18/09/2025                                                                            
                                    
                                                                            
                                            It’s been a number of years since the Clinical Oncological Society of Australia (COSA) released its position statement on the importance of exercise for those undergoing cancer treatment (cosa-position-statement-exercise-in-cancer-care-dec2020-final-min.pdf). Health professionals are encouraged to discuss exercise with those undergoing treatment and to connect them with experts such as exercise physiologists or physiotherapists. The goal? To make exercise a routine part of cancer care as we know that exercise supports both our physical and emotional well-being, helps manage fatigue, and reduces treatment side effects. Yet ironically, those same challenges—fatigue and side effects—can make it incredibly difficult to get moving, especially if we weren’t previously in the habit of exercising. It’s completely normal to feel like exercise is the last thing you want to do during treatment. You’re not alone.
So what can help?
Start by identifying resources and supports are available to you, and the barriers you’re facing. The Cancer Council NSW’s guide Exercise for People Living with Cancer, is a great place to start.  Get expert advice from exercise physiology or physiotherapy services that specialise in supporting people with acute or chronic health conditions - your care team may already work with professionals they can refer you to. If you feel cost is a barrier, speak to your GP about whether you’re eligible for a Chronic Disease Management Plan (CDMP), which provides access to up to 5 subsidised visits per year to allied health services such as physiotherapy, exercise physiology, dietetics, and more.
Make it achievable and enjoyable. A realistic plan to increase movement should be something you enjoy and can build gradually—alongside rest, good nutrition, hydration, and regular medical check-ins.  Exercising outdoors, joining others, or turning it into a social activity can help you stay motivated. Or keep it simple: if a friend asks how they can support you, suggest a short walk together instead of another coffee catch-up; most smartphones can track your steps which can be a helpful way to monitor progress and help set realistic goals.
It may take time to find strategies that work for you, and that’s okay. Please don’t use guilt as a motivator. If something isn’t working, talk to your team, re-think, experiment, and try again. Something is always better than nothing. Most importantly, notice your achievements, be kind to yourself, and celebrate every win—no matter how small.