Bariatric Physiotherapy

Bariatric physiotherapy is a specialized form of physical therapy tailored for individuals undergoing bariatric surgery. It plays a crucial role in the weight loss journey by focusing on three main areas: preoperative preparation, postoperative rehabilitation, and long-term physical activity.

Preoperative Preparation

Before weight loss surgery, patients often need to improve their physical condition to reduce surgical risks and enhance recovery outcomes.
Physiotherapist assess the patient’s physical condition, including strength, flexibility, and cardiovascular health. A personalized exercise plan is created to improve fitness levels and prepare the body for surgery.
This preparation helps in minimizing complications during surgery and accelerates the recovery process.
Patients are also educated about the benefits of physical activity, proper breathing techniques, and what to expect during the recovery process.

Postoperative Rehabilitation

After bariatric surgery, the body undergoes significant changes, and patients need to adapt to their new physical condition.

This includes early mobilization to address postoperative pain, reducing inflammation, and preventing complications such as blood clots, pneumonia or respiratory issues.

Gentle exercises and walking are encouraged to promote recovery. Breathing exercises improve lung function and reduce the risk of respiratory complications.

Early mobilization through guided physiotherapy helps in improving circulation and promoting faster recovery.

As the patient recovers, the intensity and variety of exercises are gradually increased to build strength, enhance mobility, and promote overall well-being.

Long-term Physical Activity

Physiotherapy is essential for maintaining long-term health and well-being after weight loss surgery. Regular physical activity is crucial for sustaining weight loss and preventing weight regain.

Our physiotherapist provide continuous support and guidance to help patients maintain a regular exercise routine, which is crucial for sustained weight loss and improved health.

Exercise plans are continually adjusted based on the patient’s progress, capabilities, and goals.

Our physiotherapist also educate patients on how to exercise effectively and safely to avoid injuries, especially considering the changes in their body post-surgery.

Our Bariatric Physiotherapy Services

At International Metabolic and Bariatric Center, we believe in a holistic approach to treatment. Our programs are designed to support you through every step of your journey, from initial consultation through to surgery, recovery, and beyond.

Preoperative Physiotherapy Assessment

Comprehensive physical assessments to evaluate fitness levels and identify any limitations or risks before bariatric surgery. This includes developing a customized exercise plan to improve cardiovascular health, muscle strength, and overall fitness.

Postoperative Rehabilitation

Specialized rehabilitation programs designed to aid in recovery immediately after bariatric surgery. Focuses on gentle mobility exercises, breathing techniques, and gradual introduction of physical activities to enhance recovery and reduce complications.

Pain Management Programs

Comprehensive pain management strategies that include physical therapy techniques, exercise, and education to help patients manage and reduce chronic pain effectively.

Customized Exercise Programs

Tailored exercise plans that cater to the individual needs of each patient, considering their fitness levels, surgical outcomes, and long-term goals. These programs include a mix of cardiovascular exercises, strength training, and flexibility exercises.

Breathing Exercises and Respiratory Therapy

Techniques to improve lung function, enhance breathing efficiency, and reduce the risk of respiratory complications, especially important before and after surgery.

Home Exercise Programs

Development of home-based exercise routines with detailed instructions and demonstrations, allowing patients to continue their rehabilitation and fitness journey in the comfort of their homes.

Nutritional Counseling Support

Integrated sessions with nutritionists to ensure that physiotherapy exercises complement dietary plans and overall health goals, promoting holistic well-being.

Education and Lifestyle Modification Programs

Workshops and one-on-one sessions to educate patients about the importance of physical activity, healthy habits, and lifestyle modifications to maintain weight loss and improve quality of life post-surgery.

Balance and Coordination Training

Exercises designed to improve balance, coordination, and proprioception, reducing the risk of falls and enhancing overall physical stability.

Posture Correction and Ergonomic Advice

Guidance on improving posture and ergonomic practices to prevent pain and injuries related to poor posture or improper movement patterns.

Circulatory Exercises

Circulatory exercises are designed to improve blood flow and reduce the risk of circulatory complications after bariatric surgery. These simple yet effective exercises can be performed in bed or while sitting, making them accessible even in the early stages of recovery.

Benefits:

  • Regular circulatory exercises help prevent the formation of blood clots, particularly in the legs.
  • These exercises enhance venous return, ensuring better blood circulation throughout the body.
  • Improved circulation helps reduce post-operative swelling and promotes faster healing.

Chest Physiotherapy

Chest physiotherapy is a vital component of the recovery process for bariatric surgery patients. It focuses on improving lung function, enhancing breathing efficiency, and preventing respiratory complications, which can be particularly important in the post-operative period.

Benefits:

  • Techniques such as percussion, vibration, and postural drainage help clear mucus and secretions from the lungs, reducing the risk of pneumonia and other respiratory issues.
  • Deep breathing exercises and other CPT techniques enhance lung expansion, ensuring better oxygenation and quicker recovery.
  • Regular chest physiotherapy helps prevent the collapse of lung segments, known as atelectasis, which is a common post-operative complication.

