1. Pre-Operative Checklist
- Practice diaphragmatic breathing to support lower lung ventilation and organ space.
- Learn pelvic floor muscle relaxation (to avoid guarding post-surgery).
- Learn and practice getting out of bed via side-lying log-roll mechanics to prevent abdominal strain.
2. Post-Operative Phase Guide
Phase 1: Rest & Organ Protection (Weeks 0 - 2)
Rest and perform light, gentle walking inside the home. Practice diaphragmatic breathing. Strictly avoid abdominal strain; use log-rolling for all bed transfers. Follow your surgeon’s lifting restriction (commonly around 10 lbs, though your surgeon’s limit takes priority).
Phase 2: Deep Core Reactivation (Weeks 2 - 6)
Gradually increase light walking. Initiate gentle pelvic floor activation and transversus abdominis engagement. Avoid twisting, jumping, or pulling motions.
Phase 3: Restoring Strength & Function (Weeks 6 - 12)
Gradually progress to bodyweight functional exercises (supported squats, bridges, wall presses). Surgeon clearance is required prior to introducing impact, weightlifting, or heavy household chores.
Clinical Rehabilitation Support
Pelvic floor health is often affected by hysterectomy surgery. Guidance from an in-home pelvic floor physiotherapist may help reduce the risk of bladder leakage, pelvic floor dysfunction, and core instability.