{"id":26333,"date":"2026-01-29T10:10:47","date_gmt":"2026-01-29T10:10:47","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=26333"},"modified":"2026-03-16T14:45:00","modified_gmt":"2026-03-16T14:45:00","slug":"post-radiotherapy-skin-care-for-breast-cancer-patients","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/post-radiotherapy-skin-care-for-breast-cancer-patients\/","title":{"rendered":"Post Radiotherapy Skin Care for Breast Cancer Patients"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><em><strong>Edinburgh Cancer Centre<\/strong><\/em><\/h2>\n\n\n<style>.kb-image26333_f68bf3-41 .kb-image-has-overlay:after{opacity:0.3;}<\/style>\n<figure class=\"wp-block-kadence-image kb-image26333_f68bf3-41 size-medium\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"110\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Edinburgh-Cancer-Centre-logo-300x110.png\" alt=\"Edinburgh Cancer Centre logo\" class=\"kb-img wp-image-26498\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Edinburgh-Cancer-Centre-logo-300x110.png 300w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Edinburgh-Cancer-Centre-logo.png 436w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n\n\n\n<p class=\"has-regular-font-size\"><\/p>\n\n\n\n<p><strong>Information<\/strong><\/p>\n\n\n\n<p>The most common side effect of radiotherapy is a skin reaction which can develop <strong>during treatment and up to a month after treatment,<\/strong> only occurring within the boundaries of the radiotherapy treatment fields.<\/p>\n\n\n\n<p>The reaction will depend on the dose delivered and the area of the body receiving treatment. All breast cancer patients are classed as <strong>high risk <\/strong>and they will be given creams to use during treatment and for two weeks post treatment.<\/p>\n\n\n\n<p>Low risk: receive no creams<\/p>\n\n\n\n<p>Medium risk: Zerobase\/Diprobase emollient&nbsp; x 3 day<\/p>\n\n\n\n<p><strong>High risk<\/strong>: Betamethasone 0.1%&nbsp; x 1 day + Zerobase\/Diprobase emollient x 2 day<\/p>\n\n\n\n<p><strong><u>However<\/u><\/strong>: Some high risk patients will be given Flamigel RT to use instead of Betamethasone and emollient and will use it three times daily (minimum) throughout treatment and for 2 weeks post radiotherapy.<\/p>\n\n\n\n<p><strong>Typical Skin Reactions Grading &#8211; RTOG Skin Score<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table aligncenter\"><table class=\"has-light-accent-blue-background-color has-background\"><thead><tr><th>Grade<\/th><th>Features<\/th><\/tr><\/thead><tbody><tr><td><strong>RTOG 0<\/strong><\/td><td>No change over baseline<\/td><\/tr><tr><td><strong>RTOG 1<\/strong><\/td><td>Mild erythema, dry desquamation, decreased sweating<\/td><\/tr><tr><td><strong>RTOG 2a<\/strong><\/td><td>Tender, bright erythema, dry desquamation, rash with itch&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/td><\/tr><tr><td><strong>RTOG 2b<\/strong><\/td><td>Patchy moist desquamation, moderate erythema, oedema<\/td><\/tr><tr><td><strong>RTOG 3<\/strong><\/td><td>Confluent moist desquamation, pitting oedema<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>NB <em>Black\/brown skin will not demonstrate typical erythema, instead it will be shades of brown, deep black, ebony or purple hues<\/em><\/p>\n\n\n<style>.wp-block-kadence-advancedgallery .kb-gallery-type-grid.kb-gallery-id-26333_0ee16c-eb{margin:-5px;}.kb-gallery-type-grid.kb-gallery-id-26333_0ee16c-eb .kadence-blocks-gallery-item{padding:5px;}.kb-gallery-id-26333_0ee16c-eb .kadence-blocks-gallery-item .kb-gal-image-radius, .kb-gallery-id-26333_0ee16c-eb .kb-slide-item .kb-gal-image-radius img{border-radius:0px 0px 0px 0px;;}.kb-gallery-caption-style-bottom.kb-gallery-id-26333_0ee16c-eb .kadence-blocks-gallery-item .kadence-blocks-gallery-item-inner .kadence-blocks-gallery-item__caption, .kb-gallery-caption-style-bottom-hover.kb-gallery-id-26333_0ee16c-eb .kadence-blocks-gallery-item .kadence-blocks-gallery-item-inner .kadence-blocks-gallery-item__caption{background:linear-gradient(0deg, rgba(0, 0, 0, 0.8) 0, rgba(0, 0, 0, 0) 100%);}<\/style><div class=\"kb-gallery-wrap-id-26333_0ee16c-eb alignnone wp-block-kadence-advancedgallery\"><ul class=\"kb-gallery-ul kb-gallery-non-static kb-gallery-type-grid kb-gallery-id-26333_0ee16c-eb kb-gallery-caption-style-bottom kb-gallery-filter-none\" data-image-filter=\"none\" data-item-selector=\".kadence-blocks-gallery-item\" data-lightbox-caption=\"true\" data-columns-xxl=\"2\" data-columns-xl=\"2\" data-columns-md=\"2\" data-columns-sm=\"2\" data-columns-xs=\"1\" data-columns-ss=\"1\"><li class=\"kadence-blocks-gallery-item\"><div class=\"kadence-blocks-gallery-item-inner\"><figure class=\"kb-gallery-figure kb-gallery-item-has-link kadence-blocks-gallery-item-has-caption\"><a href=\"https:\/\/www.aafp.org\/pubs\/afp\/issues\/2010\/0815\/p381.html\" class=\"kb-gallery-item-link\" target=\"_blank\" rel=\"noopener noreferrer\"><div class=\"kb-gal-image-radius\"><div class=\"kb-gallery-image-contain kadence-blocks-gallery-intrinsic kb-gallery-image-ratio-land32 kb-has-image-ratio-land32\" ><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG1a-768x555.png\" width=\"768\" height=\"555\" alt=\"RTOG1a\" data-full-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG1a.png\" data-light-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG1a.png\" data-id=\"26348\" class=\"wp-image-26348\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG1a-768x555.png 