Post-Hernia Surgery Pain: What to Do After Lifting Heavy Objects? - Urology

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Three years after hernia surgery, sudden pain occurred while lifting heavy objects?


Hello doctor, three years ago I underwent hernia repair surgery in my left lower abdomen using traditional surgery with a mesh implant.
Within a month post-surgery, I experienced sharp pain in the inner thigh, left side of the waist, and the left posterior pelvis, as well as a sensation of swelling and heaviness in the scrotum (in Taiwanese: "吊吊的感覺").
Eventually, the pain subsided.
Recently, due to work, I had to lift heavy objects (approximately 21 kg), and after doing so, the initial post-surgical pain symptoms returned.
The area where I had surgery is now only occasionally painful, but I am very concerned about a possible recurrence.
I visited the urologist who performed the surgery, and he said everything was fine, but advised me to avoid lifting heavy objects to prevent recurrence.
It has been a week since I lifted the heavy items, and the discomfort (especially the sensation of heaviness in the scrotum) persists.
I would like to ask the doctor what this situation might be (nerve strain!?).
If my job requires me to lift heavy items, how can I prevent this from happening again? Would wearing a supportive belt help? Thank you for your assistance.

ANDY, 40~49 year old female. Ask Date: 2023/10/13

Dr. Chen Jiansheng reply Urology


Please seek medical attention.

Reply Date: 2023/10/13

More Info


After undergoing hernia repair surgery, experiencing pain and discomfort, especially after lifting heavy objects, is not uncommon. Your symptoms, including pain in the inner thigh, lower back, and pelvic area, as well as the sensation of heaviness in the scrotum, can be attributed to several factors related to your surgery and subsequent activities.

Firstly, it is essential to understand that hernia surgery, particularly when involving mesh placement, can lead to changes in the surrounding tissues and nerves. The sensation of "heaviness" or "sagging" in the scrotum, often described as a "吊吊的感覺," can be due to nerve irritation or entrapment, which may occur if the surgical site is stressed or if there is inflammation in the area. Lifting heavy objects, such as the 21 kg you mentioned, can exacerbate these symptoms by putting additional strain on the abdominal wall and pelvic region.

The pain you are experiencing could also be a result of muscle strain or overexertion. After surgery, the body requires time to heal, and engaging in heavy lifting too soon can lead to a recurrence of pain or even a potential hernia recurrence. Although your doctor has reassured you that there is no immediate concern for a recurrence, it is crucial to listen to your body and avoid activities that provoke pain.

To manage your symptoms and prevent further discomfort, consider the following recommendations:
1. Rest and Recovery: Allow your body time to heal. Avoid heavy lifting and strenuous activities for an extended period, especially if you are experiencing pain. Gradually reintroduce physical activities, paying attention to how your body responds.

2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. However, consult your physician before taking any medication to ensure it is appropriate for your situation.

3. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can guide you through exercises that strengthen the abdominal and pelvic muscles without putting undue stress on the surgical site. This can help improve your overall stability and reduce the risk of future pain.

4. Use of Supportive Gear: Wearing a supportive abdominal binder or belt while lifting can provide additional support to your abdominal wall. However, it is essential to use these devices correctly and not rely on them as a substitute for proper healing and strengthening.

5. Avoid Heavy Lifting: If your job requires lifting heavy objects, consider discussing your situation with your employer. They may be able to provide assistance or modify your duties to prevent further strain on your body.

6. Monitor Symptoms: Keep track of your symptoms. If the pain persists or worsens, or if you experience new symptoms such as swelling, redness, or fever, seek medical attention promptly. These could be signs of complications that require further evaluation.

7. Follow-Up Appointments: Regular follow-ups with your healthcare provider are crucial. They can monitor your recovery and provide tailored advice based on your progress.

In conclusion, while it is common to experience discomfort after hernia surgery, especially after lifting heavy objects, it is essential to take proactive steps to manage your symptoms and prevent further issues. Prioritize rest, consider physical therapy, and avoid heavy lifting until you are fully healed. Always consult with your healthcare provider for personalized advice and treatment options.

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