Post-chemotherapy shoulder complications are common. They result in long term functional impairment and disability. The following case is of a woman who was diagnosed with bilateral shoulder joint arthritis (Right__ampersandsigngt;left) post lumpectomy of the left breast. Her symptoms started a year after she was put on anastrozole. Patient started complaining of multiple joint pains involving the shoulder joints, bilateral hip and knee. She was asked to undergo shoulder replacement if disability persisted. Physiotherapy was suggested and she was treated with aggressive strengthening both for treating pain and improving function. Post treatment patient gave a visual analogue score of 6 on 10 on the right and 5 on 10 on the left as compared to pre-treatment scores of 8 on 10 bilaterally. Patient now had mild difficulty in cooking as compared to moderate previously and moderate difficulty in overhead activities, making bed, grooming and dressing. There was a subjective improvement of 50% in the activities of daily living which was previously not being done or severely limited. Considering the above findings strengthening can be cautiously suggested for improving function in patients with breast cancer on chemotherapy.