Gymnastics to strengthen the esophageal sphincter. Therapeutic exercise and massage for gastroesophageal reflux disease

There are many remedies for the treatment of gastroesophageal reflux in order to get rid of annoying unpleasant symptoms forever or at least for the next decades. For prevention, it is not necessary to use medications; it is enough to periodically follow a diet and change a few things in your lifestyle.

Another preventive remedy is breathing exercises for GERD. This is another attempt to protect against a disease, which in the general arsenal of a suffering person can turn out to be a completely effective method.

Gymnastics is not a cure

Before completely switching to this type of help, everyone should understand some important points:

gymnastics does not relieve heartburn, this method only helps speed up the healing process or reduce the periods and number of exacerbations;
there is no ideally developed exercise scheme, everyone can choose for themselves those that will subsequently provide real help to them;
gymnastics for GERD is a non-main method of treatment; without the combined use of medications and if the diet is not followed, the exercises will not be effective;
There is no 100% guarantee that classes will have a positive effect on the process of getting rid of reflux disease; do not have any illusions about a happy, full recovery.

On this moment there is no complex selected for each disease digestive system. This is most often general exercises, which will not save you in an emergency, but can alleviate the course of the disease.

Tasks that therapeutic gymnastics copes with

Like any physiotherapeutic method (gymnastics can rather be classified as exercise therapy - physical therapy), it should be selected individually, taking into account load tolerance and the course of the disease process. Due to which physical therapy has a positive effect:

the body's defenses are stimulated and have a general strengthening effect on a person;
develops well with any exercise muscular system and blood vessels, which provides enhanced nutrition to surrounding tissues and promotes regeneration (healing) of damaged layers;
if gymnastics for reflux esophagitis is chosen well, you can strengthen the lower esophageal sphincter (the round muscle between the esophagus and the stomach), the weakness of which leads to the reflux of food;
sometimes exercises help reduce the number of refluxes at night, improve the absorption of drugs, and reduce their intolerance.

But, as stated, this is not a magic pill for all symptoms associated with GERD.

Breathing exercises

The basis of this treatment is correct breathing, which can be either an independent exercise or, together with other types of load, an attempt to train internal organs.

First you need to accept comfortable position- better standing or sitting. Then you need to take a deep breath and exhale slowly. When exhaling, try to use the muscles of the abdominal cavity (“exhale using the stomach”), this way the respiratory muscles, which are located closer to the stomach, work better. This exercise must be repeated 3-4 times.
Breathing exercises also include next exercise: calm, deep inhale and quickly exhale through the belly. The number of exercises increases to 10.
Then you can take a deep breath, hold your breath and at the same time try to “squeeze” your abdominal muscles as much as possible, pause for 5 seconds and exhale calmly. Over time, it is worth increasing the pauses to 10–15 seconds.
Another option for exercises is a calm inhalation and a forced gradual exhalation, as if you have to exhale several times.

Gymnastics classes should be accompanied by pauses for rest; frequent and deep inhalations and exhalations can lead to dizziness, and in some cases to loss of consciousness. Therefore, speed is not the main thing in this treatment.

Important Prohibitions and Cautions

As with any sport, such gymnastics has its own requirements:

during severe GERD, gymnastics should be postponed until the severe symptoms subside;
do not carry out this treatment after a full meal, a light snack or even a sip of water, this will only weaken the esophageal sphincter;
all movements must be carried out in calm state, you cannot perform them lying down or half-sitting.

Gastroesophageal reflux disease can worsen 2-3 times a year, so gymnastics should be a way to prevent it. It is better to conduct classes at least twice a week.

Do not try to develop a set of exercises on your own; it is better to consult a gymnastics instructor. Perfect option- when a specialist works in a medical institution and is familiar with the specifics of occupations for diseases.

You should not rely only on breathing exercises; it does not exempt you from other types of activities. It is better to combine them with swimming, walking, and light jogging.

The exercises are carried out without load, the hands should be free, the muscles of the limbs or back are not trained, but the internal organs are stimulated.

How to diversify prevention and treatment methods for reflux esophagitis? You can add therapeutic exercises to the complex. It will not harm the course of the underlying disease, but will only help and alleviate many of its manifestations.

GERD - gastroesophageal reflux - is a disease characterized by heartburn, which occurs due to the reflux of part of the stomach contents along with hydrochloric acid into the esophagus. In this case, the patient feels a burning sensation behind the sternum or in the throat, a sour taste in the mouth, belching, and sometimes pain. The condition is aggravated in a lying position, while bending, during physical activity immediately after eating. GERD is most often caused by weakening of the sphincter muscle between the stomach and esophagus. If the disease is not treated or only periodically gets rid of symptoms, then there may be complications and serious problems with the gastrointestinal tract. Complex treatment works best: a combination of diet, medications and physical therapy prescribed by a doctor.