768w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG1a-300x217.png 300w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG1a.png 932w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/div><div class=\"kadence-blocks-gallery-item__caption\"> RTOG 1 mild erythema axilla<\/div><\/div><\/a><\/figure><\/div><\/li><li class=\"kadence-blocks-gallery-item\"><div class=\"kadence-blocks-gallery-item-inner\"><figure class=\"kb-gallery-figure kb-gallery-item-has-link kadence-blocks-gallery-item-has-caption\"><a href=\"https:\/\/neogenesis.com\/concerns\/oncology-support\/radiation-dermatitis\/\" class=\"kb-gallery-item-link\" target=\"_blank\" rel=\"noopener noreferrer\"><div class=\"kb-gal-image-radius\"><div class=\"kb-gallery-image-contain kadence-blocks-gallery-intrinsic kb-gallery-image-ratio-land32 kb-has-image-ratio-land32\" ><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG1b.png\" width=\"696\" height=\"1101\" alt=\"RTOG1b\" data-full-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG1b.png\" data-light-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG1b.png\" data-id=\"26349\" class=\"wp-image-26349\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG1b.png 696w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG1b-190x300.png 190w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG1b-647x1024.png 647w\" sizes=\"auto, (max-width: 696px) 100vw, 696px\" \/><\/div><div class=\"kadence-blocks-gallery-item__caption\">RTOG 1 mild erythema breast<\/div><\/div><\/a><\/figure><\/div><\/li><\/ul><\/div>\n\n\n<p> RTOG 1 mild erythema axilla source: <a href=\"https:\/\/www.aafp.org\/pubs\/afp\/issues\/2010\/0815\/p381.html\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.aafp.org\/pubs\/afp\/issues\/2010\/0815\/p381.html<\/a><\/p>\n\n\n\n<p>RTOG 1 mild erythema breast source: <a href=\"https:\/\/neogenesis.com\/concerns\/oncology-support\/radiation-dermatitis\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/neogenesis.com\/concerns\/oncology-support\/radiation-dermatitis\/<\/a><\/p>\n\n\n<style>.wp-block-kadence-advancedgallery .kb-gallery-type-grid.kb-gallery-id-26333_3588f1-e8{margin:-5px;}.kb-gallery-type-grid.kb-gallery-id-26333_3588f1-e8 .kadence-blocks-gallery-item{padding:5px;}.kb-gallery-id-26333_3588f1-e8 .kadence-blocks-gallery-item .kb-gal-image-radius, .kb-gallery-id-26333_3588f1-e8 .kb-slide-item .kb-gal-image-radius img{border-radius:0px 0px 0px 0px;;}.kb-gallery-caption-style-bottom.kb-gallery-id-26333_3588f1-e8 .kadence-blocks-gallery-item .kadence-blocks-gallery-item-inner .kadence-blocks-gallery-item__caption, .kb-gallery-caption-style-bottom-hover.kb-gallery-id-26333_3588f1-e8 .kadence-blocks-gallery-item .kadence-blocks-gallery-item-inner .kadence-blocks-gallery-item__caption{background:linear-gradient(0deg, rgba(0, 0, 0, 0.8) 0, rgba(0, 0, 0, 0) 100%);}<\/style><div class=\"kb-gallery-wrap-id-26333_3588f1-e8 alignnone wp-block-kadence-advancedgallery\"><ul class=\"kb-gallery-ul kb-gallery-non-static kb-gallery-type-grid kb-gallery-id-26333_3588f1-e8 kb-gallery-caption-style-bottom kb-gallery-filter-none\" data-image-filter=\"none\" data-item-selector=\".kadence-blocks-gallery-item\" data-lightbox-caption=\"true\" data-columns-xxl=\"2\" data-columns-xl=\"2\" data-columns-md=\"2\" data-columns-sm=\"2\" data-columns-xs=\"1\" data-columns-ss=\"1\"><li class=\"kadence-blocks-gallery-item\"><div class=\"kadence-blocks-gallery-item-inner\"><figure class=\"kb-gallery-figure kb-gallery-item-has-link kadence-blocks-gallery-item-has-caption\"><a href=\"https:\/\/www.radchat.co.uk\/image-library\" class=\"kb-gallery-item-link\" target=\"_blank\" rel=\"noopener noreferrer\"><div class=\"kb-gal-image-radius\"><div class=\"kb-gallery-image-contain kadence-blocks-gallery-intrinsic kb-gallery-image-ratio-land32 kb-has-image-ratio-land32\" ><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG2a-768x846.png\" width=\"768\" height=\"846\" alt=\"RTOG2a\" data-full-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG2a.png\" data-light-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG2a.png\" data-id=\"26350\" class=\"wp-image-26350\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG2a-768x846.png 768w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG2a-272x300.png 272w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG2a.png 817w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/div><div class=\"kadence-blocks-gallery-item__caption\">RTOG 2a dry desquamation SCF<\/div><\/div><\/a><\/figure><\/div><\/li><li class=\"kadence-blocks-gallery-item\"><div class=\"kadence-blocks-gallery-item-inner\"><figure class=\"kb-gallery-figure kb-gallery-item-has-link kadence-blocks-gallery-item-has-caption\"><a href=\"https:\/\/neogenesis.com\/concerns\/oncology-support\/radiation-dermatitis\/\" class=\"kb-gallery-item-link\" target=\"_blank\" rel=\"noopener noreferrer\"><div class=\"kb-gal-image-radius\"><div class=\"kb-gallery-image-contain kadence-blocks-gallery-intrinsic kb-gallery-image-ratio-land32 kb-has-image-ratio-land32\" ><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG2b.png\" width=\"448\" height=\"559\" alt=\"RTOG2b\" data-full-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG2b.png\" data-light-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG2b.png\" data-id=\"26351\" class=\"wp-image-26351\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG2b.png 