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Discuss hernia with doctor before exercising

Research suggests that almost all hernias need surgery before the condition worsens, potentially resulting in the strangulation of the intestines, causing an emergency situation. The first course of action should be to discuss exercising with a physician before trying it. (AP / The Spokesman-Review)
Andrea Renee Wyatt, M.s.s., C.s.c.s. King Features Syndicate
Research suggests that almost all hernias need surgery before the condition worsens, potentially resulting in the strangulation of the intestines, causing an emergency situation. The first course of action should be to discuss exercising with a physician before trying it. (AP / The Spokesman-Review)

Q: My husband was recently diagnosed with a hernia in his abdominal area and is awaiting surgery. I know a little about this condition, but not as it pertains to exercise. We exercise together three times a week and want to continue. Should we?

A: The Cleveland Clinic estimates that 5 million Americans develop hernias each year. A hernia is described as a weakness or defect in the lining of the abdominal or pelvic wall. The inner layers of the abdomen (intestines) push through the weakened area, causing a protrusion, bulge or tear. This can occur at birth or develop later in life due to a natural weakness in the abdominal wall or from excessive strain. A hernia can affect both men and women of all ages.

While 80 percent of hernias occur in the groin (inguinal) or upper thigh/groin (femoral) area, they can also be located at the navel (umbilical) or at the site of a previous incision (incisional). Symptoms of a hernia can include visible protrusion at the site of the hernia, pain while lifting and a dull sensation and vague feeling of fullness.

Once a hernia has occurred it will not reverse, just get bigger. Research suggests that almost all hernias need surgery before the condition worsens, potentially resulting in the strangulation of the intestines, causing an emergency situation.

The first course of action is to discuss this issue with your husband’s physician, who can inform you of the risks of exercising with a hernia and the precautions your husband will have to take. Ask as many questions as necessary and be sure to tell your doctor that your husband is active and wants to exercise.

There are risks of developing a hernia if you have a family history, cystic fibrosis, undescended testicles, excess weight, chronic cough, constipation or enlarged prostate. Be aware of these risks and see your doctor if symptoms arise.

Although it is too late for your husband, the good news is that there are steps you can take to help prevent a hernia, or to keep a hernia from reoccurring once repaired. Maintain a healthy weight, use proper lifting techniques with everyday activities, avoid being constipated by practicing healthy eating habits, drink plenty of fluids and, of course, exercise regularly.