In an inguinal hernia, the intestine protrudes through an area in the abdominal wall that has weakened. Because an inguinal hernia is treatable only via surgical repair, knowing what exercises can be safely performed can help to reduce pain, while still maintaining an exercise routine.
Significance
Because a hernia occurs due to a weakness in the stomach wall, exercises to strengthen the abdomen can be beneficial in preventing future hernias. Exercises to strengthen the rectus abdominis are particularly beneficial because these muscles lay over the intestines, providing support. The rectus abdominis is located between the ribs and the pubic bone and is responsible for the "six-pack" appearance, according to the Better Health Channel.
Time Frame
If you have recently undergone hernia repair, speak to your physician about an appropriate waiting period before resuming exercise. If your physician does not specify a time period, it is a good idea to wait at least a month before engaging in abdominal strengthening exercises, according to Adrian March, a physical therapist writing for the Colostomy Association.
Beginning Exercise
Your abdominal exercise program after a hernia repair should include basic abdominal strengthening exercises such as abdominal curls, according to March. These curls involve lying on your back with your feet flat on the floor. Keep your hips tucked enough to ensure your lower back touches the floor---this activates your rectus abdominis. Place your hands behind your head and activate your stomach muscles to lift your head up. Do not lift your shoulder blades off the ground as this could strain the area where your hernia occurred. You may wish to place your hands over the area where your hernia occurred to ensure you feel no movement or bulging. Begin with five repetitions and work your way up to 15.
Advanced Exercise
As your abdominal muscles begin to regain strength post-hernia, add an exercise known as the air bike to your exercise routine. This exercise works the lower abdominal muscles and rectus abdominis, according to MyFit.ca. To perform the air bike, lie on your back with your feet on the floor and shoulders behind your head. Twist from your abdomen, bringing your left elbow toward your right knee. Return the foot to the floor and repeat on the opposite side. Repeat 12 times total, rest and then perform two additional sets. As your muscles increase in strength, you can keep the non-working leg extended off the ground while it is not in use.
Warning
If you experience pain in the abdominal area that comes in waves, this can indicate hernia strangulation, according to Net Doctor UK. A strangulated hernia indicates that the intestine has become has become entrapped in the abdominal wall, according to the Mayo Clinic. Because this can reduce blood flow to the intestines, this pain can indicate a life-threatening condition. Seek treatment immediately if you experience pain in waves while exercising.
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