Unsafe Abdominal Exercises for Prolapse or After Hysterectomy – Physical Therapist Demonstration

Unsafe Abdominal Exercises for prolapse or hysterectomy in the gym with Physical Therapist Michelle Kenway https://www.pelvicexercises.com.au

Make sure you know these common intense core abdominal exercises that are more likely to overload the pelvic floor if it’s already at risk of injury. These abdominal core exercises don’t apply to all women, many women will be able to perform intense core exercises quite safely.

This Physical Therapist video shows you some machine and mat-based abdominal exercises to avoid or modify if you’re at increased risk of pelvic floor problems.

Women who are not at risk or pelvic floor problems may be quite capable of performing more intense abdominal exercises such as those demonstrated in this video.

Video Suitability: Women with pelvic floor weakness, prolapse, after prolapse surgery or after a hysterectomy.

Identifying abdominal exercises unsafe for prolapse or hysterectomy requires also knowing whether your pelvic floor is at increased risk of injury. If you have prolapse problems or if you’ve had a hysterectomy, your risk of pelvic floor injury may be increased and it’s very worthwhile knowing the abdominal exercises to avoid.

This list of unsafe abdominal exercises for prolapse definitely doesn’t apply to all women. Women without an increased risk of pelvic floor problems can often perform more intense core abdominal exercises quite safely.

Unsafe abdominal exercises for prolapse or after hysterectomy include:

Abdominal curl machine (abdominal crunch)
-Captain’s chair leg raises
-Incline bench sit ups
-Incline bench sit ups with weights
-Exercise ball abdominal curl (abdominal crunch)
-Double leg raise with exercise ball
-Traditional abdominal curls

Why can these exercises cause pelvic floor problems?

Scientific research tells us that abdominal curl exercises force the pelvic floor downwards in women with pelvic floor problems. Having a history of pelvic surgery also increases the risk of prolapse (1).

The pelvic floor muscles and ligaments that support your pelvic organs (bladder, uterus, vagina and rectum). If your pelvic floor can’t withstand the pressure of your exercises your pelvic floor muscles and ligaments can become stretched and weaken. This increases the risk of pelvic floor problems such as incontinence or prolapse.

Pelvic Floor Friendly Alternative Abdominal Exercises

There are many pelvic floor friendly abdominal exercises to choose from.

Pelvic floor friendly abdominal exercises include:
– Appropriate mat-based core exercises https://www.youtube.com/watch?v=gidN1N8nSRU&t=7s
– McGill abdominal curl exercise https://www.youtube.com/watch?v=z3-FLG89vCg
– Side plank exercises
– Modified forward plank with variations https://www.youtube.com/watch?v=Ibqkscks9Lc&t=11s
– Modified mat exercises https://www.youtube.com/watch?v=khSLBOipfto

These exercises usually don’t require intense outer abdominal muscle contraction. Everyone has a different capacity for doing abdominal strengthening exercises. It’s important to choose those abdominal exercises that are appropriate for your body that allow you to exercise safely and avoid straining.

Barton A, Serrao C, Thompson J, Briffa K (2015) Transabdominal ultrasound to assess pelvic floor muscle performance during abdominal curl in exercising women. International Urogynecology Journal.Volume 26, Issue 12, pp 1789–1795. https://link.springer.com/article/10.1007/s00192-015-2791-9


  1. J Iwata on May 27, 2021 at 4:55 pm

    Hi Michelle. I have a question. Full bowing in Buddhism where ones forehead touches the ground and she stands up again and repeats the process even up to 1000 times. This may take 2 hours. I have done it before but have stopped due to worry that my third grade uterus prolapse might worsen. Glad that I got in touch with you. Does it actually worsen the prolapse? If possible I would like to do at least 500 bows everyday? Is it risky for me to do this?

  2. Miss Truck driver on May 27, 2021 at 4:57 pm

    How long after a hysterectomy should you avoid any of these exercises?

  3. Anouk Hanafiah on May 27, 2021 at 4:58 pm

    Thank you! It’s very useful information. Would skipping / jump rope cause pressure on the pelvic floor muscles as well?

  4. MariaAnalou Aragones on May 27, 2021 at 4:59 pm

    Hi,just had Total hysterectomy 4 months ago,what abdominal exercise is safe for me?Thank you

  5. Angel Heath on May 27, 2021 at 4:59 pm

    Hello! I am 7 weeks Post-Op laparoscopic hysterectomy. Am I not allowed to do these ever again or is this right after surgery that you’re talkin about? Thank you so much for this video.

  6. Sherrill Perez on May 27, 2021 at 5:01 pm

    so what exercises can we do?

