What Happens When You Go To Physical Therapy Before Bariatric Surgery

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Exercise is one of the hardest habits to develop. Especially when you’re obese, it can be physically painful. These reasons are just a few of why some bariatric surgery programs require physical therapy before bariatric surgery. Exercise is important because it burns calories and strengthens muscles. The physical therapist will evaluate you to see what needs strengthened the most and set up a treatment plan to reach some goals. You’ll have multiple visits over a few weeks, which will help you establish an exercise routine. Physical therapy before bariatric surgery strengthens your abdominal muscles and gets you into an exercise routine.

Physical Therapy Before Bariatric Surgery

You may be wondering why you would need physical therapy before bariatric surgery. At first glance, it makes more sense to have physical therapy after surgery. But when you think more carefully, you’ll realize there are several reasons it’s good to attend physical therapy before bariatric surgery.

The most obvious reason is that physical therapy before bariatric surgery will help establish an exercise routine. Since many obese patients probably aren’t getting the exercise they need, a physical therapist can develop a treatment plan that includes multiple visits. For example, three physical therapy sessions per week would get you into an exercise habit that you can continue after surgery.

PT Helps Mobility

When you’re severely obese like I was, mobility is a challenge. I used to get out of breath by walking down the hall. I had trouble squatting and getting up from the floor. My physical therapy before bariatric surgery helped me gain mobility. Alter G wrote an article that describes how physical therapy boosts outcomes before bariatric and orthopedic surgery. By exercising more, you’re burning more calories and likely losing weight. Alter G states that weight loss means you have better mobility and less joint stress. Less joint stress means exercise is less painful.

Mobility after surgery is essential. While you’re still in the hospital, the hospital staff wants you up and walking to prevent blood clots. A qualified healthcare provider can assess your mobility and functional status by having physical therapy before bariatric surgery. They can work with you to improve your movement so that when you have to walk a few hours after surgery, it will be easier and more comfortable for you.

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Building Muscles

There are so many benefits to exercise. Physical therapy before bariatric surgery will help you reap some of those benefits. For example, you’ll start building muscle. Muscle burns fat, and you’ll be strengthening your abdominal muscles and the surrounding area. This strengthening of your muscles will help so much when you’re recovering from surgery. Remember how I said they’ll get you up to walk a few hours after surgery? Your stomach is going to be so sore at that time. It’s going to be challenging to move, but you have to do it.

However, the muscles that you strengthen during your physical therapy sessions are going to help you so much. Those are the muscles that you’ll depend on as your stomach is healing and sore from the operation. Those muscles will help support you as you start to walk. You may still be groggy from the anesthesia, but walking around will lift that fog a bit. Plus, you may have trapped air from your bariatric surgery. Walking will help loosen that air and have it pass. The muscles you built during your physical therapy sessions are going to help improve your balance and posture.

Bariatric Surgery and Physical Activity

While exercising is difficult when you are severely obese and have multiple comorbidities, it’s not impossible. I want to encourage you to get into an exercise routine as soon as you can. Physical therapy before bariatric surgery is one of the ways you can establish an exercise routine. Not only will it help you burn calories, but it will also build your confidence as you learn proper technique and develop a workout habit.

The American Society for Metabolic and Bariatric Surgery recommends pre-op bariatric patients exercise for 20 minutes a day for three to four days a week. They detail further reasons why it’s crucial for a bariatric patient to exercise before surgery, including:

• Reduce surgical complications
• Promote healing
• Assist in a better recovery
• Strengthen the heart and lungs

Some of the exercises they recommend are walking, swimming and biking. The ASMBS also suggests using light weights and resistance bands for strength training. Your physical therapy before bariatric surgery may include many of these activities, as it did for me. Do yourself a favor and develop an exercise routine now to help you continue it after surgery.

The Importance of Exercise

You’ve heard over and over how vital exercise is during your bariatric surgery journey. In case it hasn’t sunk in yet, I’m going to tell you again. Exercise helps you lose weight. When you exercise, you burn calories, which helps your weight loss. If you want to get the most benefit from your weight loss surgery, exercise will be a part of your life. Not only will it help you lose weight, but it will help you keep it off. It’s part of a healthy lifestyle, which is why we’re doing so much work to lose weight.

Additionally, Alter G states that weight loss before your operation will reduce your complication risk. The cardiovascular exercises, like walking, biking or swimming, will help strengthen your heart and lungs. Having a healthy heart and lungs means less risk of complications after your operation.

You’re also going to sleep and feel better. As you transition from emotional eating, you’re going to need something to replace it. Exercise is a great replacement. It releases endorphins, which helps you feel good.

