TLDR: Undergoing incisional hernia repair is a significant step, but the journey doesn’t end there. To prevent a recurrence, it is crucial to address the underlying weakness in the abdominal wall, which is often caused by a diastasis recti. The Tupler Technique® is a 4-step program that provides the post-surgical support needed to ensure a lasting repair. By strengthening the transverse abdominis muscle, wearing the Diastasis Rehab Splint® to protect the surgical site, and learning proper body mechanics, you can reduce intra-abdominal pressure and build a strong, resilient core. This proactive approach minimizes the risk of the hernia returning and empowers you to maintain your surgical results for the long term.
Having an incisional hernia repaired is a major relief, but the fear of it returning can cast a long shadow over your recovery. Hernia recurrence is a common concern, and for good reason. Without addressing the root cause of the abdominal wall weakness, you may find yourself back in the same situation down the road. The key to a successful, long-term repair lies in rebuilding the strength and integrity of your core. This is where the Tupler Technique® becomes an indispensable part of your post-surgery plan. By focusing on healing the diastasis recti that so often accompanies an incisional hernia, the technique provides the structural support needed to protect your surgical repair and prevent a recurrence.
Table Of Contents
- • Why Incisional Hernias Recur: The Role of Diastasis Recti
- • The Tupler Technique®: Your Insurance Policy Against Recurrence
- • Step 1: Gentle Core Strengthening for a Resilient Repair
- • Step 2: Protecting Your Surgical Site with the Diastasis Rehab Splint®
- • Steps 3 & 4: Adopting Diastasis-Safe Body Mechanics for Life
- • Long-Term Success: A Proactive Approach to Hernia Prevention
- • Frequently Asked Questions
Why Incisional Hernias Recur: The Role of Diastasis Recti
An incisional hernia repair, whether done with sutures or mesh, patches the hole in the abdominal wall. However, it doesn’t necessarily address the overall weakness of the surrounding tissue. If you have an underlying diastasis recti, the separated abdominal muscles cannot provide the necessary tension and support to protect the repaired area. Everyday activities that increase intra-abdominal pressure—such as coughing, lifting, or even standing up incorrectly—can put significant strain on the surgical site. Over time, this constant pressure can cause the repair to fail, leading to a recurrent hernia.
Think of it like patching a hole in a worn-out sail. The patch may be strong, but if the surrounding fabric is thin and weak, it will likely tear again under pressure. Healing the diastasis recti is like weaving new, strong fibers into the fabric of your abdominal wall. It creates a strong, supportive environment that reduces the strain on the surgical repair and dramatically lowers the risk of recurrence.
The Tupler Technique®: Your Insurance Policy Against Recurrence
The Tupler Technique® is a 4-step program that is ideally started after you have been cleared by your surgeon for exercise, typically around 6 weeks post-op. It is a safe, gentle, and highly effective way to rebuild your core from the inside out, providing the support your body needs to maintain your surgical results.
Step 1: Gentle Core Strengthening for a Resilient Repair
After surgery, it is crucial to re-engage your core muscles in a safe and controlled manner. The Tupler Technique® exercises are specifically designed for this purpose. They focus on strengthening the transverse abdominis (TVA), the deep core muscle that wraps around your midsection like a corset. A strong TVA stabilizes the spine and pelvis, and, most importantly, it helps to draw the separated rectus abdominis muscles closer together. This provides tension and support across the entire abdominal wall, including the site of your hernia repair, effectively splinting it from the inside.
Step 2: Protecting Your Surgical Site with the Diastasis Rehab Splint®
In the weeks and months following your hernia repair, your tissues are still healing. The Diastasis Rehab Splint® is an essential tool during this vulnerable period. It provides external support to the abdominal muscles, holding them in a better position and reducing the strain on the surgical site. This allows the connective tissue to heal in a narrowed position, creating a stronger, more resilient abdominal wall. The splint also acts as a constant reminder to engage your TVA, helping you to build the habit of maintaining a supported core.
Steps 3 & 4: Adopting Diastasis-Safe Body Mechanics for Life
Preventing a hernia recurrence is not just about what you do during your exercise sessions; it’s about how you move your body all day long. The Tupler Technique® teaches you how to perform daily activities in a way that protects your core. You will learn how to get out of bed without putting pressure on your midline, how to lift objects safely by engaging your TVA, and how to maintain a posture that supports your abdominal wall. These adjustments may seem small, but they make a profound difference in reducing the cumulative strain on your surgical repair.
Long-Term Success: A Proactive Approach to Hernia Prevention
By committing to the Tupler Technique® after your incisional hernia repair, you are taking a proactive role in your long-term health. You are not just hoping that the hernia won’t come back; you are actively building a stronger, more resilient core that is less susceptible to re-injury. This approach empowers you to move with confidence, knowing that you have the strength and knowledge to protect your body.
If you are preparing for or recovering from an Incisional Hernia & Diastasis Recti repair, the Tupler Technique® is the missing piece of the puzzle for a lasting recovery. It is the key to not just patching the hole, but to rebuilding the entire foundation of your core.
Frequently Asked Questions
When can I start the Tupler Technique® after my incisional hernia repair?
It is essential to get clearance from your surgeon before starting any exercise program. Typically, you can begin the gentle exercises of the Tupler Technique® around 6 weeks after your surgery. However, you can start wearing the Diastasis Rehab Splint® for support much sooner, often within the first week, as long as it is not placed directly over the incision.
Is the Tupler Technique® safe if I have mesh in my hernia repair?
Yes, the Tupler Technique® is safe for individuals with mesh repairs. The exercises are gentle and do not put pressure on the mesh. In fact, by strengthening the surrounding abdominal muscles, the technique can help to support the mesh and improve the overall integrity of the repair.
How is the Tupler Technique® different from other core exercise programs?
Many core exercise programs include movements like crunches, planks, and sit-ups, which can be harmful after a hernia repair as they increase intra-abdominal pressure. The Tupler Technique® is unique in its focus on strengthening the deep transverse abdominis muscle in a way that is safe and healing for a compromised abdominal wall. It is a comprehensive program that also includes splinting and proper body mechanics, making it a holistic approach to core restoration.
