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May 25, 2017

Taekwondo with an ileostomy - Core strength concerns and risks?

This topic is about returning to Taekwondo after having ileostomy surgery. The person is eager to get back to training but has some concerns about core strength, the risk of hernias, and how to protect their stoma during practice. Here are some helpful insights and advice shared by others:

1. Core Strength and Safety Concerns:
- Core strength is crucial for Taekwondo, but the person is experiencing weakness and unusual sensations during light exercises.
- There is a fear of developing a parastomal hernia due to the core engagement required in martial arts.
- Although the surgeon has given verbal clearance to return to the sport, further assessment from a physiotherapist is awaited.

2. Protective Equipment:
- A rigid stoma guard or shield is recommended by several members. These can be imported from the U.S. and cost around £200/US$.
- A "defensive jock strap" or groin protector that extends to just below the navel can provide additional coverage. It's important to test compatibility with a stoma shield.
- Wearing a 4-inch-wide ostomy support belt during training or lifting can help secure the pouch and offer mild hernia support.

3. Belt and Uniform Positioning:
- Tie the Taekwondo belt so that the knot sits above the stoma to avoid direct pressure on the appliance.
- With the instructor's approval, inform training partners to avoid striking the stoma area.

4. Gradual Return and Self-Practice:
- Start with light patterns, forms, and basic techniques on your own to rebuild conditioning before engaging in partner work.
- Be mindful of the adhesive wafer loosening during intense warm-ups or stretches. Consider using extra adhesive or changing it before class.

5. Real-World Experience:
- One person with an ileostomy started Taekwondo seven years after surgery and trained for six years, including two years of full contact with chest protectors, without any stoma-related injuries. The only sports injury was an unrelated ankle sprain.
- The emphasis is on not letting the ostomy become a barrier, but it's important to listen to medical and physiotherapy advice first.

6. Additional Resource:
- A forum thread link was shared for more experiences: https://www.meetanostomate.org/discussion-forum/viewtopic.php?t=3109

These insights aim to help those with an ileostomy safely return to Taekwondo or similar martial arts, ensuring they can enjoy the sport while taking necessary precautions.
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