Supporting best recovery after breast cancer - Level 1


Managing post-surgical and radiotherapy side effects is 

an unmet need for many breast cancer survivors;

our sisters, aunts and mothers 

deserve more!


There is a continuous call for change; this requires services to be available and professional training to be provided.

I loved sharing the methods I use, in a workshop format, as this was changing lives for women well outside of my community. But there are so many barriers to workshops now: COVID-19 has impacted learning opportunities for all, especially health professionals.


New training methods mean that you can develop manual therapy skills for breast cancer rehab from your desk.

Watch this video to see what you need to have at your desk so that you can learn the hand skills required.

In the Treatment Module (Level 1) you will have step-by-step instructions for key interventions that will facilitate the recovery of best arm movement following mastectomy and lumpectomy.

Your Learning options:

  1. Join a group live 2-hour zoom session each week for 5 weeks; practice your new-found skills in your home, and then transition quickly to your practice. 

  2. Self-paced learning with support videos 


Completed in November 2021


Courses for 2023

to be set soon

Book your team of therapists for this online training 



Connect with Denise to discuss your training needs




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Participants from previous workshops  have  said

" I use the Reach out the Back

test with all my breast cancer patients "


Kate Perkins -OT and Lymphoedema therapist

" I used the  ROTB test the very next day and made some great changes for my patient"  

workshop image sydney.jpg

Treatment Module- Level 1

LEARN conservative hands-on treatments

for the following impairments: 



Cording insertion  at the chest wall

Uneven skin scars and  chest wall adhesions post-mastectomy

Seroma- fluid-filled and fibrotic

Lumpectomy  dissection problematic scar tissue

Rib cage flaring after  mastectomy

Pain on pressure  at  tight bands of muscles

Scapula dyskinesia and poorly isolated arm movement

Chest breathing

Soft tissue changes at ALND dissection bed

Problematic drain scars






With full course payment, you can receive my PDF literature reviews:

1. Introduction to assessment: Understanding the physical issues faced by women after breast cancer ( 72 pages)


2. Mastectomy: Testing scar tissue severity and other post-surgical impairments. (80 pages)



 RECEIVE five great references from over the last few years.


ready to view or download 


At the commencement of the sessions, you will receive a password-protected PADLET with links to patient resources, free access assessment forms, application for two key patient-reported Rausch-based Q's.  

Each week the recorded sessions will be added to this one URL


LEVEL 1 Treatment module

PRACTICE PRACTICE PRACTICE!  each session and during the week.

Your aim is to get the technique pressure and timing just right, so you can do it without looking at the digital display!

Choose to take the PRESSURE CHALLENGE- be verified in the 3 - 4 key pressure levels used in the training sessions. We'll do this at Week 5 LIVE session where you need to achieve 4/5 reliability with the set pressures while blinded to the digital display.

Standard Touch device

I love having the ST device in my clinic: I check my pressures and I find men get to realize the lightness of pressure very quickly.


Thanks for submitting!

By booking in, you will snag your spot in the small group virtual courses for 2023. 

Book in to express your interest in 2023 courses or to request other days or times.

Level 2 course, focusing on breast reconstruction, additional functional retraining, and ALND soft tissue side effects will be available for therapists who have completed Level 1