448w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG2b-240x300.png 240w\" sizes=\"auto, (max-width: 448px) 100vw, 448px\" \/><\/div><div class=\"kadence-blocks-gallery-item__caption\">RTOG 2a dry desquamation breast<\/div><\/div><\/a><\/figure><\/div><\/li><\/ul><\/div>\n\n\n<p>RTOG 2a dry desquamation SCF source: <a href=\"https:\/\/www.radchat.co.uk\/image-library\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.radchat.co.uk\/image-library<\/a><\/p>\n\n\n\n<p>RTOG 2a dry desquamation breast source: <a href=\"https:\/\/neogenesis.com\/concerns\/oncology-support\/radiation-dermatitis\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/neogenesis.com\/concerns\/oncology-support\/radiation-dermatitis\/<\/a><\/p>\n\n\n<style>.wp-block-kadence-advancedgallery .kb-gallery-type-grid.kb-gallery-id-26333_452637-00{margin:-5px;}.kb-gallery-type-grid.kb-gallery-id-26333_452637-00 .kadence-blocks-gallery-item{padding:5px;}.kb-gallery-id-26333_452637-00 .kadence-blocks-gallery-item .kb-gal-image-radius, .kb-gallery-id-26333_452637-00 .kb-slide-item .kb-gal-image-radius img{border-radius:0px 0px 0px 0px;;}.kb-gallery-caption-style-bottom.kb-gallery-id-26333_452637-00 .kadence-blocks-gallery-item .kadence-blocks-gallery-item-inner .kadence-blocks-gallery-item__caption, .kb-gallery-caption-style-bottom-hover.kb-gallery-id-26333_452637-00 .kadence-blocks-gallery-item .kadence-blocks-gallery-item-inner .kadence-blocks-gallery-item__caption{background:linear-gradient(0deg, rgba(0, 0, 0, 0.8) 0, rgba(0, 0, 0, 0) 100%);}<\/style><div class=\"kb-gallery-wrap-id-26333_452637-00 alignnone wp-block-kadence-advancedgallery\"><ul class=\"kb-gallery-ul kb-gallery-non-static kb-gallery-type-grid kb-gallery-id-26333_452637-00 kb-gallery-caption-style-bottom kb-gallery-filter-none\" data-image-filter=\"none\" data-item-selector=\".kadence-blocks-gallery-item\" data-lightbox-caption=\"true\" data-columns-xxl=\"2\" data-columns-xl=\"2\" data-columns-md=\"2\" data-columns-sm=\"2\" data-columns-xs=\"1\" data-columns-ss=\"1\"><li class=\"kadence-blocks-gallery-item\"><div class=\"kadence-blocks-gallery-item-inner\"><figure class=\"kb-gallery-figure kb-gallery-item-has-link kadence-blocks-gallery-item-has-caption\"><a href=\"https:\/\/neogenesis.com\/concerns\/oncology-support\/radiation-dermatitis\/\" class=\"kb-gallery-item-link\" target=\"_blank\" rel=\"noopener noreferrer\"><div class=\"kb-gal-image-radius\"><div class=\"kb-gallery-image-contain kadence-blocks-gallery-intrinsic kb-gallery-image-ratio-land32 kb-has-image-ratio-land32\" ><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3a.png\" width=\"667\" height=\"453\" alt=\"RTOG3a\" data-full-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3a.png\" data-light-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3a.png\" data-id=\"26352\" class=\"wp-image-26352\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3a.png 667w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3a-300x204.png 300w\" sizes=\"auto, (max-width: 667px) 100vw, 667px\" \/><\/div><div class=\"kadence-blocks-gallery-item__caption\">RTOG 2b patchy moist desquamation chest wall<\/div><\/div><\/a><\/figure><\/div><\/li><li class=\"kadence-blocks-gallery-item\"><div class=\"kadence-blocks-gallery-item-inner\"><figure class=\"kb-gallery-figure kb-gallery-item-has-link kadence-blocks-gallery-item-has-caption\"><a href=\"https:\/\/www.radchat.co.uk\/image-library\" class=\"kb-gallery-item-link\" target=\"_blank\" rel=\"noopener noreferrer\"><div class=\"kb-gal-image-radius\"><div class=\"kb-gallery-image-contain kadence-blocks-gallery-intrinsic kb-gallery-image-ratio-land32 kb-has-image-ratio-land32\" ><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3b.png\" width=\"972\" height=\"693\" alt=\"RTOG3b\" data-full-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3b.png\" data-light-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3b.png\" data-id=\"26353\" class=\"wp-image-26353\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3b.png 972w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3b-300x214.png 300w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3b-768x548.png 768w\" sizes=\"auto, (max-width: 972px) 100vw, 972px\" \/><\/div><div class=\"kadence-blocks-gallery-item__caption\">RTOG 2b patchy moist desquamation on dark skin <\/div><\/div><\/a><\/figure><\/div><\/li><\/ul><\/div>\n\n\n<p>RTOG 2b patchy moist desquamation chest wall source: <a href=\"https:\/\/neogenesis.com\/concerns\/oncology-support\/radiation-dermatitis\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/neogenesis.com\/concerns\/oncology-support\/radiation-dermatitis\/<\/a><\/p>\n\n\n\n<p>RTOG 2b patchy moist desquamation on dark skin source: <a href=\"https:\/\/www.radchat.co.uk\/image-library\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.radchat.co.uk\/image-library<\/a><\/p>\n\n\n<style>.wp-block-kadence-advancedgallery .kb-gallery-type-grid.kb-gallery-id-26333_cfe67b-9a{margin:-5px;}.kb-gallery-type-grid.kb-gallery-id-26333_cfe67b-9a .kadence-blocks-gallery-item{padding:5px;}.kb-gallery-id-26333_cfe67b-9a .kadence-blocks-gallery-item .kb-gal-image-radius, .kb-gallery-id-26333_cfe67b-9a .kb-slide-item .kb-gal-image-radius img{border-radius:0px 0px 0px 