Abdominal Pain

Abdominal Pain

Question:

I am a postwomen on delivery and I don’t have time to rest before I take my dog out then run. Later on I am finding that I am so tired when I do run and my insides feel like I have done 10 rounds with Mike Tyson. I have been off work since December and am due to go back following my hernia operation and I am starting to run again but I am not sure how much I can do . Please could you advise me on the hernia and also how to combat the fatigue.  

Thanks, Wendy

Answer:

Dear Wendy,

Sounds as if you’ve got back to running too soon after your hernia repair. Six to eight weeks is a reasonable period of ‘rest’ before resuming strenuous exercise. Abdominal surgery and post surgical pain can cause inhibition of the pelvic stabiliser muscles.

Before you resume your training I would recommend that you have an assessment with a sports physiotherapist. They will be able to analyse your running gait with a view to determining which muscles groups you need to improve. More than likely they will find that you deep abdominals (transverse abdominus) and buttock muscles(gluteals) are not providing sufficient support for your lumbar spine and pelvis whilst you run. An experienced therapist should be able to provide you with the correct exercises to improve the function of these muscles.

Kind regards

Angela Benjamin MScMCSP SRP

Chartered Physiotherapist

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