Understanding Umbilical Hernia: Causes, Symptoms & Physiotherapy Management at Physio360.

INTRODUCTION

An umbilical hernia is a common condition, especially among newborns, infants, and even some adults. While surgical correction is often necessary in severe cases, physiotherapy plays a vital role in pre-surgical strengthening and post-surgical rehabilitation. At Physio360, Chennai’s leading physiotherapy and rehabilitation centre, we provide personalised care for patients recovering from hernia repair surgery and work towards core strengthening to prevent recurrence.

What is an Umbilical Hernia?

An umbilical hernia occurs when part of the intestine or fatty tissue pushes through a weak spot in the abdominal muscles near the belly button (umbilicus). This creates a bulge that may become more noticeable when the patient cries, coughs, or strains.

Who Is Affected?

• Infants (common in newborns, especially premature babies)

• Pregnant women (due to increased intra-abdominal pressure)

• Adults with obesity, frequent lifting, or previous surgeries

  
  

Causes & Risk Factors

Some common causes and contributing factors include:

• Congenital weakness in the abdominal wall

• Increased abdominal pressure

• Chronic coughing or constipation

• Obesity or weight gain

• Previous abdominal surgeries

  
  

Symptoms of Umbilical Hernia

While often painless, symptoms may include:

• Swelling or a bulge near the belly button

• Pain or tenderness around the umbilicus

• Discomfort when lifting or straining

• Vomiting (in rare, serious cases – indicating obstruction or strangulation)

  
  

Diagnosis

Diagnosis is usually clinical and confirmed by:

• Physical examination

• Ultrasound or CT scan (if complications are suspected)

  
  

Treatment Options

Most infant umbilical hernias close on their own by age 1 or 2. Surgery is advised if:

• The hernia is large or persistent

• There are signs of obstruction or strangulation

• The patient is an adult with a symptomatic hernia

  
  

Role of Physiotherapy at Physio360

At Physio360, we offer specialised physiotherapy for umbilical hernia recovery, focusing on core strengthening, abdominal control, and safe functional movements.

✅ Pre-Surgical Physiotherapy

• Educates patients about posture and body mechanics

• Improves core stability to minimise strain

• Reduces the risk of post-operative complications

  
  

✅ Post-Surgical Physiotherapy

Rehabilitation begins after the surgical wound heals. Key goals include:

🟢 Phase 1: Acute Phase (1–2 weeks post-surgery)

• Gentle breathing exercises

• Pelvic tilts and isometric abdominal contractions

• Avoidance of strain, heavy lifting, and the Valsalva manoeuvre

  
  

🟢 Phase 2: Sub-Acute Phase (2–6 weeks)

• Core muscle activation using transversus abdominis strengthening

• Glute bridges, heel slides, and leg lifts

• Gentle stretches for hip flexors and lower back

  
  

🟢 Phase 3: Advanced Phase (6+ weeks)

• Planks and anti-rotation exercises for deep core engagement

• Gradual return to daily activities and sport-specific training

• Postural correction and education for long-term prevention

  
  

Why Choose Physio360 for Umbilical Hernia Recovery?

At Physio360, we believe in combining clinical expertise with compassionate care. Here’s why we stand out:

• Expert physiotherapists with experience in post-surgical rehab

• Tailor-made core strengthening programs

• Safe and supervised return-to-activity protocols

• Flexible appointment hours and affordable consultation

• Conveniently located in Chennai, with branches in Moulivakkam, Gerugambakkam, and surrounding areas

  
  

Prevention Tips from Physio360

Avoiding umbilical hernia or preventing recurrence can be achieved with these strategies:

• Maintain a healthy weight

• Strengthen your core muscles

• Avoid heavy lifting or learn proper lifting techniques

• Manage constipation and chronic cough

• Follow proper ergonomics and posture correction advice

  
  

Final Words

An umbilical hernia may sound alarming, but with the right diagnosis, surgical management, and physiotherapy support from Physio360, recovery can be smooth and complete. Whether you're preparing for surgery or recovering from one, our experienced team at Physio360 is here to guide you every step of the way.

REFERENCE AND RESEARCH ARTICLE;

1.Umbilical Hernias in Adults: Epidemiology, Diagnosis and Treatmenthttps://www.researchgate.net/publication/347080135_Umbilical_Hernias_in_Adults_Epidemiology_Diagnosis_and_Treatment