Multiple Myeloma - Multiple Questions? We have answers!
What is Multiple Myeloma?
Multiple Myeloma is a rare form of bone marrow cancer, arising from the plasma cells of the blood. Plasma cells are a critical part of the immune system, with their role being producing antibodies to help fight off infection. In those with multiple myeloma, instead of releasing antibodies, their plasma cells release something called paraprotein, which has no real function or use in immune defence. Because we have several different sites of active bone marrow (for example, our hips, pelvis and spine), multiple myeloma can affect numerous parts of the body.
Why is Exercise Important in Multiple Myeloma? What does the Research Say?
As myeloma originates from the bone marrow, it can drastically increase risk of fractures and damage to the bones. Exercise can play a critical role in helping to reverse the degenerative effects of myeloma on bone, and hence decrease fracture risk. Whilst there is no current research in myeloma specifically, we can apply the principle of impact loading for bone health in the case of osteoporosis or osteopenia, with the same outcome of decreasing risk of fracture. In addition to the diagnosis, anti-cancer treatment therapies such as chemotherapy or immunotherapy can also further decrease response of the immune system. Other treatment-related side effects can include decreased quality of life, decreased muscle strength, and decreased cardiorespiratory fitness. There is a surplus of research for all cancer diagnoses that promotes exercise as an effective way to improve strength, fitness and quality of life, helping to counter the side-effects of treatment.
How can an Exercise Physiologist Help?
An Exercise Physiologist will have a comprehensive understanding of the considerations and effects of Multiple Myeloma on movement, general bodily function and safe blood cell levels for exercise. They can work with you to design a program specific to your requirements, taking into consideration bone and muscle health, immune system function and quality of life. As little as once a week can assist in symptom reduction, building as tolerated at a rate that is comfortable with you.