  7. Sherrelyn N on May 27, 2021 at 5:01 pm

    Thank you soooo much this is extremely helpful

  8. Poonam Kumar on May 27, 2021 at 5:02 pm

    thank you Michelle

  9. Phoenix Dawn on May 27, 2021 at 5:02 pm

    So what’s the healthy way?

  10. mahesh singh on May 27, 2021 at 5:04 pm

    Mam is it aplicable for men with rectal prolapse?

  11. Faido Wll on May 27, 2021 at 5:04 pm

    I had c sections because of the birth my son 3 years ago but can I do this exercise

  12. Kalpujjal Sarmah on May 27, 2021 at 5:04 pm

    It’s safe for men isn’t it

  13. Life Turning Point on May 27, 2021 at 5:09 pm

    Hi, can I do Surya namaskar, I am in 5 th month of postpartum, I have mild bladder prolapse, thanks for your video

  14. Ann B on May 27, 2021 at 5:09 pm

    Excellent and well done! It is very helpful as to the exercises you (very expertly) demonstrate. Also, I can definitely see a pattern of exercise types to avoid, applying the principles you set out. Thank you so much.

  15. সুইটহার্ট on May 27, 2021 at 5:09 pm

    You r very skiny. U Looking not so nice.

  16. kutie217 on May 27, 2021 at 5:11 pm

    Thank you so much for this. I follow a popular YouTuber whom just had a baby and she included the double leg lift with exercise ball as part of her postpartum routine. I’m quite sure she doesn’t suffer from a weak pelvic floor but it’s good to know this “exercise” is one to be cautious of! Thanks again! Very useful information.

  17. K.PRATIK K.P.K on May 27, 2021 at 5:13 pm

    Mam bike cycling in home how long rest after hysrectomy my operation lost 2 month

  18. awesomeness86 on May 27, 2021 at 5:13 pm

    Hi, great video. I had a hysterectomy about 5 months ago due to endometriosis. I am trying to strengthen up my abs and get in better shape now that im not in constant pain. What are safe exersices i can safely do?

  19. Jennraa Ravelle on May 27, 2021 at 5:14 pm

    So what can I do then? I’ve been doing all of these since my son was born to get my "2-pack" back. But I do have mild prolapse.
    Does this mean I’ll never be able to do these or wear a bikini or show my midriff again? 🙁

  20. C C on May 27, 2021 at 5:22 pm

    What can you do? Is there any hope to returning to full atheletic form like extreme skiing?

  21. K.A. Sharmella on May 27, 2021 at 5:22 pm

    i did 10 sit ups but it aches my tailbone too.

  22. Lilo Kivesh on May 27, 2021 at 5:26 pm

    Thank you so much for this. I did these exercises after 2 years of my operation and my bell-button area we so painful and sensitive. I’m never doing these again.

  23. Shanika Myers on May 27, 2021 at 5:28 pm

    Are these exercises off limits forever or how long should we avoid these after surgery?

  24. Jyoti Sharma on May 27, 2021 at 5:35 pm

    Hi I had my histerectomy 11th June 2018. Am I ok to do crunches..

  25. J Iwata on May 27, 2021 at 5:37 pm

    Thank you Michelle. Very helpful. God Bless 🙏

  26. Tanya Mendoza on May 27, 2021 at 5:39 pm

    Great vdo! Thanks for sharing!
    I will be 5 weeks post op hysterectomy this Tuesday.
    So how long it take to avoid all these exercises?

  27. Koshish Ek Asha JAI SHREE RAM on May 27, 2021 at 5:41 pm

    Excellent dr👏👏

  28. Raquel Mendez on May 27, 2021 at 5:43 pm

    Hi Michelle, thanks so much for your amazing work. About Hysterectomy; does it means these woman will never be back to curls up or any type of these gym exercises after having a hysterectomy? or there is a certain time after which they can go back to some of them…

  29. Shay Mudd on May 27, 2021 at 5:44 pm

    I love this video is there one to show better options

  30. SUJEET BOXER on May 27, 2021 at 5:51 pm

    love from India

  31. Lynn Stillwell on May 27, 2021 at 5:52 pm

    Very helpful. I’m dealing with symptomatic sacral Tarlov cysts, and I’m learning that keeping my core toned pulls my internal organs up off those cysts. But it has been rather hit or miss learning which exercises help, and which ones worsen the problem. Your videos have been quite helpful.

  32. Em Inem on May 27, 2021 at 5:53 pm

    that’s the gym I go to, wth lmao

  33. Roshan Wright on May 27, 2021 at 5:53 pm

    Thank you

Leave a Comment