 If you’re experiencing abdominal pain or tenderness in a specific spot and/or bulging at or near your belly button (especially when you cough, sneeze, lift, or exercise) you may have an umbilical hernia. Here’s what you need to know: What is an umbilical hernia?
Hernias occur when there is a small tear in the muscle or tissue that allows what’s inside your body (such as your intestines) to poke through the hole. An umbilical hernia happens at or near your belly button but there are other types as well, such as an inguinal hernia, which is in your groin region. Is this the same as Diastasis Rectus Abdominus (DRA)? No. DRA means that the tissue between the two sides of your 6-pack ab muscles is overstretched, not torn. When bulging occurs with DRA, you are seeing pressure pushing that tissue outwards like a parachute, but nothing is poking out through the tissue. It is possible to have DRA and a hernia at the same time, though! How is an umbilical hernia diagnosed? Your doctor may suspect a hernia based on your description of symptoms, visually observing the area, and palpating (touching) the area. If the hernia is not very painful, is easily pushed back in, and is not impacting your daily life very much, they may recommend just keeping an eye on it. Otherwise, they may refer you to a surgeon for further imaging and evaluation. Is surgery the only option? To truly “fix” the hernia (close the hole), then yes, surgery is the only way to do that. However, not every hernia requires surgery! If your hernia is not causing you significant pain or distress, there are other things you can do, such as pelvic physical therapy, to help manage your hernia symptoms and continue on with everyday life and activities! It is important to discuss these options with your doctor as every person and situation is unique! How can physical therapy help? Pelvic physical therapists are experts in helping you manage your intra abdominal pressure. Excessive pressure is usually what causes your hernia to pop out and often happens due to ineffective breathing and bracing strategies when you exert yourself. Pelvic PT’s will work with you on your breathing, posture, core control, pelvic floor muscles, exercise form, and exercise selection to help you safely reduce hernia symptoms and get back to doing everything you love! For more information, please don't hesitate to reach out via the contact form on my website, phone call, or email! 561-285-2833 [email protected]
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