Physical Therapy After Abdominal Surgery: A Comprehensive Guide - Stronger Rehab (2025)

Abdominal surgery, such as hernia repair or colectomy, is a significant medical intervention that often requires a well-structured rehabilitation plan. Physical therapy plays a crucial role in this journey, aiding in faster recovery, reducing complications, and improving overall outcomes. This blog aims to provide a comprehensive guide on physical therapy post-abdominal surgery.

1. Background on Causes for Abdominal Surgery

Abdominal surgeries like hernia repair and colectomy are performed due to various medical conditions. Hernias, for instance, occur when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall. Colectomies are conducted to remove part or all of the colon, often due to conditions like colon cancer or inflammatory bowel disease. Physical therapy is beneficial post-surgery as it helps in enhancing abdominal strength, improving flexibility, and reducing the risk of post-operative complications.

2. Detailed Physical Therapy Exercises for Post Abdominal Surgery

Deep Breathing Exercises:

• Purpose: Enhance lung capacity and prevent respiratory complications.
• How to Perform: Sit or lie down comfortably. Inhale deeply through the nose, expanding the abdomen, and then exhale slowly through the mouth. Repeat 5-10 times.

Pelvic Tilts:

• Purpose: Strengthen abdominal muscles and improve spine stability.
• How to Perform: Lie on your back with knees bent and feet flat on the floor. Tighten your abdominal muscles and push your lower back into the floor. Hold for 5 seconds, then relax. Repeat 10-15 times.

Leg Slides:

• Purpose: Activate lower abdominal muscles.
• How to Perform: Lie on your back with knees bent. Slowly slide one leg out until it’s straight, then slide it back. Alternate legs. Perform 10-15 repetitions per leg.

Bridging:

• Purpose: Strengthen the glutes and lower back.
• How to Perform: Lie on your back with knees bent and feet flat. Lift your hips to form a straight line from knees to shoulders. Hold for a few seconds, then lower. Do 10-15 repetitions.

3. Stretching Exercises

Gentle Trunk Rotation:

• Purpose: Improve spinal mobility.
• How to Perform: Lie on your back with knees bent and feet flat. Gently roll both knees to one side, hold for a few seconds, then roll to the other side. Repeat 5-10 times each side.

Pelvic Clock:

• Purpose: Enhance pelvic and lower back flexibility.
• How to Perform: Lie on your back with knees bent. Imagine a clock under your pelvis. Tilt your pelvis towards each ‘hour’ of the clock. Repeat the cycle 2-3 times.

4. Strengthening Exercises

Abdominal Bracing:

• Purpose: Strengthen core muscles.
• How to Perform: Lie on your back or sit upright. Tighten your abdominal muscles as if bracing for impact. Hold for 5-10 seconds, then relax. Repeat 10-15 times.

Seated Knee Lifts:

• Purpose: Strengthen lower abdominals.
• How to Perform: Sit on a chair, feet flat. Tighten your abdominal muscles and lift one knee towards your chest. Lower and repeat with the other leg. Do 10-15 repetitions per leg.

5. Equipment and Tools Used

• Resistance Bands: Used for adding resistance to exercises, enhancing muscle strength.
• Stability Balls: Improve balance and core strength.
• Foam Rollers: Aid in stretching and massaging muscles.

6. Duration of Physical Therapy for Abdominal Surgery

The duration of physical therapy varies depending on the individual’s condition and recovery rate. Typically, it can last from a few weeks to several months, with an average of 1-3 sessions per week. The total number of sessions might range from 8 to 24, but this is highly individualized.

7. First Visit Expectations

During the first PT visit, the therapist will assess your condition, range of motion, and strength. Expect to discuss your surgical history and any current symptoms. Wear loose, comfortable clothing that allows easy access to the abdominal area. Be prepared to discuss any concerns about pain or discomfort during exercises.

8. Personalized Treatment Plans

Each patient’s journey through physical therapy post-abdominal surgery is unique. The therapist will tailor exercises and activities based on individual needs, progress, and specific surgical procedures. Regular assessments will help in modifying the plan as required.

In conclusion, physical therapy is a pivotal part of recovery post-abdominal surgery. It not only aids in quicker rehabilitation but also ensures a return to daily activities with improved strength and reduced discomfort. Always consult with your healthcare provider and physical therapist to determine the best approach for your specific condition.