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Your Guide to Bone Mets: Exercise (Yes, Exercise!)

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In the third of our special series on living with bone metastases, we are turning to one of the most frequent questions and concerns we hear: Can I exercise??

To get the answers, OMBCL co-hosts Ashley Fernandez and Martha Carlson spoke with Dr. Kathryn Schmitz, who has led the way in understanding and implementing exercise for people with breast cancer, including those of us with metastatic breast cancer. Dr. Schmitz founded the Moving Through Cancer initiative of the American College of Sports Medicine, which has a bold goal of making exercise standard of care in oncology by 2029.  She fills us in on the science of exercise – why it’s important and how it can be done with bone metastases. In this interview, she provides straightforward advice about what can be done, what to watch for, and connects us to resources that can help you get started after getting the okay from your oncologist.

Interspersed into the interview with Dr. Schmitz are the stories of people living with bone metastases, providing hope and inspiration that exercise is possible. We reached out to the incredible Facebook community called Active with MBC, a private group for people who already exercise and stay active and those who aspire to it. Many thanks to the women who responded to our survey with honesty and insight and to Angel, Quinn, Jill and Glenda, who joined us with interviews and sent videos to inspire. 

This episode is close to the hearts for all of us at OMBCL, whether living with bone mets ourselves or not. We have all witnessed how this particular type of progression can be both invisible and life-changing. We hope that you feel supported and seen. And know that whether you simply walk to the mailbox or run a marathon, we are with you!

Episode Resources:

Exercise Guidelines

Exercise Recommendation for People with Bone Metastases: Expert Consensus for Health Care Providers and Exercise Professionals 

Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable

As always, please be cleared by your medical team prior to beginning an exercise program.
This is particularly critical for people living with bone metastases. Some of the organizations
below require a completed form prior to joining online or in-person classes.

Websites/Orgs Mentioned in the Episode

“Moving Through Cancer” (Book by Dr. Schmitz, along with free videos, logs, resources, and additional info)

American College of Sports Medicine

ACSM Cancer-Certified Physical Therapists and Trainers (Be sure to select for cancer certification and the country where you reside.)

Exercise is Medicine (Moving Through Cancer Exercise Program Directory)

UPMC Moving Through Cancer Program

Livestrong at the YMCA (In-person, free or low cost, 12-week physical activity program designed to help adult cancer survivors regain strength through exercise)

2Unstoppable (Virtual exercise program for people living with breast cancer)

OHSU School of Medicine Winters-Stone Exercise Lab

Springer Link article - Women with MBC don’t just follow step-count trends, they exceed them: an exploratory study

Springer Link article - Exercise for people with bone metastases: MASCC endorsed clinical recommendations developed by the International Bone Metastases Working Group

ScienceDirect article - Addressing metastatic individuals everyday: Rationale and design of the Nurse AMIE for Amazon Echo show trial among MBC patients

University of Calgary Exercise Lab - Exercise for Cancer to Enhance Living Well

Wellspring Cancer Support - Cancer Exercise and Mental Health (Canadian resource)

Angel Zimmerman’s Still Rising Health & Life Coaching - FB page and IG page

Active with MBC Facebook group

Additional Organizations Offering Free Health/Exercise Programs

MD Anderson Cancer Center Active Living After Cancer program: Free, 12 week program for cancer survivors & thrivers who are residents of the Greater Houston and El Paso area, promoting physical activity, and providing navigation services for survivorship issues

Unite For Her: Integrative and supportive therapies for breast cancer patients, including free fitness videos

The Aunt Sister Project: Virtual fitness classes for people affected by cancer

Cancer Bridges: Membership organization (membership is free to anyone impacted by cancer) that
offers support, including online exercise classes

Onco-Ballet Foundation : Low to no cost ballet classes (through hospitals) for women impacted by breast cancer in California to help them get back in touch with their bodies through ballet movement

Strength For Life: (TX) Free, community based fitness programs for cancer patients - in person for Abilene,TX residents, and workout videos on demand for virtual participation

Strength for Life: (NY) Free fitness classes, and more, both virtually and in-person, on Long Island, New York

Wellness House: Complete cancer wellness support, including free exercises programs (both online and in-person) held throughout the Chicagoland area

Moving for Life: Free, in-person & online accessible dance exercise classes for anyone affected by cancer

Moving Beyond Cancer Collaborative: Integrative oncology health and wellness services, educational seminars, and fitness classes, both in-person (Austin, TX) and virtual, available to all individuals affected by cancer regardless of ability to pay


Meet the Guest of the Episode