Exercise while Living with a Neuroendocrine Tumor

Start small

Slowly and safely add activity to your day. This can be as easy as walking to the mailbox and back. Or, if you are up to it, walking the dog around the block. Set goals and keep track of your progress.

During treatment

• Light activity 5-10 minutes/1-3 times a week

After treatment

• Currently not active: Start 5-10 minutes moderate exercise/ 2-3 times a week, work up to 20-30 minutes
• Currently active: Aim for 30 minutes moderate exercise (can break it down into 10-minute sessions)/5 days a week⁴⁰, including strength training at least two days per week.³²

Clean environment

Take precautions to protect yourself from COVID-19. See these recommendations for visiting parks and recreational facilities. 

When your immune system is weakened from treatment (i.e., low white blood cell count) or you have a catheter/feeding tube avoid:

• Public gyms
• Public tennis courts, golf courses
• Group classes
• Public pools
• Busy, crowded environments 

Safe environment

Avoid uneven surfaces

• Limit any risk of falls if you have foot numbness (stationary recumbent bike is a safe option)
• Limit sun exposure, protect your skin with a hat, clothing, and sunscreen with SPF 30 or higher

When not to exercise

• If you have chest pain
• If you are anemic (low red blood cell count)
• If you are dizzy, lightheaded
• If you have reduced potassium or sodium in your blood due to vomiting and diarrhea
• If you are actively experiencing pain/nausea/vomiting
• If you have a bone or joint problem that could be aggravated
• If a doctor has asked you to avoid physical activity
• If you have not been cleared for exercise following a surgery

How to get moving

• Pick an activity you enjoy. Make accommodations to maintain your safety. Find a walking buddy. Have a chair nearby for balance — or use a cane or walker. Use any available safety equipment: a helmet for biking or floatation device for swimming or boating. Have a water bottle nearby for hydration. For outdoor activities, use sun protection.
• Keep at it. It’s OK to skip a day here and there if you aren’t up to it. Just get back into your routine as soon as you are able. Over time you will gain strength, endurance, and benefit from moving more. Just take it one step at a time!