0px;;}.kb-gallery-caption-style-bottom.kb-gallery-id-26333_cfe67b-9a .kadence-blocks-gallery-item .kadence-blocks-gallery-item-inner .kadence-blocks-gallery-item__caption, .kb-gallery-caption-style-bottom-hover.kb-gallery-id-26333_cfe67b-9a .kadence-blocks-gallery-item .kadence-blocks-gallery-item-inner .kadence-blocks-gallery-item__caption{background:linear-gradient(0deg, rgba(0, 0, 0, 0.8) 0, rgba(0, 0, 0, 0) 100%);}<\/style><div class=\"kb-gallery-wrap-id-26333_cfe67b-9a alignnone wp-block-kadence-advancedgallery\"><ul class=\"kb-gallery-ul kb-gallery-non-static kb-gallery-type-grid kb-gallery-id-26333_cfe67b-9a kb-gallery-caption-style-bottom kb-gallery-filter-none\" data-image-filter=\"none\" data-item-selector=\".kadence-blocks-gallery-item\" data-lightbox-caption=\"true\" data-columns-xxl=\"2\" data-columns-xl=\"2\" data-columns-md=\"2\" data-columns-sm=\"2\" data-columns-xs=\"1\" data-columns-ss=\"1\"><li class=\"kadence-blocks-gallery-item\"><div class=\"kadence-blocks-gallery-item-inner\"><figure class=\"kb-gallery-figure kb-gallery-item-has-link kadence-blocks-gallery-item-has-caption\"><a href=\"https:\/\/neogenesis.com\/concerns\/oncology-support\/radiation-dermatitis\/\" class=\"kb-gallery-item-link\" target=\"_blank\" rel=\"noopener noreferrer\"><div class=\"kb-gal-image-radius\"><div class=\"kb-gallery-image-contain kadence-blocks-gallery-intrinsic kb-gallery-image-ratio-land32 kb-has-image-ratio-land32\" ><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3c.png\" width=\"711\" height=\"518\" alt=\"RTOG3c\" data-full-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3c.png\" data-light-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3c.png\" data-id=\"26354\" class=\"wp-image-26354\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3c.png 711w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3c-300x219.png 300w\" sizes=\"auto, (max-width: 711px) 100vw, 711px\" \/><\/div><div class=\"kadence-blocks-gallery-item__caption\">RTOG 3 confluent moist desquamation chest wall<\/div><\/div><\/a><\/figure><\/div><\/li><li class=\"kadence-blocks-gallery-item\"><div class=\"kadence-blocks-gallery-item-inner\"><figure class=\"kb-gallery-figure kb-gallery-item-has-link kadence-blocks-gallery-item-has-caption\"><a href=\"https:\/\/www.ejoncologynursing.com\/article\/S1462-3889(14)00057-X\/abstract\" class=\"kb-gallery-item-link\" target=\"_blank\" rel=\"noopener noreferrer\"><div class=\"kb-gal-image-radius\"><div class=\"kb-gallery-image-contain kadence-blocks-gallery-intrinsic kb-gallery-image-ratio-land32 kb-has-image-ratio-land32\" ><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3d.png\" width=\"543\" height=\"456\" alt=\"RTOG3d\" data-full-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3d.png\" data-light-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3d.png\" data-id=\"26355\" class=\"wp-image-26355\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3d.png 543w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RTOG3d-300x252.png 300w\" sizes=\"auto, (max-width: 543px) 100vw, 543px\" \/><\/div><div class=\"kadence-blocks-gallery-item__caption\">RTOG 3 confluent moist desquamation infra-mammary fold<\/div><\/div><\/a><\/figure><\/div><\/li><\/ul><\/div>\n\n\n<p>RTOG 3 confluent moist desquamation chest wall source: <a href=\"https:\/\/neogenesis.com\/concerns\/oncology-support\/radiation-dermatitis\/\">https:\/\/neogenesis.com\/concerns\/oncology-support\/radiation-dermatitis\/<\/a><\/p>\n\n\n\n<p>RTOG 3 confluent moist desquamation infra-mammary fold source: <a href=\"https:\/\/www.ejoncologynursing.com\/article\/S1462-3889(14)00057-X\/abstract\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.ejoncologynursing.com\/article\/S1462-3889(14)00057-X\/abstract<\/a><\/p>\n\n\n\n<p><strong>Anomalies<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Some Radiotherapy skin reactions mimic other conditions eg intertrigo<\/li>\n\n\n\n<li>Do not prescribe anti-fungals<\/li>\n\n\n\n<li>Consider radiotherapy treatment reaction in any patient presenting with skin issues within 4 weeks of radiotherapy<\/li>\n\n\n\n<li>Require different management<\/li>\n\n\n\n<li>If&nbsp;develops moist desquamation treat as RTOG2b\/3 skin reaction<\/li>\n\n\n\n<li>Photos of typical infra-mammary fold radiotherapy reaction developing in patients prone to sweat rashes receiving breast radiotherapy or post RT<\/li>\n<\/ul>\n\n\n<style>.wp-block-kadence-advancedgallery .kb-gallery-type-grid.kb-gallery-id-26333_3a8fec-9b{margin:-5px;}.kb-gallery-type-grid.kb-gallery-id-26333_3a8fec-9b .kadence-blocks-gallery-item{padding:5px;}.kb-gallery-id-26333_3a8fec-9b .kadence-blocks-gallery-item .kb-gal-image-radius, .kb-gallery-id-26333_3a8fec-9b .kb-slide-item .kb-gal-image-radius img{border-radius:0px 0px 0px 0px;;}.kb-gallery-caption-style-bottom.kb-gallery-id-26333_3a8fec-9b .kadence-blocks-gallery-item .kadence-blocks-gallery-item-inner .kadence-blocks-gallery-item__caption, .kb-gallery-caption-style-bottom-hover.kb-gallery-id-26333_3a8fec-9b .kadence-blocks-gallery-item .kadence-blocks-gallery-item-inner .kadence-blocks-gallery-item__caption{background:linear-gradient(0deg, rgba(0, 0, 0, 0.8) 0, rgba(0, 0, 0, 0) 100%);}<\/style><div class=\"kb-gallery-wrap-id-26333_3a8fec-9b alignnone wp-block-kadence-advancedgallery\"><ul class=\"kb-gallery-ul kb-gallery-non-static kb-gallery-type-grid