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The Non Surgical Hernia – A New Kind of Hernia Support & Truss
Anthony, 60, a lawn-mowing contractor, decided in March 2008 that it was time to get healthy again. He renewed his gym subscription and started lifting weights again. Shortly after attempting to bench press 220 lb (100 kg) for the first time in 15 years, he developed pain in his right groin and was diagnosed with an inguinal hernia. Anthony’s doctors booked him in for hernia repair surgery, which will take place in September.
While awaiting surgery, Anthony consulted with homeopaths and osteopaths. The osteopath provided Anthony with some simple exercises to strengthen his transverse abdominis.
Anthony stopped all other forms of exercise, quit mowing grass, and refrained from stretching and lifting anything over 4-6 pounds for about three months. He ordered a hernia support garment as this would keep her hernia free during all activities.
When the hernia first appeared, it would pop out 10 times a day, just from walking around or standing in the shower. This stopped when Anthony started wearing a hernia stent. It came up again in May when he tried to do some push-ups without the hernia support, so he started wearing it for a few hours a day again.
By June, the hernia seemed to be under control, and Anthony felt confident enough to start doing some gentle cardio and strength training at home. He also started doing some work on his tractor, which involved a certain level of nervousness. Anthony wears a hernia brace for these activities, which he finds gives him a sense of security and removes much of the hesitation in his day-to-day activities.
By September, the hernia had improved so much that Anthony postponed surgery for three months. To check if the hernia had really gone away, he went for an ultrasound. This indicates nothing but a small enlargement of the deep end of the inguinal canal. The doctor told him to try as hard as he could. This only forces a small amount of fat into the deep end, but no gut, and no protrusions.
Roy, aged 58 in 2005, is a window cleaner and a triathlete. The Ironman Triathlon is one of a series of long-distance races organized by the World Triathlon Corporation, including a 2.4-mile swim, a 112-mile bike race and a 26.2-mile marathon. This grueling event requires months of intensive training and extraordinary physical fitness.
Roy has competed in ten triathlons, but sadly he can no longer do so due to a small inguinal hernia. Roy knew two people who were still suffering from complications years after hernia surgery, so he decided against surgery.
In January 2006, however, Roy met Craig, who healed his hernia through diet, herbs, Pilates, and wearing a hernia support garment. Roy was eager to see if he could replicate Craig’s success, so in mid-January he began taking Pilates classes with Craig and began wearing a hernia brace.
Roy keeps a diary to monitor his progress. A month later, he reported feeling healthier, fitter, and firmer in his lower abdominal and pelvic regions. He decided to run the Dover Half Marathon on February 19 and ran it in 1 hour and 35 minutes, his best time in years. Roy was so encouraged he was eager to start training for another triathlon.
Swimming is part of the triathlon program, but so far Roy’s hernia has caused discomfort while swimming – a “pulling” feeling in the groin area. Towards the end of February, he felt confident enough to swim a rather difficult 2,000 meters with the hernia brace on. He was surprised to find no discomfort at all.
So, in March, Roy embarked on a grueling 16-week training program in preparation for the Quelle Challenge Triathlon on July 2, 2006. He has to train 15-20 hours a week. As Roy is approaching 60 and hasn’t done Ironman for two years, he wasn’t sure he would be able to do it without aggravating the hernia, but he’s largely forgotten about that by now because the bump isn’t serious longer. He continued to practice Pilates and wore a hernia brace just to be on the safe side.
The Ironman is the most-attended triathlon on the planet: 2.4 miles swim, 112 miles bike, 26.2 miles run. When the day comes, Roy starts at 7:20am. Here’s his report:
“Swimming was comfortable but slow. Had a good bike and easily prepared for the marathon. Ran 4,456m. Total time: 13h 2min. 1,656th out of about 4,000 beginners, Ranked 26th in my age group. I don’t think I would have been able to train successfully without the help of my Pilates routine and wearing a hernia brace (although it would be impractical to wear it on race day). I Felt better prepared for this race than most of my top 10 Iron Man, didn’t seem to suffer any ill effects.”
In September 2008, Roy reported that he had not had a hernia brace in some time and was still very active with no signs of a hernia. He considers himself fully recovered.
Surgical question mark
Researchers in the United States, United Kingdom, Sweden, and other countries measured the incidence of long-term complications after hernia repair surgery. This is not good news. For example, Loos and colleagues in the Netherlands found that of 1,766 men who responded to the questionnaire for three years, 40.2% still experienced some degree of pain and 1.9% experienced severe pain. One in five patients felt that their work or leisure activities were compromised.
Some surgeons are very concerned that patients are routinely sent for this procedure even though their hernias may be very small and painless. The policy of early surgery is aimed at preventing the hernia from developing and avoiding the risk of it becoming a “strangulation” – an emergency. But it has now been shown that strangulation is not common. Many surgeons now follow a policy of “watchful waiting” (monitoring) hernias rather than performing immediate surgery. In the UK, a growing number of regional health policymakers are reclassifying elective hernia repair surgery as “low priority”.
What do people like Anthony and Roy who healed their inguinal hernias have in common? On websites dedicated to non-surgical alternatives, the most common successful alternative systems appear to be exercise programs such as Pilates to strengthen the abdominal area. The second most important thing is to wear a hernia support garment to keep the hernia “in”. This is crucial. If the hernia is allowed to protrude, it will prevent the gap in the abdominal wall from healing.
Today, most doctors and surgeons do not prescribe trusses, and some actively discourage them. Even today, some trusses use metal springs to apply pressure to the hernia, pressed into the hernia through a very stiff pad. This protrusion can cause scar tissue to form around the edges of the hernia, preventing them from weaving together and healing. In order to keep the hernia in the body, the pad needs to be in constant contact with it at all times and during all activities. Most trusses don’t follow body motion, so can’t do this.
A hernia brace should fit, fit comfortably, keep the hernia in place at all times, and have no springs or pads protruding inward. It should guarantee control of an inguinal hernia even during sports and heavy physical exertion, and it should have a money-back guarantee. Also watch out for hernia braces with metal parts, as they can set off alarms at airports. The best type of hernia support consists of elastic straps with rigid flat pads that slide together so that the hernia area is always supported.
Healing yourself from an inguinal hernia is nothing new. After all, the famous 19th-century German clinic, the Bilz Clinic, considered hernia treatment common and recommended simple exercises, mineral baths, and careful wearing of a hernia brace or brace until the hernia heals.
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