Lisa - Invasive Ductal Carcinoma

Mastectomy and 11 lymph nodes removed - Left side 11/21

DIEP Flap - Left side 1/23

Reduction surgery on Right side

ACT Chemo 12/21-4/22

Radiation 5/22-6/22

Anastrazole 6/22 - current https://breastcancernow.org/about-breast-cancer/treatment/hormone-endocrine-therapy/side-effects-of-anastrozole-arimidex/

Lupron stopped taking https://my.clevelandclinic.org/health/drugs/18166-leuprolide-injection and chose to have a bi-lateral salpingo oopherectomy instead

Currently on CDK46 inhibitor https://www.breastcancer.org/treatment/targeted-therapy/what-are-cdk46-inhibitors

She currently walks 2.5 miles 3-4x - says she doesn't have the stamina she used to have

She also does light weight workouts and plays tennis

She says she has a difficult time engaging core following DIEP

Postural Assessment

Head slightly rotated toward left (body tends to rotate as one)

Moderate forward head

Right ear and shoulder appear elevated

Right shoulder protracted

Slightly elevated Right hip

Slight anterior pelvic tilt

Left knee appears slightly rotated in static position, but due to knee pain she subconsciously self-corrects on squat test

Both knees appear to be hyperextended

Right foot is slightly turned out and on 3 different occasions (post-marching) right foot always lands in front

Squat test

Arms bow out to side

She bends forward at waist

Weight shifts to the right

L heel lifts slightly

Goniometer

L flexion 150 R flexion 135

L abduction 160 R abduction 140

L extension 62 R extension 50

L IR 60 R IR 50

L ER 52 R ER 50