Effectiveness of a Therapeutic Exercise Program With Specific Upper Limb Exercises to Reduce Lymphedema and Neuropathy in Breast Cancer Patients: A Pre-post Study (LYNMA)

Inclusion Criteria: * Patients receiving treatment for breast carcinoma.reatments include surgical procedures (breast-conserving surgery or mastectomy), axillary lymph node dissection, sentinel lymph node biopsy, radiotherapy, chemotherapy, and hormone therapy. * Participants must provide authorization from their primary care physician and/or oncologist to perform therapeutic exercise. * Diagnosis of lymphedema associated with stage I or II breast cancer (Stage 1 or mild: circumference difference less than 4 cm \[volume difference 10-25%\] compared to the healthy arm; Stage 2 or moderate: circumference difference between 4 and 6 cm \[volume difference 25-50%\] compared to the healthy arm). * A score of 4 or higher on the DN4 questionnaire (neuropathic pain) Exclusion Criteria: * Lack of medical authorization. * Pre-existing cardiac pathology prior to cancer diagnosis. * Exacerbation of comorbidities. * Travel time exceeding 45 minutes to the location where the therapeutic exercise program is conducted.