10/13/2026
Your client just finished cancer treatment. Your instinct is to treat her like she's fragile. That instinct might be holding her back.
It usually happens quietly, at the start of a session. "I finished treatment last month. I'm ready to start moving again." And in that moment, a teacher's mind starts racing. Is this safe? What should I avoid? Can she load that arm? Does she need medical clearance first?
If you've felt that flicker of panic, you're not alone. It means you care. But here's the part no one talks about: when we're unsure, we default to gentle. Tiny ranges, no load, and a lot of "just take it easy." Being handled like glass can quietly tell a client that her body can't be trusted. Careful is smart. Overly cautious doesn't serve anyone.
The research supports a more confident approach. International exercise guidelines for cancer survivors, developed by a roundtable convened by the American College of Sports Medicine, find that exercise is generally safe and support working with qualified exercise professionals. And the landmark Physical Activity and Lymphedema (PAL) trial found that slowly progressive, supervised strength training was safe for breast cancer survivors, including those with or at risk for arm lymphedema.
Every client is different, and not every client is a woman. Men get breast cancer too. It's rare, fewer than 1% of US cases, but those clients deserve the same informed care. Different bodies, same need for a framework.
That's what a protocol-based approach gives you: a clear starting point, a logical progression stage by stage, exercise choices with a reason behind them, and the confidence to progress your client, not just protect them. All while working alongside their care team, not in place of it.
In STOTT PILATES® Programming Protocols for Breast Cancer Rehab, Katherine Brown, STOTT PILATES® Master Instructor Trainer, will guide you through understanding breast cancer, detection, and treatment, applying Merrithew® programming protocols for pre-operative and post-operative stages, and exploring healing practices that support both physical and emotional recovery.
📍 STOTT PILATES® Programming Protocols for Breast Cancer Rehab
📍 Sunday, October 18 | 9am to 4pm PT | Online
📍 With Katherine Brown, STOTT PILATES® Master Instructor Trainer
📍 $420, course manual included | .6 CECs
📍 Small equipment required. Full list on our site.
See the full list and register here: https://pacificnorthwestpilates.com/continuing-education/