core exercise problems after nissen

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1 day at a time
Regular Member


Date Joined Nov 2012
Total Posts : 288
   Posted 3/9/2013 8:12 PM (GMT -6)   
I'm 3 months post nissen. Got the ok to train from my surgeon as long as I don't try to bench or squat 200 lbs (like that's gonna happen; I'm only 5'1" and 50 years old lol).I've been working with a trainer to get back in shape, but have noticed my core (abs) are much weaker than I thought. I'm taking it slow, but the area around the solar plexis (near the wrap) feels strange. Not sharp pain, but like someone punched me in the gut a few hundred times. I'm used to soreness after workouts, especially after being inactive for an extended period, but this is different. I can't seem to engage the abs in the wrap area like I used to. Does anyone have experience with core exercise after a nissen? Does the wrap change the way the core muscles engage?
I'm also wrecking my bad back from the weak core, which is why I wanted to get back to training. In addition, I swear my gut is actually swelling around the wrap area, much like an injury would swell (like a knee) the day after I work out. Anyone out there have a similar experience?

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 3/9/2013 8:24 PM (GMT -6)   
1 day at a time

I am curious if you have scar tissue adhering to the muscles. I kow I had a ton of scar tissue early one after my esophagus surgery. That was told to me by the surgeon who did my last redo that was 6 months after the other surgery.


Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

1 day at a time
Regular Member


Date Joined Nov 2012
Total Posts : 288
   Posted 3/9/2013 9:10 PM (GMT -6)   
Thank you for your quick response!
I do tend to scar badly as it is (my laproscopic surgical scars are a very prominant black/grey color, and other previous surgeries left nasty scars). I wondered if I had adhesions because of the weird pulling sensations that occur when I work my abs. If it is scar tissue, will it sort of break down over time, or does it tear, maybe bleed a bit, and just create more scar tissue? The belly swelling after working on my abs kinda freaks me out, not to mention is painful...

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 3/10/2013 8:26 AM (GMT -6)   
1 day at a time

If you go slow you gradually stretch the scar tissue. I know people who have knee replacement and they had "break" the scar tissue by manually moving their knee part it. I wouldn't recommend that for this problem though.

When I had my esophagus surgery and then my last redo I had to deal with scar tissue when working on car engine areas. The bending over, straightening up, and leaning on the fenders and such would make that same area very sore. It would also swell, but the sore I did it the better it got. Sometimes I would have to wait a few days before I could do that again from the soreness.

I don't believe scar tissue it'd self would bleed, but if it is torn away from regular tissue I suppose it could.
Talk with your trainer about this and a call to your surgeon about this may not be a bad idea either. He could tell you more about what to do about getting it to stretch out.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

Pat Tall
Veteran Member


Date Joined Aug 2012
Total Posts : 950
   Posted 3/10/2013 7:55 PM (GMT -6)   
1 day at a time
Suggest you see a physical therapist for post op exercises. You will probably need a physicians order for it. In my experience, the PT will tell you it's not about burns or number of reps after your three months down time. They will say only do the number of reps "within painfree range". You wouldn't be sore the next day but still accomplish your goal over longer period till you are healed. It's a very gradual process. We are anxious. I think you should discuss your concerns with your doc. Wish you the best.
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