kb-gallery-id-26333_3a8fec-9b kb-gallery-caption-style-bottom kb-gallery-filter-none\" data-image-filter=\"none\" data-item-selector=\".kadence-blocks-gallery-item\" data-lightbox-caption=\"true\" data-columns-xxl=\"3\" data-columns-xl=\"3\" data-columns-md=\"3\" data-columns-sm=\"2\" data-columns-xs=\"1\" data-columns-ss=\"1\"><li class=\"kadence-blocks-gallery-item\"><div class=\"kadence-blocks-gallery-item-inner\"><figure class=\"kb-gallery-figure kadence-blocks-gallery-item-has-caption\"><div class=\"kb-gal-image-radius\"><div class=\"kb-gallery-image-contain kadence-blocks-gallery-intrinsic kb-gallery-image-ratio-land32 kb-has-image-ratio-land32\" ><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-DermNet1.png\" width=\"640\" height=\"480\" alt=\"Radiotherapy DermNet1\" data-full-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-DermNet1.png\" data-light-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-DermNet1.png\" data-id=\"26356\" class=\"wp-image-26356\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-DermNet1.png 640w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-DermNet1-300x225.png 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/div><div class=\"kadence-blocks-gallery-item__caption\">Image 1<\/div><\/div><\/figure><\/div><\/li><li class=\"kadence-blocks-gallery-item\"><div class=\"kadence-blocks-gallery-item-inner\"><figure class=\"kb-gallery-figure kadence-blocks-gallery-item-has-caption\"><div class=\"kb-gal-image-radius\"><div class=\"kb-gallery-image-contain kadence-blocks-gallery-intrinsic kb-gallery-image-ratio-land32 kb-has-image-ratio-land32\" ><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-DermNet2.png\" width=\"640\" height=\"480\" alt=\"Radiotherapy DermNet2\" data-full-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-DermNet2.png\" data-light-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-DermNet2.png\" data-id=\"26357\" class=\"wp-image-26357\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-DermNet2.png 640w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-DermNet2-300x225.png 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/div><div class=\"kadence-blocks-gallery-item__caption\">Image 2<\/div><\/div><\/figure><\/div><\/li><\/ul><\/div>\n\n\n<p>Images 1 and 2: Photos courtesy of <a href=\"https:\/\/dermnetnz.org\/images\" data-type=\"link\" data-id=\"https:\/\/dermnetnz.org\/images\" target=\"_blank\" rel=\"noreferrer noopener\">DermNet<\/a><\/p>\n\n\n\n<p><strong>J.C &amp; M.A &#8211; 30-01-26<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines <\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">Who to refer:<\/h4>\n\n\n\n<p>patients presenting with atypical skin reactions +\/- infection, not responding to Flaminal Hydro\/Forte and antibiotics<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer: <\/h4>\n\n\n\n<p>patients presenting with typical, expected skin reactions including moist desquamation within radiotherapy field(s)<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer:<\/h4>\n\n\n\n<p><strong>Self referral (patients only):<\/strong> via Cancer Treatment Helpline:&nbsp; 0800 9177711<\/p>\n\n\n\n<p><strong><u>OR<\/u><\/strong><strong><\/strong><\/p>\n\n\n\n<p><strong>Healthcare Professionals and Patients : <\/strong>Breast Radiographers via: Radiotherapy Reception&nbsp; 0131 537 3329 <strong><\/strong><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">Management of RT Reactions<\/h4>\n\n\n\n<figure class=\"wp-block-table aligncenter\"><table class=\"has-light-accent-blue-background-color has-background\"><thead><tr><th>Grade<\/th><th>Management<\/th><\/tr><\/thead><tbody><tr><td><strong>RTOG 0\/1<\/strong><\/td><td>Continue Steroid + emollient\/Flamigel RT 3 x day<\/td><\/tr><tr><td><strong>RTOG 2a<\/strong><\/td><td>Continue Steroid + emollient\/Flamigel RT 3 x day<\/td><\/tr><tr><td><strong>RTOG 2b\/3<\/strong><\/td><td>Switch to Flaminal Hydro\/Forte + Kliniderm Border or Mepilex Border dressings to broken areas until resolved<br>&#8211; May take 2-4 weeks to improve <br>&#8211; Prescribe analgesia as very painful <br>&#8211; Antibiotics can be prescribed if systemic symptoms or positive swab result <br>&#8211; Steroid\/emollient\/Flamigel RT can continue to be applied to unbroken skin x 3 day&nbsp;&nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Post Surgery Arm Exercises<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>In order to regain full use of your arm it is important to do the exercises detailed here. You may feel some stretching and pulling over the operation area while doing your exercises. Do not overdo the movements at first but gradually increase over time until you can use your arms normally.<\/li>\n\n\n\n<li>How long &#8211; keep doing the exercises for&nbsp; around <strong>6 weeks<\/strong>, until you are pain free and your movement has returned to normal.<\/li>\n\n\n\n<li>Radiotherapy -If you have radiotherapy, you will be required to raise your arm overhead during treatment. It is therefore important to do your exercises in preparation for this. It is also recommended to keep doing your exercises throughout radiotherapy to maintain your flexibility. You may also need to continue to regularly stretch your shoulder area in the longer term after radiotherapy finishes if this area continues to feel stiff.