Post-Hernia Surgery: Safe Exercises and Activities to Consider

Q: Post-Hernia Surgery: Safe Exercises and Activities to Consider

Hello Mr. <br>David： Movements such as torso twists, arm swings on tiptoes, and squats can still cause some degree of abdominal pressure, especially squats. <br>If you have a relatively thin abdominal wall and have recently noticed that your left lower abdomen is more prominent w

Can a person who has had hernia surgery perform sit-ups and similar exercises?

Hello, Director Lin.
I underwent left inguinal hernia surgery once in 2020 and once in 2021.
The first surgery was traditional, and the second was with a mesh implant.
The doctor mentioned that my abdominal wall is inherently thinner.
Over the past few months, I feel that since it has been two and a half years since the surgery, I can start doing some activities again.
Therefore, I have been doing sit-ups, seated forward bends, sitting cross-legged on a yoga mat, twisting my torso while raising my arms, raising my arms while standing on my toes, and squats.
However, recently, whenever I stand or walk, my left lower abdomen seems to protrude more, and occasionally I feel some pain, which makes me think that the hernia may have recurred.
Upon reflection, I realize that sit-ups, forward bends, and sitting cross-legged likely put significant strain on my abdomen, so I should indeed do those less.
However, I feel that twisting and raising my arms, raising my arms while on my toes, and squats should not put much pressure on my abdomen, so I can continue doing those.
I am unsure if my understanding is correct.
Please guide me when you have the time.
Thank you.

David, 70~79 year old female. Ask Date: 2024/05/12

Dr. Lin Jianzhong reply Rehabilitation

Hello Mr.
David: Movements such as torso twists, arm swings on tiptoes, and squats can still cause some degree of abdominal pressure, especially squats.
If you have a relatively thin abdominal wall and have recently noticed that your left lower abdomen is more prominent while standing or walking, occasionally accompanied by some pain, I recommend that you at least avoid squats and arm swings on tiptoes.
Please consult a urologist or surgeon.
Dr.
Lin Jianzhong, Rehabilitation Department, Nantou Hospital.

Reply Date: 2024/05/12

More Info

After undergoing hernia surgery, it’s crucial to approach exercise and physical activities with caution to ensure proper healing and to avoid complications such as recurrence of the hernia. Given your history of two surgeries for inguinal hernia, it's understandable that you want to resume physical activity, but it’s essential to do so in a safe and structured manner.

First and foremost, it’s important to listen to your body. If you are experiencing pain or noticeable protrusion in the left lower abdomen during activities, this could be a sign that you are putting too much strain on the area. Exercises that involve significant abdominal pressure, such as sit-ups and forward bends, can indeed exacerbate the situation and should be minimized or avoided altogether. These movements can increase intra-abdominal pressure, which may lead to discomfort or even a recurrence of the hernia.

Instead, focus on low-impact activities that do not strain the abdominal wall. Walking is a great option, as it promotes circulation and healing without putting excessive pressure on the abdomen. Additionally, gentle stretching and mobility exercises can help maintain flexibility and strength without risking injury. If you enjoy yoga, consider modifying your practice to avoid poses that require deep bending or twisting of the torso.
For strength training, it’s advisable to avoid exercises that heavily engage the core, particularly those that involve lifting weights or performing high-intensity movements. Instead, you might consider resistance training that targets other muscle groups while keeping the core stable. For instance, upper body exercises that do not require you to engage your abdominal muscles intensely can be a good alternative.

Regarding the specific exercises you mentioned, here are some recommendations:
1. Sit-ups and Forward Bends: As you suspected, these exercises can put significant strain on your abdominal wall. It would be wise to limit or eliminate these from your routine.

2. Twisting Movements: Gentle twisting can be acceptable if done carefully and without discomfort. However, avoid any sudden or forceful movements that could strain the abdomen.

3. Deep Squats: While squats can be beneficial for overall strength, ensure that you maintain proper form and do not go too low if it causes discomfort. Consider bodyweight squats or using a chair for support.

4. Standing and Walking: These activities are generally safe and can be beneficial for your recovery. If you experience discomfort while standing or walking, it may be a sign to take a step back and allow more time for healing.

5. Consultation with a Physical Therapist: It might be beneficial to consult with a physical therapist who specializes in post-surgical rehabilitation. They can provide personalized guidance and develop a tailored exercise program that considers your specific needs and limitations.

In summary, while it’s great that you want to be active post-surgery, it’s essential to prioritize safety and listen to your body. Avoid exercises that increase abdominal pressure, and focus on low-impact activities that promote healing. If you have any concerns about your symptoms or the possibility of a hernia recurrence, it’s crucial to consult your healthcare provider for further evaluation and guidance.

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