Incentive Spirometer

An incentive spirometer is a device used to encourage deep breathing and improve lung function. This tool is particularly beneficial for bariatric surgery patients, helping them maintain optimal respiratory health during the recovery process.

Benefits:

  • Using an incentive spirometer encourages patients to take deep breaths, which can prevent lung complications such as atelectasis.
  • Regular use helps increase lung capacity and strengthen respiratory muscles.
  • By maintaining good lung function, patients can recover more quickly and reduce the risk of post-operative respiratory issues.

Mobilization

Early and progressive mobilization is a critical aspect of postoperative care for bariatric surgery patients. It focuses on getting patients moving as soon as it is safe to do so, promoting overall recovery and preventing complications.

Benefits:

  • Early mobilization improves blood flow, reducing the risk of blood clots and deep vein thrombosis (DVT).
  • Movement helps prevent muscle atrophy and joint stiffness, promoting faster overall recovery.
  • Mobilization decreases the likelihood of complications such as bed sores, pneumonia, and other issues related to immobility.

Meet Our Bariatric Physiotherapist

Dr. Shehzadi Saba

Bariatric Physiotherapist, IMBC.

Qualifications:

Master of Science in Cardiopulmonary Physical Therapy (MS CPPT) – Riphah International University, Islamabad

Doctor of Physical Therapy (DPT) – Khyber Medical University, Peshawar.

Picture - Dr Mushtag Ahmad Orakzai - Director International Metabolic and Bariatric Clinic

Dr. Saba is a dedicated and experienced physiotherapist with a robust background in providing exceptional care and support to bariatric patients with complex needs. Her professional journey is marked by a positive and compassionate approach, treating each patient with the same level of care and respect she would offer her own family.

Since August 2023, she has been utilizing her experience, skills, and compassionate approach to treat bariatric patients at IMBC. She focuses on delivering high-quality physiotherapy services both in the Intensive Care Unit and outpatient department. Her expertise in bariatric physiotherapy plays a crucial role in helping patients recover and improve their quality of life after bariatric surgery.

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The Benefits of Bariatric Physiotherapy

Bariatric physiotherapy is a cornerstone of comprehensive care for bariatric patients, offering a wide range of benefits that support their journey towards better health and improved quality of life.

From enhancing mobility and managing pain to accelerating post-surgery recovery, physiotherapy provides holistic care that addresses the physical needs of patients. By integrating physiotherapy into their treatment plan, bariatric patients can achieve better health outcomes and improve their overall quality of life.

Enhanced Mobility and Function

Physiotherapy helps restore and enhance mobility, enabling patients to perform daily activities with ease. Bariatric patients often experience joint pain and stiffness due to excess weight, which can limit their ability to move freely. Through targeted exercises and stretching routines, physiotherapy helps to increase the range of motion in joints, reduce stiffness, and enhance overall mobility. This not only makes daily activities easier but also contributes to a more active and healthier lifestyle.

Accelerated Post-Surgery Recovery

Physiotherapy plays a crucial role in accelerating recovery after bariatric surgery. Post-operative physiotherapy helps patients regain strength and function more quickly by promoting circulation, reducing swelling, and preventing complications such as blood clots and pneumonia. Structured rehabilitation programs designed by physiotherapists ensure that patients are on the right track to a swift and smooth recovery.

Prevention of Complications

Post-surgery, patients are at risk of developing complications such as infections, blood clots, and respiratory issues. Physiotherapists guide patients through breathing exercises, early mobilization, and other preventive measures to reduce these risks and promote a smooth recovery.

Pain Management

Postoperative pain and discomfort are common challenges for bariatric patients, particularly those with conditions such as osteoarthritis, back pain, or fibromyalgia. Physiotherapists use a variety of techniques such as manual therapy, heat and cold therapy, and electrotherapy to alleviate pain and promote healing. By addressing the root causes of pain and providing relief, physiotherapy enables patients to engage more actively in their daily routines and exercise programs.

Improved Cardiovascular Health

Exercise is a vital component of physiotherapy, and for bariatric patients, it significantly improves cardiovascular health. Regular, supervised physical activity helps to strengthen the heart, improve circulation, and lower blood pressure. These benefits are particularly important for bariatric patients, who often have an increased risk of cardiovascular diseases. By improving cardiovascular fitness, physiotherapy contributes to overall health and longevity.

Support for Weight Loss and Maintenance

Physiotherapy supports weight loss efforts by promoting physical activity and encouraging the development of healthy habits. Physiotherapists work with patients to create individualized exercise plans that are safe, effective, and tailored to their specific needs and capabilities. This guidance helps patients to burn calories, build muscle, and maintain their weight loss over the long term. Additionally, regular physical activity helps to boost metabolism and prevent weight regain.

