Hernia repairs are very common surgeries. Patients are usually discharged from surgery with a set of precautions, have a series of post-operative visits with their surgeon, and sent on their way. Unbeknownst to many, pelvic health therapy can also be a huge asset and resource in this recovery. Here’s how:
What is a hernia
A hernia is a weak spot in muscle or connective tissue that allows internal structures to push through. Hernias are most common in the abdomen and groin, and the immediacy in which they need to be addressed can vary. There can be various types of hernias based on their location. A few common types of hernias are:
Inguinal (in the groin)
Femoral (in the upper thigh/lower groin)
Umbilical (around the belly button or navel)
Hiatal (in the diaphragm)
While an area of tissue weakness may already exist, making someone prone to a hernia, increasing abdominal pressure can increase strain to this tissue. A few examples include:
Poor pressure management with weight lifting
Difficulty engaging the core effectively for core-focused exercise
Poor pressure management with daily activities, particularly bending, lifting, and positional changes
Straining with bowel movements
Why pelvic floor therapy can help
Pelvic floor therapists help optimize individuals’ use of their core to improve ease and mechanics of movement. Teaching an individual how to effectively engage their core and use their body mechanics can help reduce strain on a hernia before it is repaired and reduce strain on the incision as it is healing. Pelvic floor therapy can help:
review mechanics for management of intra-abdominal pressure to reduce recurrence of a hernia
address scar tissue restrictions to improve utilization of nearby muscles
suggest movement patterns to make early mobility post-operatively more comfortable
review core activation post-operatively and build core strength
guide return to exercise and review of mechanics with preferred exercise to ensure proper management of abdominal pressure
teach effective bowel emptying to reduce straining with bowel movements
Can prehab help in addition to post-operative rehab?
Prehab education can help individuals with preparedness on safe and comfortable movement after surgery. It can also support expectations for post-operative recovery. Pelvic floor therapists can advise on movement options available within postoperative restrictions to help with ease and comfort with daily mobility and support planning for once the post-operative restrictions are lifted.
Preparedness supports outcomes! If you believe pelvic floor therapy may be a helpful adjunct to your care, discuss this option with your surgeon or medical provider. Reach out to us with questions or to learn more!