<\/li>\n<\/ul>\n\n\n\n<p><strong>Exercises Set A:<\/strong><\/p>\n\n\n\n<p>These exercises (Set A) should be started on the first day after your operation.<\/p>\n\n\n\n<p>They should be performed sitting or standing. We advise that you do these 4 times a day. Each movement should be repeated 5 times, increasing to 8-10 times as you get stronger.<\/p>\n\n\n\n<p>1. Lift your shoulders \u2013 relax<\/p>\n\n\n<style>.wp-block-kadence-advancedgallery .kb-gallery-type-grid.kb-gallery-id-26333_cb470e-eb{margin:-5px;}.kb-gallery-type-grid.kb-gallery-id-26333_cb470e-eb .kadence-blocks-gallery-item{padding:5px;}.kb-gallery-id-26333_cb470e-eb .kadence-blocks-gallery-item .kb-gal-image-radius, .kb-gallery-id-26333_cb470e-eb .kb-slide-item .kb-gal-image-radius img{border-radius:0px 0px 0px 0px;;}.kb-gallery-caption-style-bottom.kb-gallery-id-26333_cb470e-eb .kadence-blocks-gallery-item .kadence-blocks-gallery-item-inner .kadence-blocks-gallery-item__caption, .kb-gallery-caption-style-bottom-hover.kb-gallery-id-26333_cb470e-eb .kadence-blocks-gallery-item .kadence-blocks-gallery-item-inner .kadence-blocks-gallery-item__caption{background:linear-gradient(0deg, rgba(0, 0, 0, 0.8) 0, rgba(0, 0, 0, 0) 100%);}<\/style><div class=\"kb-gallery-wrap-id-26333_cb470e-eb alignnone wp-block-kadence-advancedgallery\"><ul class=\"kb-gallery-ul kb-gallery-non-static kb-gallery-type-grid kb-gallery-id-26333_cb470e-eb kb-gallery-caption-style-bottom kb-gallery-filter-none\" data-image-filter=\"none\" data-item-selector=\".kadence-blocks-gallery-item\" data-lightbox-caption=\"true\" data-columns-xxl=\"2\" data-columns-xl=\"2\" data-columns-md=\"2\" data-columns-sm=\"2\" data-columns-xs=\"1\" data-columns-ss=\"1\"><li class=\"kadence-blocks-gallery-item\"><div class=\"kadence-blocks-gallery-item-inner\"><figure class=\"kb-gallery-figure kadence-blocks-gallery-item-has-caption\"><div class=\"kb-gal-image-radius\"><div class=\"kb-gallery-image-contain kadence-blocks-gallery-intrinsic kb-gallery-image-ratio-land32 kb-has-image-ratio-land32\" ><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-1-263x300.png\" width=\"263\" height=\"300\" alt=\"Radiotherapy exercise 1\" data-full-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-1.png\" data-light-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-1.png\" data-id=\"26358\" class=\"wp-image-26358\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-1-263x300.png 263w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-1.png 361w\" sizes=\"auto, (max-width: 263px) 100vw, 263px\" \/><\/div><div class=\"kadence-blocks-gallery-item__caption\">NHS Lothian<\/div><\/div><\/figure><\/div><\/li><li class=\"kadence-blocks-gallery-item\"><div class=\"kadence-blocks-gallery-item-inner\"><figure class=\"kb-gallery-figure kadence-blocks-gallery-item-has-caption\"><div class=\"kb-gal-image-radius\"><div class=\"kb-gallery-image-contain kadence-blocks-gallery-intrinsic kb-gallery-image-ratio-land32 kb-has-image-ratio-land32\" ><img loading=\"lazy\" decoding=\"async\" width=\"346\" height=\"412\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-2.png\"   alt=\"Radiotherapy exercise 2\" data-full-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-2.png\" data-light-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-2.png\" data-id=\"26359\" class=\"wp-image-26359\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-2.png 346w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-2-252x300.png 252w\" sizes=\"auto, (max-width: 346px) 100vw, 346px\" \/><\/div><div class=\"kadence-blocks-gallery-item__caption\">NHS Lothian<\/div><\/div><\/figure><\/div><\/li><\/ul><\/div>\n\n\n<p>2. Pull your shoulders back as if you are trying to squeeze your shoulder blades together at the back<\/p>\n\n\n<style>.wp-block-kadence-advancedgallery .kb-gallery-type-grid.kb-gallery-id-26333_d93c38-db{margin:-5px;}.kb-gallery-type-grid.kb-gallery-id-26333_d93c38-db .kadence-blocks-gallery-item{padding:5px;}.kb-gallery-id-26333_d93c38-db .kadence-blocks-gallery-item .kb-gal-image-radius, .kb-gallery-id-26333_d93c38-db .kb-slide-item .kb-gal-image-radius img{border-radius:0px 0px 0px 0px;;}.kb-gallery-caption-style-bottom.kb-gallery-id-26333_d93c38-db .kadence-blocks-gallery-item .kadence-blocks-gallery-item-inner .kadence-blocks-gallery-item__caption, .kb-gallery-caption-style-bottom-hover.kb-gallery-id-26333_d93c38-db .kadence-blocks-gallery-item .kadence-blocks-gallery-item-inner .kadence-blocks-gallery-item__caption{background:linear-gradient(0deg, rgba(0, 0, 0, 0.8) 0, rgba(0, 0, 0, 0) 100%);}<\/style><div class=\"kb-gallery-wrap-id-26333_d93c38-db alignnone wp-block-kadence-advancedgallery\"><ul class=\"kb-gallery-ul kb-gallery-non-static kb-gallery-type-grid kb-gallery-id-26333_d93c38-db kb-gallery-caption-style-bottom kb-gallery-filter-none\" data-image-filter=\"none\" data-item-selector=\".kadence-blocks-gallery-item\" data-lightbox-caption=\"true\" data-columns-xxl=\"2\" data-columns-xl=\"2\" data-columns-md=\"2\" data-columns-sm=\"2\" data-columns-xs=\"1\" data-columns-ss=\"1\"><li class=\"kadence-blocks-gallery-item\"><div class=\"kadence-blocks-gallery-item-inner\"><figure class=\"kb-gallery-figure kadence-blocks-gallery-item-has-caption\"><div class=\"kb-gal-image-radius\"><div class=\"kb-gallery-image-contain kadence-blocks-gallery-intrinsic kb-gallery-image-ratio-land32 