Sustainable Weight Loss

Physiotherapy supports sustainable weight loss by incorporating physical activity into patients’ lifestyles. Regular exercise boosts metabolism, burns calories, and helps in maintaining a healthy weight. Physiotherapists work closely with patients to develop exercise plans that are enjoyable, achievable, and tailored to their individual needs and preferences.

Prevention of Future Health Issues

Physiotherapy not only addresses current health issues but also helps in the prevention of future problems. By improving strength, flexibility, and cardiovascular health, physiotherapy reduces the risk of injuries and chronic conditions such as diabetes, hypertension, and heart disease. This proactive approach to health care ensures that bariatric patients can enjoy a healthier, more active life in the long term.

FAQ

Frequently asked questions

What is the role of physiotherapy in bariatric surgery?
Physiotherapy plays a crucial role in both preoperative and postoperative care for bariatric surgery patients. Before surgery, physiotherapy helps in preparing the body, improving physical fitness, and reducing the risk of complications. After surgery, it aids in recovery, enhances mobility, strengthens muscles, and ensures a smoother transition to a healthier lifestyle.
Why is physiotherapy important before bariatric surgery?
Before bariatric surgery, physiotherapy helps in several ways:

  • Improving physical fitness which reduces surgical risks.
  • Exercise and physical activity can contribute to weight loss or maintenance.
  • Patients learn about post-surgery exercises and lifestyle changes.
What does a preoperative physiotherapy program include?
A pre-operative physiotherapy program typically includes:

  • Physical assessment to evaluate current fitness levels and identifying any physical limitations.
  • Customized exercise plan to improve cardiovascular health, muscle strength, and flexibility.
  • Breathing exercises and techniques to improve lung function and reduce anesthesia risks.
  • Education and guidance on what to expect post-surgery and how to prepare the body for recovery.
What types of exercises are included in postoperative physiotherapy?
Post-operative physiotherapy may include:

  • Breathing exercises to improve lung function and prevent respiratory complications.
  • Gentle mobility exercises to enhance circulation and prevent blood clots.
  • Strength training is gradually introduced to build muscle strength and improve overall fitness.
  • Low-impact cardiovascular exercises and activities such as walking or cycling to improve heart health.
How does physiotherapy help in long-term weight management after surgery?
Physiotherapy aids in long-term weight management by:

  • Encouraging regular physical activity helps maintain weight loss.
  • Improving muscle strength and metabolism, aiding in weight control.
  • Enhancing overall fitness and endurance making daily activities easier and more enjoyable.
How can I stay motivated to continue physiotherapy after surgery?
Staying motivated can be challenging, but several strategies can help:

  • Set realistic goals: Break down long-term goals into achievable short-term milestones.
  • Track progress: Keep a journal or use apps to monitor improvements.
  • Seek support: Join support groups or find an exercise buddy.
  • Celebrate successes: Reward yourself for reaching goals and maintaining consistency.
What if I experience pain during physiotherapy sessions?
Experiencing some discomfort during physiotherapy is normal, especially when starting a new exercise routine. However, severe or persistent pain should not be ignored. It’s important to communicate with your physiotherapist, who can adjust the exercises or techniques to alleviate discomfort and ensure your safety.
How long will I need physiotherapy after bariatric surgery?
The duration of physiotherapy varies depending on individual needs and progress. Some patients may benefit from a few months of therapy, while others might require longer-term support. Your physiotherapist will work with you to develop a personalized plan and adjust it as you recover and achieve your goals.
Can I do physiotherapy exercises at home?
Yes, many physiotherapy exercises can be performed at home. Your physiotherapist will provide you with a customized exercise plan, including detailed instructions and demonstrations. Regular follow-up appointments may be necessary to monitor progress and make adjustments.
Are there any risks associated with physiotherapy after bariatric surgery?
Physiotherapy is generally safe and beneficial, but like any physical activity, it carries some risks, particularly if not done correctly.

Potential risks include:

  • Overexertion or improper technique can lead to strains or injuries.
  • Rarely, excessive physical activity too soon after surgery can cause complications. It’s crucial to follow your physiotherapist’s guidelines and not push your body beyond its limits.
What should I look for in a good physiotherapist?
A good physiotherapist should have:

  • Relevant qualifications and experience: Look for credentials and experience in bariatric and post-surgical care.
  • Personalized approach: The ability to tailor treatment plans to individual needs and progress.
  • Good communication skills: Clear explanations, patience, and willingness to listen to concerns.
  • Positive reviews or testimonials: Feedback from other patients can provide insights into their effectiveness and approach.
What if I have more questions or concerns about physiotherapy?
If you have more questions or concerns about physiotherapy, do not hesitate to reach out to us. We will provide additional information, address any specific concerns, and help you understand the benefits of incorporating physiotherapy into your weight loss journey.