Hannah leach hypnotherapy


Hannah Leach | Physiotherapist | Perci Health

Profile

5 - 10 years experience

Next availability

9 January 09:00

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About Me

Hi - my name is Hannah! I am a specialist oncology and palliative care physiotherapist, with fire in my belly to keep people physically and mentally strong through cancer.

I work with people at all stages of their cancer care (before, during and after treatment) and those managing a palliative diagnosis.

I have extensive experience working in a variety of hospital and hospice settings, empowering people to manage the physical side effects of cancer and live their life fully.

I previously worked with rugby and football teams, including Chelsea FC. For this reason, I am particularly passionate about supporting active individuals through their cancer treatment to return to the activities they love.

I am fully committed to those under my care; my clients needs and goals are at the heart of all I do.

My special interests are palliative care, pre and post-operative recovery, exercise coaching/prescription and symptom management (fatigue/breathlessness/pain).

Services I offer;

  • Cancer/Treatment related fatigue management programme
  • Exercise programme and advice
  • Post-operative care management
  • Treatment related aches and pains
  • Breathlessness management
  • General musculoskeletal

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Education, Qualifications and Experience
  • BSc(Hons) in Physiotherapy from Cardiff University.
  • MSc in Cancer Care (ongoing).
  • Clinical Specialist Experience in Oncology and Palliative Care for over 7 years.
  • Trained in Motivational Interviewing
  • Trained in Stoma rehabilitation
  • Trained in PROSPER (Prevention of Shoulder Problems)
  • I hold volunteer roles for cancer charities
  • Guest lecturer at St George's and Kingston University.
  • Published work in professional textbooks, apps and health magazines.
  • Presenting at international events, on podcasts and social media, raising the profile of physiotherapy in cancer.
Additional information

www.strongerthan.co.uk

Professional Memberships
  • Member of Chartered Society of Physiotherapy (CSP).
  • Member of Health and Care Professions Council (HCPC).
  • Committee Member (Membership Secretary) of Association of Chartered Physiotherapy in Oncology and Palliative Care (ACPOPC).
  • Member of Physiotherapists in Exercise Oncology Network.
  • Member of the Physios Online collective.
Services & Prices
Virtual clinic | 40 £65.00

A medium-length session exploring your health goals and providing tailored information on how to meet and achieve them. Your medical history is required. You will be asked to fill this in prior to the consultation so that your professional can prepare and tailor their care to you.

40 min

Book

Virtual clinic | 60 £100.00

A longer in-depth session exploring your health goals and providing tailored information on how to meet and achieve them. Your medical history is required. You will be asked to fill this in prior to the consultation so that your professional can prepare and tailor their care to you.

60 min

Book

Virtual clinic | 20 £20.00

A short session giving educational support around a single topic. No medical history required. The information you receive will be based on the latest evidence and clinical knowledge of the professional.

20 min

Book

Perci Health: Remedies for aching legs after chemotherapy — StrongerThan

How physiotherapy can help with the muscle and joint pain regularly felt around day two or three after chemo

Key takeaways

  • Aching legs can be a side-effect of chemotherapy drugs. For instance, 86% of those on taxanes experience it at some point during their treatment.

  • Hot and cold therapy can relax the painful areas while relaxation techniques can help mentally. Massage and gentle movement are also recommended as a remedy for aching or heavy legs after chemotherapy.

  • There are medicines you can take to ease pain, however, always check with your healthcare team before doing so and speak to them if your legs are continually aching.

The side-effects of chemotherapy differ in person-to-person. One physical impact which people can experience is aching legs, often setting in around two to three days after treatment. We spoke to Perci Professional and physiotherapist Hannah Leach about how physiotherapy and simple coping strategies can help with discomfort in your legs.

Chemotherapy can result in various physical side effects, including cramps and pain in the muscles (myalgia), joints (arthralgia) and bones (ostealgia). Pain may be mild and intermittent, or persistent and severe.

While the mechanism of this type of pain is not fully understood, a study by Asthana et al (2020) found that most people experiencing chemotherapy-induced pain describe it as “aching”, with words such as “burning” and “sharp” occasionally being used in the later stages of treatment. This suggests that there is initially an inflammatory component, occasionally followed by neuropathic (nerve) pain.

