Abdominal Exercise After Hernia Repair
A hernia is essentially a defect or hole in the muscle of the abdominal wall that serves to hold in the organs. According to the North Penn Hernia Institute, repetitive strain or stress to the muscles can cause a hernia and you can also be born with a weak abdominal wall. Bulges in the abdomen resulting from hernias must be repaired through surgery. You can usually resume normal exercise and abdominal workouts within two weeks of the surgery, depending on your physical condition.
Time Frame
According to the North Penn Hernia Institute, walking is usually encouraged immediately following hernia repair surgery to prevent muscle atrophy and decrease your risk of developing a blood clot. You may begin lifting light weightlifting and moderate aerobic activity within a week if your doctor approves.
Features
You should avoid certain exercises for at least a couple of weeks following hernia surgery. According to Net Doctor, this includes any exercise or activity that places excessive strain on your abdomen. Exercises such as rowing or activities requiring pushing or pulling resistance weights are ill advised. Lifting heavy weights closes off your throat as you lift, causing undue pressure on the hernia repair site. Water exercises and swimming are ideal abdominal exercises because the water can help to hold the incision and weakened abdominal walls in place. A recumbent bike takes pressure off your core and places it more heavily on your legs.
Alternatives
Abdominal-strengthening exercises may help repair a hernia when the condition occurs for the first time, according to the Encyclopedia of Surgery. Losing weight and performing tai chi, yoga and stretching exercises to strengthen the abdominal walls can lead to a natural repair. Walking is a full-body aerobic activity that can aid in healing as well. In addition to strengthening your abdomen with sit-ups and light weightlifting, you also must learn how to pick up heavy objects so as not to strain your weakened abdominal walls.
Options
As an option to the traditional hernia repair surgeries that require about one to two weeks before you can resume exercising, the University of Arkansas for Medical Sciences states that laparoscopic procedures may allow you to return to your regular workout routine within days. If you are otherwise in good health and have been exercising regularly, you may often resume sit-ups, resistance-equipment workouts and other abdominal exercises such as rowing or weightlifting within about three days after a laparoscopic procedure.
Warning
You should follow the advice of your doctor about when to resume your regular abdominal exercises and other activities. According to Rodeo Drive Plastic Surgery, you run the risk of popping your incisions and developing other side effects if you resume exercises too soon. You'll know if you re-injured the spot if you experience severe abdominal pain or develop a fever, have excessive swelling or tenderness in the area or have difficulty urinating.
References
- Encyclopedia of Surgery: Incisional Hernia Repair
- University of Arkansas for Medical Sciences: Laparoscopic Hernia Repair
- Net Doctor: Exercise with a Hernia
- Brooks DC. (2020). Overview of abdominal wall hernias in adults. Rosen M, ed. Waltham, MA:
- Harvard Health. (December 2018). Hernia Repair.
- HerniaSurge Group. International guidelines for groin hernia management. Hernia. 2018;22(1):1–165. doi:10.1007/s10029-017-1668-x
- Bittner R, Schwarz J. Inguinal hernia repair: current surgical techniques. Langenbecks Arch Surg. 2012 Feb;397(2):271-82. doi:10.1007/s00423-011-0875-7
- Hassler KR, Saxena P, Baltazar-Ford KS. (Updated June 2020). Open Inguinal Hernia Repair. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-
- LeBlanch KE, LeBlanc LL, LeBlanc KA. Inguinal Hernias: Diagnosis and Management. Am Fam Physician. 2013 Jun 15;87(12):844-848.
- Berger D. Evidence-Based Hernia Treatment in Adults. Dtsch Arztebl Int. 2016 Mar; 113(9): 150–158.
- Society of American Gastrointestinal and Endoscopic Surgeons (SAGES). Guidelines for the Management of Hiatal Hernia. April 2013.
- Johns Hopkins Medicine. Preparing for hernia surgery.
- University of Wisconsin Health. Laparoscopic inguinal hernia repair.
- Johns Hopkins Medicine. What to expect after hernia surgery.
- University of Michigan. (August 2019). Open Inguinal Hernia Repair (Herniorrhaphy, Hernioplasty).
- American College of Surgeons. (2018). Groin Hernia Repair: Inguinal and Femoral.
- Schjøth-Iversen L, Refsum A, Brudvik KW. Factors associated with hernia recurrence after laparoscopic total extraperitoneal repair for inguinal hernia: a 2-year prospective cohort study. Hernia. 2017 Oct;21(5):729-735. doi:10.1007/s10029-017-1634-7
- Chowbey PK, Pithawala M, Khullar R, Sharma A, Soni V, Baijal M. Complications in groin hernia surgery and the way out. J Minim Access Surg. 2006 Sep; 2(3): 174–177. doi:10.4103/0972-9941.27734
- Andresen K, Rosenberg J. Management of chronic pain after hernia repair. J Pain Res. 2018; 11: 675–681. doi:10.2147/JPR.S127820
- Lindmark M, Strigård K, Löwenmark T, Dahlstrand U, Gunnarsson U. Risk Factors for Surgical Complications in Ventral Hernia Repair. World J Surg. 2018; 42(11): 3528–3536. doi:10.1007/s00268-018-4642-6
Resources
Writer Bio
Linda Ray is an award-winning journalist with more than 20 years reporting experience. She's covered business for newspapers and magazines, including the "Greenville News," "Success Magazine" and "American City Business Journals." Ray holds a journalism degree and teaches writing, career development and an FDIC course called "Money Smart."