kb-has-image-ratio-land32\" ><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-3-258x300.png\" width=\"258\" height=\"300\" alt=\"Radiotherapy exercise 3\" data-full-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-3.png\" data-light-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-3.png\" data-id=\"26341\" class=\"wp-image-26341\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-3-258x300.png 258w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-3.png 374w\" sizes=\"auto, (max-width: 258px) 100vw, 258px\" \/><\/div><div class=\"kadence-blocks-gallery-item__caption\">NHS Lothian<\/div><\/div><\/figure><\/div><\/li><li class=\"kadence-blocks-gallery-item\"><div class=\"kadence-blocks-gallery-item-inner\"><figure class=\"kb-gallery-figure kadence-blocks-gallery-item-has-caption\"><div class=\"kb-gal-image-radius\"><div class=\"kb-gallery-image-contain kadence-blocks-gallery-intrinsic kb-gallery-image-ratio-land32 kb-has-image-ratio-land32\" ><img loading=\"lazy\" decoding=\"async\" width=\"359\" height=\"435\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-4.png\"   alt=\"Radiotherapy exercise 4\" data-full-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-4.png\" data-light-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-4.png\" data-id=\"26342\" class=\"wp-image-26342\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-4.png 359w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-4-248x300.png 248w\" sizes=\"auto, (max-width: 359px) 100vw, 359px\" \/><\/div><div class=\"kadence-blocks-gallery-item__caption\">NHS Lothian<\/div><\/div><\/figure><\/div><\/li><\/ul><\/div>\n\n\n<p>3. Sit or stand with your hands clasped together. Lift your hands up in front of you to shoulder level with your thumbs pointing towards the ceiling. For the first week only raise your arms to 90 degrees (shoulder height).<\/p>\n\n\n\n<p><\/p>\n\n\n<style>.kb-image26333_49e022-60 .kb-image-has-overlay:after{opacity:0.3;}<\/style>\n<div class=\"wp-block-kadence-image kb-image26333_49e022-60\"><figure class=\"aligncenter size-medium\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"201\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-5-300x201.png\" alt=\"Radiotherapy exercise 5\" class=\"kb-img wp-image-26343\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-5-300x201.png 300w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-5.png 738w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption>NHS Lothian<\/figcaption><\/figure><\/div>\n\n\n\n<p>4. Sitting or standing, place your fingers behind your ears. Keeping your head up, stretch your elbows out to the side and then back to the middle.<\/p>\n\n\n\n<p><\/p>\n\n\n<style>.wp-block-kadence-advancedgallery .kb-gallery-type-grid.kb-gallery-id-26333_599c58-3a{margin:-5px;}.kb-gallery-type-grid.kb-gallery-id-26333_599c58-3a .kadence-blocks-gallery-item{padding:5px;}.kb-gallery-id-26333_599c58-3a .kadence-blocks-gallery-item .kb-gal-image-radius, .kb-gallery-id-26333_599c58-3a .kb-slide-item .kb-gal-image-radius img{border-radius:0px 0px 0px 0px;;}.kb-gallery-caption-style-bottom.kb-gallery-id-26333_599c58-3a .kadence-blocks-gallery-item .kadence-blocks-gallery-item-inner .kadence-blocks-gallery-item__caption, .kb-gallery-caption-style-bottom-hover.kb-gallery-id-26333_599c58-3a .kadence-blocks-gallery-item .kadence-blocks-gallery-item-inner .kadence-blocks-gallery-item__caption{background:linear-gradient(0deg, rgba(0, 0, 0, 0.8) 0, rgba(0, 0, 0, 0) 100%);}<\/style><div class=\"kb-gallery-wrap-id-26333_599c58-3a alignnone wp-block-kadence-advancedgallery\"><ul class=\"kb-gallery-ul kb-gallery-non-static kb-gallery-type-grid kb-gallery-id-26333_599c58-3a kb-gallery-caption-style-bottom kb-gallery-filter-none\" data-image-filter=\"none\" data-item-selector=\".kadence-blocks-gallery-item\" data-lightbox-caption=\"true\" data-columns-xxl=\"2\" data-columns-xl=\"2\" data-columns-md=\"2\" data-columns-sm=\"2\" data-columns-xs=\"1\" data-columns-ss=\"1\"><li class=\"kadence-blocks-gallery-item\"><div class=\"kadence-blocks-gallery-item-inner\"><figure class=\"kb-gallery-figure kadence-blocks-gallery-item-has-caption\"><div class=\"kb-gal-image-radius\"><div class=\"kb-gallery-image-contain kadence-blocks-gallery-intrinsic kb-gallery-image-ratio-land32 kb-has-image-ratio-land32\" ><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-6-278x300.png\" width=\"278\" height=\"300\" alt=\"Radiotherapy exercise 6\" data-full-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-6.png\" data-light-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-6.png\" data-id=\"26344\" class=\"wp-image-26344\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-6-278x300.png 278w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-6.png 482w\" sizes=\"auto, (max-width: 278px) 100vw, 278px\" \/><\/div><div class=\"kadence-blocks-gallery-item__caption\">NHS Lothian<\/div><\/div><\/figure><\/div><\/li><li class=\"kadence-blocks-gallery-item\"><div class=\"kadence-blocks-gallery-item-inner\"><figure class=\"kb-gallery-figure kadence-blocks-gallery-item-has-caption\"><div class=\"kb-gal-image-radius\"><div class=\"kb-gallery-image-contain kadence-blocks-gallery-intrinsic kb-gallery-image-ratio-land32 kb-has-image-ratio-land32\" ><img loading=\"lazy\" decoding=\"async\" width=\"598\" height=\"494\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-7.png\"   alt=\"Radiotherapy exercise 7\" data-full-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-7.png\" data-light-image=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-7.png\" data-id=\"26345\" class=\"wp-image-26345\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-7.png 598w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-7-300x248.png 300w\" sizes=\"auto, (max-width: 598px) 100vw, 598px\" \/><\/div><div class=\"kadence-blocks-gallery-item__caption\">NHS Lothian<\/div><\/div><\/figure><\/div><\/li><\/ul><\/div>\n\n\n<p><strong>Exercises Set B:<\/strong><\/p>\n\n\n\n<p>These exercises are a progression from set A and should be started after one week.