Unsafe Abdominal Exercises for Prolapse or After Hysterectomy – Physical Therapist Demonstration

Unsafe Abdominal Exercises for prolapse or hysterectomy in the gym with Physical Therapist Michelle Kenway https://www.pelvicexercises.com.au

Make sure you know these common intense core abdominal exercises that are more likely to overload the pelvic floor if it’s already at risk of injury. These abdominal core exercises don’t apply to all women, many women will be able to perform intense core exercises quite safely.

This Physical Therapist video shows you some machine and mat-based abdominal exercises to avoid or modify if you’re at increased risk of pelvic floor problems.

Women who are not at risk or pelvic floor problems may be quite capable of performing more intense abdominal exercises such as those demonstrated in this video.

Video Suitability: Women with pelvic floor weakness, prolapse, after prolapse surgery or after a hysterectomy.

Identifying abdominal exercises unsafe for prolapse or hysterectomy requires also knowing whether your pelvic floor is at increased risk of injury. If you have prolapse problems or if you’ve had a hysterectomy, your risk of pelvic floor injury may be increased and it’s very worthwhile knowing the abdominal exercises to avoid.

This list of unsafe abdominal exercises for prolapse definitely doesn’t apply to all women. Women without an increased risk of pelvic floor problems can often perform more intense core abdominal exercises quite safely.

Unsafe abdominal exercises for prolapse or after hysterectomy include:

Abdominal curl machine (abdominal crunch)
-Captain’s chair leg raises
-Incline bench sit ups
-Incline bench sit ups with weights
-Exercise ball abdominal curl (abdominal crunch)
-Double leg raise with exercise ball
-Traditional abdominal curls

Why can these exercises cause pelvic floor problems?

Scientific research tells us that abdominal curl exercises force the pelvic floor downwards in women with pelvic floor problems. Having a history of pelvic surgery also increases the risk of prolapse (1).

The pelvic floor muscles and ligaments that support your pelvic organs (bladder, uterus, vagina and rectum). If your pelvic floor can’t withstand the pressure of your exercises your pelvic floor muscles and ligaments can become stretched and weaken. This increases the risk of pelvic floor problems such as incontinence or prolapse.

Pelvic Floor Friendly Alternative Abdominal Exercises

There are many pelvic floor friendly abdominal exercises to choose from.

Pelvic floor friendly abdominal exercises include:
– Appropriate mat-based core exercises https://www.youtube.com/watch?v=gidN1N8nSRU&t=7s
– McGill abdominal curl exercise https://www.youtube.com/watch?v=z3-FLG89vCg
– Side plank exercises
– Modified forward plank with variations https://www.youtube.com/watch?v=Ibqkscks9Lc&t=11s
– Modified mat exercises https://www.youtube.com/watch?v=khSLBOipfto

These exercises usually don’t require intense outer abdominal muscle contraction. Everyone has a different capacity for doing abdominal strengthening exercises. It’s important to choose those abdominal exercises that are appropriate for your body that allow you to exercise safely and avoid straining.

Barton A, Serrao C, Thompson J, Briffa K (2015) Transabdominal ultrasound to assess pelvic floor muscle performance during abdominal curl in exercising women. International Urogynecology Journal.Volume 26, Issue 12, pp 1789–1795. https://link.springer.com/article/10.1007/s00192-015-2791-9

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18 Responses

  1. i did 10 sit ups but it aches my tailbone too.

  2. Phoenix Dawn says:

    So what’s the healthy way?

  3. The Don says:

    Hey can I join gym but I have done rectal prolapse surgery

  4. chris essary says:

    so what exercises can we do?

  5. kutie217 says:

    Thank you so much for this. I follow a popular YouTuber whom just had a baby and she included the double leg lift with exercise ball as part of her postpartum routine. I’m quite sure she doesn’t suffer from a weak pelvic floor but it’s good to know this “exercise” is one to be cautious of! Thanks again! Very useful information.

  6. Em Inem says:

    that's the gym I go to, wth lmao

  7. Hi, can I do Surya namaskar, I am in 5 th month of postpartum, I have mild bladder prolapse, thanks for your video

  8. Lilo Kivesh says:

    Thank you so much for this. I did these exercises after 2 years of my operation and my bell-button area we so painful and sensitive. I'm never doing these again.

  9. Hi Michelle, thanks so much for your amazing work. About Hysterectomy; does it means these woman will never be back to curls up or any type of these gym exercises after having a hysterectomy? or there is a certain time after which they can go back to some of them…

  10. Sherrelyn N says:

    Thank you soooo much this is extremely helpful

  11. How long after a hysterectomy should you avoid any of these exercises?

  12. Very helpful. I'm dealing with symptomatic sacral Tarlov cysts, and I'm learning that keeping my core toned pulls my internal organs up off those cysts. But it has been rather hit or miss learning which exercises help, and which ones worsen the problem. Your videos have been quite helpful.

  13. J Iwata says:

    Hi Michelle. I have a question. Full bowing in Buddhism where ones forehead touches the ground and she stands up again and repeats the process even up to 1000 times. This may take 2 hours. I have done it before but have stopped due to worry that my third grade uterus prolapse might worsen. Glad that I got in touch with you. Does it actually worsen the prolapse? If possible I would like to do at least 500 bows everyday? Is it risky for me to do this?

  14. J Iwata says:

    Thank you Michelle. Very helpful. God Bless 🙏

  15. Ann B says:

    Excellent and well done! It is very helpful as to the exercises you (very expertly) demonstrate. Also, I can definitely see a pattern of exercise types to avoid, applying the principles you set out. Thank you so much.

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