This topic is about exploring transportation and fitness options after colostomy surgery. The person is considering using a bicycle, moped, or walking for local travel after their car lease ends, about 1½ to 2 months post-surgery. They had part of their colon removed due to diverticulitis and now have a colostomy. With their surgeon lifting the "no more than 10 lb" weight limit, they are also looking for advice on safely resuming workouts and strengthening their abdominal area without affecting their recovery.
Here are some helpful insights and advice:
1. **Core Strength and Abdominal Care**
- The core feels generally strong from bed-exit exercises, but the mid and lower abdomen is still tender.
- It's important to start with gentle, ostomy-specific abdominal exercises. There are many free routines and videos available online.
- Focus on core work before lifting heavier weights, as sudden movements like coughing or sneezing can cause more hernias than gradual, correct lifting.
- Progress with weights slowly, even though the 10 lb restriction is lifted.
2. **Cycling and Moped Use**
- Many people find they can ride comfortably 4 to 8 weeks after surgery if the terrain is flat and they take it slowly. Hills or sudden bumps can strain healing abdominals.
- Start with very short rides, such as 3 miles, and gradually increase the distance and speed over several months.
- If you have had a proctectomy with a sewn-closed rectum, it's advised to postpone cycling for about a year and powered two-wheelers for at least 6 months to avoid hernia risk in the weak perineal area.
3. **E-bike Practicalities**
- Electric bicycles can reduce physical strain and are ideal if you expect hills or longer trips.
- Choose a model with a removable battery so you can carry it upstairs for charging.
- Keeping a second charged battery at home ensures the bike is always ready for use.
- Make sure you have a secure place to lock the bike if it needs to remain outdoors.
4. **Concerns and Considerations**
- The person is worried about bumps on roads and sidewalks and whether mild "shaking" might actually aid gastrointestinal flow.
- Living on a third-floor walk-up, they are concerned about how and where to charge an e-bike and whether the neighborhood is secure for locking a bike outside. They are considering starting with a regular bike.
- They have tried the complex gym’s stationary bike, riding 3 miles at low resistance, which felt good and energizing.
5. **Decision-Making and Medical Clearance**
- Recovery varies for each individual, and the intensity of the surgery (open vs. minimally invasive) can change timelines. It's important to consult with your surgeon or physiotherapist before starting outdoor riding or heavier exercise.
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