<\/p>\n\n\n\n<p>The exercises in set B should be done lying flat on a bed.<\/p>\n\n\n\n<p>1. Lying on your back with hands clasped. Leading with your thumb, raise your arms slowly overhead keeping them close to your ears. Hold for 2-3 seconds and lower gently. Progress to holding and stretching for 10-20 seconds.<\/p>\n\n\n<style>.kb-image26333_8fa964-28 .kb-image-has-overlay:after{opacity:0.3;}<\/style>\n<div class=\"wp-block-kadence-image kb-image26333_8fa964-28\"><figure class=\"aligncenter size-medium\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"156\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-8-300x156.png\" alt=\"Radiotherapy exercise 8\" class=\"kb-img wp-image-26346\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-8-300x156.png 300w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-8.png 731w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption>NHS Lothian<\/figcaption><\/figure><\/div>\n\n\n\n<p>2. Stretch your elbows out to the side \u2013 trying to touch the bed with them.&nbsp; Keep them in this position for 2-3 seconds and slowly bring them back together again. Progress this exercise by increasing the hold to 10-20 seconds. Any questions contact&nbsp; WGH Oncology Physiotherapy <strong>0131 537 1923<\/strong> <\/p>\n\n\n<style>.kb-image26333_7ffd79-61 .kb-image-has-overlay:after{opacity:0.3;}<\/style>\n<div class=\"wp-block-kadence-image kb-image26333_7ffd79-61\"><figure class=\"aligncenter size-medium\"><img loading=\"lazy\" decoding=\"async\" width=\"257\" height=\"300\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-9-e1769608663410-257x300.png\" alt=\"Radiotherapy exercise 9\" class=\"kb-img wp-image-26347\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-9-e1769608663410-257x300.png 257w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiotherapy-exercise-9-e1769608663410.png 443w\" sizes=\"auto, (max-width: 257px) 100vw, 257px\" \/><figcaption>NHS Lothian<\/figcaption><\/figure><\/div>\n\n\n\n<p>All exercise images source: Adapted from leaflet<a href=\"https:\/\/policyonline.nhslothian.scot\/wp-content\/uploads\/2023\/03\/After_your_Breast_Surgery.pdf\" data-type=\"link\" data-id=\"https:\/\/policyonline.nhslothian.scot\/wp-content\/uploads\/2023\/03\/After_your_Breast_Surgery.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"> <em>After your Breast surgery &#8211; Discharge booklet<\/em><\/a>, developed by NHS Lothian.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Society of Radiographers recommends RTOG skin scoring <a href=\"https:\/\/www.sor.org\/getmedia\/6484303e-7267-4408-8614-254a9e9a4932\/5056_-_sor_design_doc_b_staff_infosheet_-_skin_care_a5_leaflet_llv4_2.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">sor.org\/getmedia\/6484303e-7267-4408-8614-254a9e9a4932\/5056_-_sor_design_doc_b_staff_infosheet_-_skin_care_a5_leaflet_llv4_2.pdf<\/a><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Edinburgh Cancer Centre Information The most common side effect of radiotherapy is a skin reaction which can develop during treatment and up to a month after treatment, only occurring within the boundaries of the radiotherapy treatment fields. The reaction will depend on the dose delivered and the area of the body receiving treatment. All breast<\/p>\n","protected":false},"author":20,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[49,449],"class_list":["post-26333","page","type-page","status-publish","hentry","category-breastdisease","category-oncology"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"mariamazoysaavedra","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/mariamazoysaavedra\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/breastdisease\/\" rel=\"tag\">Breast Disease<\/a><a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/oncology\/\" rel=\"tag\">Oncology<\/a>","rttpg_excerpt":"Edinburgh Cancer Centre Information The most common side effect of radiotherapy is a skin reaction which can develop during treatment and up to a month after treatment, only occurring within the boundaries of the radiotherapy treatment fields. The reaction will depend on the dose delivered and the area of the body receiving treatment. All breast","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/26333","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/20"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=26333"}],"version-history":[{"count":50,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/26333\/revisions"}],"predecessor-version":[{"id":26547,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/26333\/revisions\/26547"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=26333"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=26333"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}