This topic is about the safety of receiving chiropractic adjustments when you have a parastomal hernia. A person who recently had a temporary colostomy noticed a bulge beside their stoma, which is a hernia. They are curious if it's safe to get chiropractic treatment for back pain while having this hernia and what risks might be involved.

Here are some helpful insights and advice:

1. Risk factors and general cautions:
- A parastomal hernia is a weakened area of the abdominal wall, and any force that increases pressure in the abdomen can make it worse.
- Complications of hernias can include bowel obstruction or strangulation.
- Hernias usually do not improve on their own; they tend to stay the same or get larger.

2. Positioning and technique recommendations from chiropractic patients:
- Avoid lying face-down or face-up on a flat table for spinal adjustments that put pressure on the abdomen.
- Some chiropractic offices have special tables with a section that lowers to prevent pressure on the abdomen or stoma, which can reduce force on the hernia.
- Standing adjustments, gentle stretching on an inversion table, and neck adjustments done while lying down but without abdominal contact are considered lower-risk.
- An adjusting tool like an Activator can provide targeted, low-force corrections without manual thrusts.

3. Get personalized clearance:
- It's important to ask your colorectal surgeon or stoma team for advice. Some people have been cleared for chiropractic care eight weeks after surgery, but individual cases vary.

4. Ongoing conservative management:
- Continue wearing the hernia belt as much as you can tolerate.
- Stick to the lifting restriction of no more than 10 lbs until your medical team advises otherwise.