The Best Exercises for Stoma Wearers: Staying Active and Healthy After Surgery

Having a stoma can be life-changing, but that doesn’t mean it has to stop you from staying active and maintaining a healthy lifestyle. 

Whether you’ve had a colostomy or ileostomy, incorporating regular physical activity into your routine can help improve overall well-being, boost energy levels, and even support the function of your digestive systems.

However, before diving into your fitness routine, it’s important to understand what exercises are safe and effective for stoma wearers. In this blog post, we’ll explore some of the best exercises for stoma wearers, taking into account comfort, safety, and maximising the benefits of exercise.

1. Walking: The Easiest and Most Accessible Exercise

Walking is one of the best forms of exercise for stoma wearers, and for good reason. It’s gentle on the body, easy to incorporate into your daily routine, and doesn’t require any special equipment. Whether it’s a stroll on the way to work, a walk in the park, or a brisk walk on a treadmill, walking improves cardiovascular health, strengthens muscles, and helps maintain mobility.

If you’re new to exercise or returning after surgery, start with short walks and gradually increase the duration as your strength and stamina improve.

2. Swimming: Low-Impact and Full-Body Workout

Don’t dismiss swimming as a sport not suitable for people with a stoma. Swimming is another fantastic exercise for stoma wearers because it’s gentle on the joints while providing a full-body workout. The buoyancy of water supports your body, making it easier to move and exercise without putting excess pressure on your abdomen. Plus, swimming is an excellent way to improve cardiovascular fitness, build muscle strength, and increase flexibility.

Before swimming, make sure your stoma bag is secure and leak-proof. Some stoma wearers prefer using a waterproof cover to ensure extra protection while in the water.

3. Yoga: Improving Flexibility and Core Strength

Yoga is a great option for stoma wearers who want to focus on flexibility, balance, and relaxation. Certain yoga poses help to build core strength, which can support the muscles around the stoma and promote better digestion. Additionally, yoga helps reduce stress and anxiety, which can be particularly beneficial for those who may feel self-conscious or anxious about their stoma.

Opt for gentle, restorative yoga practices to avoid putting too much strain on your abdomen. Poses such as child’s pose, cat-cow, and seated stretches are great options. Avoid any poses that involve lying flat on your stomach for a long time, let your teacher know about your bag and they should give you an alternative pose option.

4. Pilates: Core Strength and Posture Improvement

Pilates is a low-impact exercise that focuses on core strength, flexibility, and overall body control. Pilates can help stoma wearers strengthen the muscles around the stoma site, improve posture, and reduce the risk of complications related to muscle weakness or poor posture. It’s also a great way to focus on pelvic floor exercises, which are important for maintaining digestive function.

Start with beginner-level Pilates exercises and avoid movements that involve excessive twisting or direct pressure on your stoma. A qualified instructor can help guide you through safe exercises.

5. Cycling: Low-Impact Cardiovascular Exercise

Cycling, whether outdoors or on a stationary bike, is a great cardiovascular exercise that’s gentle on the body. It engages the lower body, strengthens the legs, and improves overall stamina. 

If you’re cycling outdoors, be mindful of the terrain and avoid routes that may cause jolting or excessive movement.

Key Considerations for Stoma Wearers When Exercising

While exercise is important, there are a few considerations stoma wearers should keep in mind to stay safe and comfortable during their workout:

• Secure Your Stoma Bag: Always make sure your stoma bag is securely attached before you exercise. You may want to use a support garment designed for stoma wearers to keep the bag in place during physical activity.
• Hydration: Staying hydrated is especially important when exercising with a stoma, as some types of stomas (like ileostomies) may result in increased fluid and electrolyte loss. Make sure to drink plenty of water before, during, and after your workout.
• Listen to Your Body: Start slow and listen to your body’s signals. If you experience discomfort, pain, or unusual symptoms during exercise, stop and consult your healthcare provider.

Exercising with a stoma may require some modifications to your routine, but it’s entirely possible to stay active and healthy. Whether you choose walking, swimming, yoga, or strength training, regular exercise offers a wealth of physical and mental benefits. By taking precautions, listening to your body, and staying consistent, you can lead an active and fulfilling lifestyle, no matter what type of stoma you have. Don’t let your stoma hold you back.