Physical therapy before bariatric surgery helps you get all of these great benefits. You’ll strengthen your heart, lungs and muscles. You’ll burn calories to help boost your weight loss. Establishing an exercise routine will help you continue exercising after surgery. It will help with your mobility. The physical therapist will recommend an appropriate amount of exercise for your unique situation. It’s a smart idea to go to physical therapy before bariatric surgery.

RELATED CONTENT: Want to learn the 10 changes you need to make in your life to be successful with bariatric surgery? Get our free download here!

The Physical Therapy Process

At your first consultation with the physical therapist, they will ask you some standard questions about your medical and health history. They may take your vital signs and weight to establish a baseline. The physical therapy team will then evaluate you by asking you to perform a few standard mobility and strength tests.

You may have to do a test called the Six-Minute Walk Test. During this test, they’ll take your vitals beforehand to see where you start. Then, you’ll walk for six minutes at a comfortable pace. They’ll track how far you’ve walked. Afterward, they’ll retake your vitals to see if there are any changes or if you have shortness of breath. If mobility is a challenge, this test will help the physical therapist establish where you’re at so they can make an appropriate treatment plan.

You may also have to do some other mobility tests, like seeing how difficult or easy it is for you to get up and down from a chair. They’re also going to assess how motivated you are to keep with an exercise routine.

Follow-Up Visits

After the evaluation, they’re going to recommend a treatment plan that may include multiple visits. For example, they may want to see you twice a week for six weeks. This multi-visit approach helps the physical therapist establish an exercise routine to help you lose weight.

Since each treatment plan is personalized, it’s hard to say what exercises the physical therapist will have you do. You can bet they’ll give you exercise tips and show you the correct way to perform exercises. You’ll probably do a mix of cardio, strength training and stretching.

The exercises will likely progress every week as your muscles get stronger. By challenging your muscles and doing things differently, you’re going to get stronger to help with your mobility after surgery.

My Physical Therapy Experience

I had my physical therapy consultation about two months into my pre-op journey. During my first meeting, I filled out a questionnaire about my medical history and my current exercise routine. The physical therapist reviewed my chart, and we discussed my weight loss goals. We went over my past exercise history and talked about the exercises I enjoyed doing.

Next, I completed the six-minute walk test. During this test, I walked back and forth between two lines at a steady pace. There is a certain number of times you have to complete the circuit to pass. I barely made it. Interestingly, my pulse ox went down from the baseline established before the test to when they took it afterward. The physical therapist explained that it probably had to do with my exercise-induced asthma, as the bronchial tubes inflame from the exercise.

Afterward, the physical therapist gave me some exercises to do at home to begin strengthening my abdomen. She also provided me the referral to a physical therapy location closer to my house so that I wouldn’t have to drive so far.

My Follow-Up Appointments

My physical therapist suggested we meet three times a week for four weeks and twice a week for two weeks. I scheduled all of the appointments ahead of time to get the time slots I wanted.

At these appointments, I started with cardio. I would either do the treadmill, the bike, the arm bike or walking up and down a set of stairs. From there, each week was different. Sometimes we’d focus on my abdomen, and I’d do exercises to strengthen those muscles. Other times, I’d do an arm series or squats. It was kind of fun going to these appointments and learning new activities. It allowed me to dip my feet in the water and try out different types of exercises. I also had a positive group of physical therapists who encouraged me along the way.

Overall, I believe these appointments were helpful. They happened right after I dealt with the aftermath of my divorce, so they helped keep me on track for surgery. It was also easy to plan my workouts during that time since I did those sessions three days a week. I felt the physical therapy before bariatric surgery helped me transition to the gym, which I joined soon after I completed my required sessions. It did help me have better mobility, and it was nice to be surrounded by people who were cheering me on every day.

Work It, Girl!

Physical therapy before bariatric surgery strengthens your abdominal muscles and gets you into an exercise routine that you can carry through to your post-op healthy lifestyle. It sets you up for success after surgery. The hospital staff wants you up and walking a few hours after surgery to help prevent blood clots. Physical therapy before bariatric surgery helps strengthen the muscles you’ll need to move as your stomach heals. Exercise boosts your weight loss and can help you deal with emotions post-op. Next, they’ll evaluate you to create a treatment plan customized to you. You’ll progress towards goals and see the physical therapist several times. Follow their advice to work your tool as best as you can!

If this article gave you some great ideas to incorporate into your life, just imagine what other amazing strategies I have for you! Share this post on social media by clicking one of the sharing buttons, and don’t forget to join my email list! You’ll be the first to get updates, access to my new products and lots of tips, inspiration and motivation to help in your bariatric surgery journey. Just for joining, I’ll send you a free Bariatric Beginner’s Guide to get you started, as well as some other pretty awesome goodies to keep you motivated. Join today!

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