Mohs surgery precisely removes skin cancer layer by layer, preserving healthy tissue. This method is particularly beneficial for cancers in sensitive areas like the face, ears, or nose. Following this procedure, proper post-operative care, especially concerning physical activity, is important for optimal healing and to minimize complications.
Initial Exercise Restrictions
Immediately following Mohs surgery, rest and limited activity are recommended. For the first 24 to 48 hours, and often up to a week, strenuous physical activity should be avoided. These restrictions prevent complications such as bleeding, increased swelling, pain, and disruption of the surgical wound. Activities that elevate blood pressure or put strain on the surgical site can increase the risk of bleeding or cause the wound to reopen.
During this initial phase, avoid heavy lifting, bending over, or any exercise that causes significant exertion. Aerobic exercise and weightlifting are restricted for at least one to two weeks. Movements that stretch or pull the skin around the wound should be limited to protect the healing tissues. The body needs this time to focus its resources on repairing the surgical area.
Gradual Reintroduction of Physical Activity
After the initial recovery period, physical activity can be gradually reintroduced, but the exact timeline is highly individualized. Factors such as the size and location of the wound, the method of closure (e.g., stitches, skin graft), and the patient’s overall health influence how quickly one can return to exercise. Always follow the specific guidance provided by the surgeon.
Low-impact activities like light walking can be resumed first, as they promote circulation without putting excessive strain on the wound. Patients should listen to their bodies, paying close attention to any discomfort, pain, or changes at the surgical site. More moderate activities might be considered after three to four weeks, assuming the wound shows advanced healing and there are no signs of infection or opening. However, a full return to normal exercise routines, including jogging or weightlifting, takes around six weeks, and sometimes longer for larger wounds.
Activities to Avoid and Precautions
Certain activities should be avoided for an extended period to prevent complications and ensure optimal scarring. Activities that place direct pressure on the surgical site, involve significant stretching or pulling of the surrounding skin, or risk contamination should be postponed. This includes swimming, using hot tubs, or taking baths for at least two weeks to prevent infection. Contact sports and heavy weightlifting, particularly if they engage muscles near the surgical area, may need to be avoided for two to three months or longer.
Protecting the surgical site from sun exposure is important, as UV rays can damage healing skin and worsen scarring. Wearing protective clothing and broad-spectrum sunscreen with an SPF of 30 or higher is recommended. Maintaining proper hydration supports overall healing, and avoiding activities that cause excessive sweating or friction near the wound can prevent irritation and potential infection.
Recognizing Complications
Be aware of potential complications after Mohs surgery, especially concerning physical activity, and know when to seek medical attention. While some minor oozing is normal, persistent or significant bleeding requires immediate attention. Applying firm, continuous pressure to the wound for 20 minutes can help; if bleeding continues, contact your surgeon.
Signs of infection include increasing pain, swelling, warmth, spreading redness around the wound, or pus/discolored drainage. A fever can also indicate an infection.
Wound dehiscence occurs when the surgical wound reopens after being closed, often due to excessive tension or poor healing. If any of these symptoms appear, particularly severe or worsening pain, significant swelling, or signs of infection, contact your surgeon immediately for prompt evaluation and treatment.