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The Non Surgical Hernia – A New Kind of Hernia Support & Truss
60-year-old Anthony, who worked as a mowing contractor, decided in March 2008 that it was time to get back in shape. He renewed his gym membership and started doing weights again. Shortly after trying to bench 100 kg (220 lb) for the first time in 15 years, he developed pain in his right groin, which was diagnosed as an inguinal hernia. Anthony’s doctor scheduled him for hernia repair surgery, which was due to be performed in September.
While waiting to be operated on, Anthony consults a homeopath and an osteopath. The osteopath gave Anthony simple exercises to strengthen his transverse abdominal muscles.
Anthony stopped all other forms of exercise, gave up mowing, and avoided stretching and lifting objects weighing more than 4 to 6 pounds for about three months. He ordered a hernia support garment as he was guaranteed to hold the hernia during all activities.
When the hernia first appeared, it popped out 10 times a day, just by walking around or standing in the shower. It stopped when Anthony started wearing the hernia support. In May, it reappeared when he tried to do push-ups without wearing the hernia support, so he went back to wearing it for a few hours a day.
By June, the hernia seemed to be under control and Anthony felt confident enough to start doing light aerobic and strength training exercises at home. He also started working on his tractor, which involved some effort. During these activities, Anthony wore his hernia support, which he says gave him a sense of security and took much of the hesitation out of his daily activities.
By September, the hernia had improved so much that Anthony postponed the operation for three months. To verify that the hernia had really disappeared, he went for an ultrasound. This showed that only a small enlargement of the deep end of the inguinal canal remained. The doctor asked him to force as much as he could; it only forced a small amount of fat into the deep end, but no gut and there was no protrusion.
Roy, 58 in 2005, worked as a window washer and was also an Ironman athlete. The Ironman Triathlon is part of a series of long-distance races organized by the World Triathlon Corporation, consisting of a 2.4-mile swim, a 112-mile bike ride and a 26.2-mile marathon. This grueling event requires months of intensive training and an extraordinary level of fitness.
Roy had participated in ten Ironman triathlons, but unfortunately could not do more, as he had developed a small inguinal hernia. Roy knew two people who were still suffering from complications years after hernia surgery, so he had decided not to have the surgery.
However, in January 2006, Roy met Craig, who had healed his own hernia through diet, herbs, Pilates exercises and also wearing a hernia support garment. Roy was eager to see if he could replicate Craig’s success, so in mid-January he started taking Pilates classes with Craig and started wearing the hernia support.
Roy kept a diary to track his progress. After a month, he reported feeling fitter, healthier and more toned around his lower abdomen and pelvic area. He decided to run the Dover Half Marathon on February 19 and completed it in 1:35, his best time in several years. Roy felt so encouraged that he couldn’t wait to start training for another Ironman triathlon.
Swimming is part of the Ironman programme, but Roy’s hernia has so far caused discomfort when swimming, a “pulling” sensation in the groin. By the end of February, he felt confident enough to swim a pretty tough 2,000 meters, while wearing his hernia support. He was surprised to find that there was no discomfort.
So in March, Roy began a grueling 16-week training program in preparation for the Quelle Challenge Triathlon which was to take place on July 2, 2006. He was expected to accumulate up to 15 to 20 hours of training per week. As Roy was nearing 60 and hadn’t done an Ironman in two years, he wasn’t sure he could do this workout without making his hernia worse, but he had now largely forgotten about it, as the bulge wasn’t not appearing any longer. To be on the safe side, he continued his Pilates exercises and wore his hernia support.
The Ironman is the largest mass participation triathlon on the planet: 2.4 miles swim, 180 km bike, 26.2 miles run. When daylight arrived, Roy started at 7:20. Here is his report:
“The swimming was comfortable, but slow. I had a good bike, I was preparing slowly for the marathon. Ran 4,456 meters. Total time: 13 h 2 min. I placed 1,656 out of some 4,000 starters, 26th in my age group. I think I would have been able to train successfully without the aid of my Pilates exercises and wearing my hernia support (although it was inconvenient to wear it on the race day). I felt better prepared for this race than most of my previous ten Ironmen and didn’t seem to suffer from any ill effects.”
In September 2008, Roy reported that he had not worn his hernia support in some time, was still very active and had no evidence of a hernia. He considers himself completely cured.
A question mark over surgery
Researchers in the United States, United Kingdom, Sweden, and other countries have measured the rate of long-term complications after hernia repair surgery. It is not good news. For example, Loos and colleagues in the Netherlands found that of 1,766 men followed for three years by questionnaire, 40.2% still suffered from some degree of pain and 1.9% suffered from severe pain. A fifth of patients felt that their work or leisure activities were impaired.
Some surgeons are very concerned that patients are regularly referred for this surgery, even though their hernia may be quite small and painless. The policy of early surgery aims to prevent the progression of a hernia and avoid the risk of it becoming “strangulated” – an emergency situation. But it has now been shown that strangulation is not very common. Many surgeons now follow a policy of “watchful waiting” (watching) for a hernia instead of offering immediate surgery. In the UK, elective hernia repair surgery has been reclassified as ‘low priority’ by a growing number of regional health decision makers.
What do men like Anthony and Roy who healed their own inguinal hernias have in common? On non-surgical alternative websites, the most successful alternative system seems to be an exercise program such as Pilates to strengthen the abdominal area. Next comes wearing a hernia support garment to keep the hernia “in”. It is critical. If the hernia is allowed to remain protruding, this will prevent the space in the abdominal wall from healing.
These days, most doctors and surgeons do not prescribe trusses, and some positively discourage them. Even today, some trusses use metal springs to apply pressure to the hernia, via a pad which can be quite hard and pushes into the hernia. This protrusion can cause scar tissue to form around the edges of the hernia, which prevents them from sticking together and healing. In order to keep the hernia inside, the pad must remain in contact with it at all times and during all activities. Most trusses can’t track body movements and therefore don’t.
A hernia support should fit snugly, be comfortable, hold the hernia at all times, and be free of springs or pads that bulge inward. It should be guaranteed to hold back a groin hernia, even during sports and heavy manual labor, and should have a money back guarantee. Also be careful of hernia supports with metallic components as they can set off alarms at airports. The best type of hernia support is an elastic waistband with stiff flat pads that slide together so that the hernia area is supported at all times.
Healing your own inguinal hernia is not such a new idea. After all, a famous 19th century German clinic known as the Bilz Clinic considered hernia cures commonplace and recommended simple exercises, mineral baths, and the conscientious wearing of a truss or brace. support until the hernia is healed.
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