Exercise Guidelines for Prostate Cancer Patients: From Diagnosis Through Recovery

Safe and Effective Physical Activity Recommendations

Oncology

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Last updated: Mar 24, 2025

Pre-Exercise Safety Checklist

  • Obtain clearance from your oncologist
  • Monitor your PSA levels and bone health status
  • Have appropriate exercise clothing and supportive footwear
  • Keep water bottle handy for hydration

Recommended Exercise Types

1. Aerobic Exercise

  • Walking: 15-30 minutes, 3-5 times weekly
  • Swimming: Low-impact full-body workout
  • Stationary cycling: Especially good during radiation therapy

2. Strength Training

  • Pelvic floor exercises: 3 sets of 10 repetitions
  • Lower body: Wall squats, seated leg raises
  • Upper body: Modified push-ups, resistance bands

3. Flexibility Work

  • Gentle stretching of major muscle groups
  • Hold stretches for 15-30 seconds
  • Focus on hip and lower back mobility

Exercise Intensity Guidelines

During Treatment

  • Maintain 40-60% of max heart rate
  • Use "talk test" - should be able to hold conversation
  • Rest between exercise sets

Post-Treatment

  • Gradually increase to 60-75% max heart rate
  • Progressive resistance training
  • Monitor fatigue levels

Warning Signs to Stop Exercise

  • Unusual fatigue or weakness
  • Bone pain or sharp joint pain
  • Dizziness or chest pain
  • Shortness of breath

Special Considerations

  • Modify exercises if on hormone therapy
  • Extra care needed if bone metastases present
  • Avoid high-impact activities if osteoporosis present

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