Particular chemotherapy drugs are more closely associated with ‘aching legs’; around 86% of those on taxanes experience joint or muscle pain (Fernandes et al, 2016, Smith et al, 2020). This is known as TAPS (Taxane Acute Pain Syndrome). The pain usually starts 2-3 days after receiving chemotherapy and can last up to 7 days in total.

Pain can have a potentially huge impact on a person’s ability to live their day-to-day life. If you are experiencing body or leg pain during chemo, it is firstly important to discuss this with your oncology team. They may wish to adjust your chemotherapy dose or take some tests to rule out other causes for your symptoms. 

Chemo leg aches and pains usually resolve once your treatment has finished. So, what can be done in the meantime?

Consider the following remedies for aching legs after or during chemo that can help manage your pain, until your treatment has finished.

Heat therapy

By applying a heat source to an area of pain, you are superficially increasing localised body temperature, dilating blood vessels and increasing blood flow to the area, to relax muscles. It can also stimulate thermoreceptors in the skin, overriding pain signals travelling to the brain with non-painful stimuli (known as ‘pain-gate theory’). You can use a hot water bottle, gel packs or hot baths.

Cold therapy

When a source of cold is applied to an area of the body, it constricts the blood vessels in the local area and reduces blood flow to the area. For this reason, the area will go numb and reduce your pain while the cold is applied. When the cold source is removed, blood flow to the area will increase thus ‘flushing’ away toxins from the area, which can help with inflammation. It can also reduce discomfort through pain-gate theory, as described above.

Massage

Receiving massage from a trained professional during your chemotherapy, may help manage symptoms of aching

Receiving massage from a trained professional during your chemotherapy, may help manage symptoms of aching, pain, anxiety and restlessness. Light touch massage styles are recommended over deep muscle massages during cancer treatment. It is also recommended to avoid massage directly over tumour sites, affected lymphatic nodes and radiotherapy treatment sites. Trained massage therapists can be found through The General Council for Soft Tissue Therapies.

Gentle stretching programme

Muscles that are in pain tend to become tense. Over time this can lead to shortened, stiff muscles with a reduced range of movement. For this reason, it is important to incorporate gentle stretches into your daily routine, to maintain your movements and prevent further pain.

Regular activity

Your body was designed to move – though this may be easier said than done during chemotherapy treatment. Committing to a gentle exercise routine is hugely beneficial, for a vast number of chemotherapy-induced side-effects, including aching legs.

Choose a low-impact exercise that puts minimal stress through your joints, such as walking or using a static bike. Aim to complete for a short period daily where possible, to increase blood flow and maintain cardiovascular function. Find out more about the benefits of walking after chemo.

Medications

Your doctor will be able to give advice on pain relief, such as paracetamol, to help you cope with leg pain during your chemotherapy. Recent preliminary evidence (Smith et al, 2020) also suggests that the antihistamine loratadine may help reduce the severity of aching legs. You may wish to discuss this with your oncology team in case this is an option for you.

Relaxation techniques

While relaxation techniques may not directly address the cause of muscle aching, feeling confident using relaxation techniques to manage your pain can have a huge psycho-physiological benefit. Speaking to a psychologist or hypnotherapist with experience in cancer may help you to perfect these techniques for you to use regularly.

In summary, the top remedies for aching legs and joints are:

  • Apply a heat source to the area of pain such as a hot water bottle or heat pack

  • Take a warm bath to relax aching muscles

  • Use a cold compress to numb pain and reduce inflamation

  • Consider light touch massage to relieve pain

  • Do gentle exercise and stretching such as walking to increase blood flow

  • Practice relaxation techniques such as deep breathing or hypnotherapy

  • Talk to your doctor about pain relief or antihistamines

Successfully managing the side-effects of chemotherapy will improve the quality of your treatment plan, your wellbeing and your life. If you are finding it difficult to manage your aching legs during chemotherapy, be sure to reach out to health-care professionals with the experience and expertise to support you.

If you would like personalised physiotherapy support, head to Hannah Leach’s Perci profile to book a one-to-one appointment.

Here at Perci Health, we are here to support anyone that has been impacted by cancer. If you think you or your loved one could benefit from virtual access to high-quality cancer specialists, find out more about our support types or how we help those living with cancer

While we have ensured that every article is medically reviewed and approved, information presented here is not intended to be a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns, please talk to one of our healthcare professionals or your primary healthcare team.

