Just having even a loose plan and idea of what’s to come can help ease their anxiety.
How does PT help after a mastectomy — physically and emotionally?
Once surgery is complete, I work with patients gently to help rebuild movement, strength, and flexibility, especially in the shoulders, chest, and upper back. It’s important especially in the beginning to celebrate the mental and emotional strength that’s being gained, even more so than the physical return to function and range of motion.
Getting back into your body after surgery is so powerful. Sometimes, just leaving the house and showing up for yourself in that way is a win. I often see patients gain a renewed sense of confidence and control through their PT sessions. It’s not just rehab — it’s healing. There’s also a real sense of community in the clinic. Patients know they’re not doing this alone.
Is it important to see a physical therapist who specializes in breast cancer recovery?
While most experienced physical therapists can effectively treat patients after a mastectomy, those with experience in breast cancer physical therapy and recovery can offer additional insight and comfort.
Having someone who’s worked with other women in the same situation can be incredibly reassuring. If a patient tells me this is all brand new and they’re scared, I get it.
The most important factor, though, is finding a provider you feel safe with. It’s about trust and communication. You want someone who listens and who sees you as a whole person, not just a diagnosis.
You’re Not Alone. We’re Here to Help.
At Wilmington Health, our physical therapy team is here to support you through every phase of your mastectomy journey, from preparation to recovery. Whether you’re seeking strength before surgery or regaining confidence after it, you can take comfort in our experience, compassion, and care.
To schedule a visit with Rachel Berg or another member of our Physical Therapy team, contact Wilmington Health today.