Episode 41: Hernias: Bulges, Belly Buttons & Pelvic Floor PT
You cough and your belly button doesn't go back in after it pops out. Or you’re lifting heavy at the gym and suddenly feel a weird bulge in your groin. Both can be signs of a hernia, when fat or part of an organ pushes through a weak spot or opening in the muscles or connective tissue of the abdominal wall (it may look or feel like a soft lump under the skin). When a hernia needs repair, surgery is the only way to fix the opening itself (some small hernias that don’t cause symptoms may just be carefully monitored instead). However, pelvic floor PT can still play an important role in preparing for surgery and supporting recovery afterward.
In this listener-requested episode, pelvic floor physical therapist Dr. Alex DiGrado and sex & relationship therapist Dr. Rebecca Howard Eudy discuss how pelvic floor physical therapy fits into hernia care - from retraining how your diaphragm and core work together to addressing toilet straining and improving breathing mechanics. As Dr. Rebecca points out, nobody gets knee surgery and skips PT afterward - a hernia repair deserves the same care and follow-through.
What you’ll learn:
Why hernias aren't just a “weightlifter problem”
The difference between an ordinary postpartum “outie” belly button and a possible umbilical hernia
The connection between hernias, prolapse, constipation, and bloating
How hernias affect two opposite ends of the movement spectrum: “Grippers" and "Deconditioned"
Tune in if you've ever thought:
"My hernia pain comes and goes. Does that mean it's not a big deal, or should I still see someone about it?”
"I've had chronic constipation for years. Could that be connected to this weird bulge I'm noticing?"
"I've heard the term 'strangulated hernia.' What does that mean? How do I know if I have one?”
Helpful resources:
Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global Directory
Connect with us:
Dr. Rebecca Howard Eudy
Website: rebeccaeudy.com
Instagram: @rebeccahowardeudy
Newsletter: Parents in Love Substack
Dr. Alexandra DiGrado
Website: bostonpelvicpt.com
Instagram: @bostonpelvicpt
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Under the Hood Podcast
Instagram: @underthehooddocs
Website:underthehoodpod.com
YouTube: @underthehooddocs
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