Asthana, R., Zhang, L., Wan, B.A. et al. “Pain descriptors of taxane acute pain syndrome (TAPS) in breast cancer patients—a prospective clinical study”. Support Care Cancer 28, 589–598. May 2019: https://doi.org/10.1007/s00520-019-04845-7

Fernandes R, Mazzarello S, Joy A, et al. “Taxane acute pain syndrome (TAPS) in patients receiving chemotherapy for breast or prostate cancer: a prospective multi-center study”. Support Care Cancer, 26, 3073–3081. Mar 2018: https://doi.org/10.1007/s00520-018-4161-x

Fernandes R, Mazzarello S, Hutton B, et al. “Taxane acute pain syndrome (TAPS) in patients receiving taxane-based chemotherapy for breast cancer—a systematic review”. Support Care Cancer, 24:3633-3650. Aug 2016: https://pubmed.ncbi.nlm.nih.gov/27146496/

Prieto-Callejero B, Rivera F, Fagundo-Rivera J, et al. “Relationship between chemotherapy-induced adverse reactions and health-related quality of life in patients with breast cancer”. Medicine, 99(33), e21695. Aug 2020: https://doi.org/10.1097/MD.0000000000021695

Smith C, Hendrickson A, Grudem M, Klampe C, Deering E and Jatoi A. “Loratadine for Paclitaxel-Induced Myalgias and Arthralgias”. American Journal of Hospice and Palliative Medicine®, 37(3):235-238. Mar 2020: https://mayoclinic.pure.elsevier.com/en/publications/loratadine-for-paclitaxel-induced-myalgias-and-arthralgias

Read published article on Perci Health website here.

If you are struggling with painful legs and would like support from a physiotherapist, book an appointment with me here or at Perci Health.

Association of Business Ethics, Compliance and CSR (Russian Business Ethics Network)

September 22, 2022

Study of business ethics in Russian companies

(SKOLKOVO)

August 11 and September 9, 2022

"Unethical practices" in compliance nine0003

May 20, 2022

ESG: rethinking the concept

May 19, 2022

ESG education

April 21, 2022

Penalties for violating an organization's code of ethics

Moderator: Maxim Storchevoi nine0003

April 07, 2022

Industry self-regulation and anti-corruption compliance

Moderator: M. A. Storchevoi (NRU HSE)

Vladimir
Gerasimov

August 28, 2022

ESG: opening up must not be silent

The

ESG goes through a life cycle typical of many new ideas. At first, enthusiasts actively take up their implementation, but in the heat of the moment they run too far ahead and encounter opposition. Ideas are criticized and - there is a rollback ....

Maxim
Storchevoy

Olga
Bobrova

May 10, 2022

Out of politics?

On February 26, 2022, Roman Melnichenko, a talented lawyer-teacher from Volgograd, published a video on his VKontakte page, which turned out to be illegal a few days later. The head of his department called him and asked him to remove the controversial materials - Roman Grigoryevich immediately followed this advice. He did not discuss politics with students in his classes, he treated Russian laws exclusively with respect. However, something went wrong...

Ekaterina Ignatieva, Maxim Storchevoi

Measure the immeasurable

MTS manager Arina speaks at the corporate volunteering forum and presents her company's projects: "Donor's Day", "Mobile Fairy Tale Theater", "To School with MTS", "Christmas Trees for Children" and others. However, the Vedomosti journalist asks a tricky question about assessing the impact of these projects on society and the criteria for their selection. Arina understands that the company needs to develop a methodology for comparing the effectiveness of projects, but this task seems incredibly difficult, because you need to try to measure the immeasurable. nine0003

Roman Skokov

Green Leviathan

Many countries impose a state monopoly on the production of alcoholic beverages in order to set a high price, limit consumption and replenish the budget. Public administration is usually less efficient than private administration, but in this case efficiency is sacrificed for the sake of ethics. In 2000, the Russian government decided to consolidate all state-owned stakes in distilleries and distilleries into one state enterprise, FSUE Rosspirtprom, in order to "strengthen state regulation" of the alcohol market. However, the activity of this "green Leviathan" raises a number of questions. nine0003

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