Exercise therapy for esophagitis

For GERD it is necessary physiotherapy, without weighting, excessive dynamism, bending and abdominal exercises. It is recommended to conduct the first lessons with experienced trainer Exercise therapy with the appropriate certificate. There is no universal therapeutic exercise. Exercises are selected individually by the instructor, depending on the patient’s health, preparedness, and well-being.

All exercises should be aimed at strengthening the diaphragm for GERD. The quality of work depends on its condition. Exercise therapy complex performed on an empty stomach or at least 2-3 hours after meals. At the same time, food should be easily digestible and not cause heartburn. For example, fatty or protein foods take a long time to digest; it is better to eat something containing carbohydrates; drinking water before training is not recommended.

The role of physical therapy is to strengthen health, the immune system, muscles, improve blood circulation, enrich the blood with oxygen, and activate metabolic processes in the body. Exercises to strengthen the esophageal sphincter are aimed at preventing GERD, because frequent heartburn due to dysfunction of its function can lead to complications, including ulcers or esophageal cancer.

Aerobic exercise in the form of vigorous or nordic walking, jogging, cycling or an exercise bike should be included in the set of exercises for reflux esophagitis. Exercises on the horizontal bar or parallel bars, without inversions, and swimming are encouraged.

The starting position of most exercises in the gym, at home, on fresh air must be sitting or standing. It is necessary to avoid lying on your back; you can lie, but at an angle, with your head above your feet or on your side, to avoid reflux.

Tilts are allowed only to the left or right, but not forward - down, smoothly, without jerking, the arm is lowered and moves along the body. You should not get carried away with Pilates, jumping, or intense aerobics. From yoga, you can only use breathing and stretching; inverted asanas are prohibited. Self-massage or massage of the abdominal wall is recommended. This can be done while performing breathing exercises, helping the abdomen in the hypochondrium area with your hands.

Breathing exercises for GERD

Breathing exercises are useful and effective. Very important during physical exercise reduce intra-abdominal pressure. Correct specific breathing copes with this task and gradually strengthens the diaphragm, as well as the lower esophageal sphincter. It is recommended to do breathing exercises in the following sequence:

diaphragmatic or abdominal breathing - on a slow deep inhalation, the stomach protrudes strongly, on exhalation it relaxes, but does not retract. The exercise lasts 10 minutes, with a 20-second rest every minute;
on next stage as you exhale, the stomach gradually retracts;
the exercise must be repeated while sitting, then while walking, gradually combining with exercises, while the exhalation becomes twice as long as the inhalation, only the stomach works, rib cage remains motionless.

Such breathing exercises for reflux esophagitis, it must be performed twice a day for 15-20 minutes. At correct technique execution diaphragmatic breathing strengthens the muscles of the diaphragm itself, saturates the blood with oxygen, cleanses the lungs of those who smoke a lot from tar and nicotine, promotes weight loss, reduces flatulence, and relieves constipation.

At the beginning of exercises, breathing exercises for GERD may cause dizziness due to a possible increase in blood pressure. In this case, you need to take less deep breaths. In a normal state, a person does not track breathing patterns. During breathing exercises, it is recommended to carefully monitor the behavior of the organs during them, the duration of inhalation and exhalation, and your condition. If you feel unpleasant, you need to relax and breathe calmly. In the future, the technique of such breathing will become clearer and easier, will benefit the body, including improving the functioning of the esophageal sphincter and the gastrointestinal tract as a whole.

Diaphragmatic breathing in combination with physical exercise is the basis of the “bodyflex” weight loss system. This effective method fight against overweight. It can also be used by patients with GERD, excluding some exercises. In addition to inhaling and exhaling using the abdominal muscles, bodyflex involves holding your breath for 10 seconds after exhaling completely. Patients with high blood pressure or arrhythmia should perform the complex with caution after consulting a doctor. The value of the method is that it strengthens the diaphragm muscles and reduces weight, which has a beneficial effect on getting rid of GERD and its symptoms.

A course of gastroesophageal exercise therapy usually takes about 3 months. Breaks will have to be taken in case of exacerbation or complications that need to be eliminated by other means. For those who are not lazy to do gymnastics, and also combine it with diet and medications, the symptoms of GERD may completely disappear and not appear for a long time.

If the disease is advanced and proceeds with complications, then therapeutic exercises will have to be done later. First, it is necessary to relieve the exacerbation, severe symptoms in the form of bowel dysfunction, constant heartburn, and vomiting with the help of medications and nutrition. with esophagitis includes dishes that do not provoke increased secretion of gastric juice during digestion and the reflux of hydrochloric acid into the esophagus.

Proper nutrition, excluding heavy, poorly digestible or irritating gastrointestinal foods, helps the patient cope with GERD, eliminating heartburn and the severe discomfort associated with it. Proper drinking regime is also necessary. Water improves the digestion process, quenches thirst, improves well-being, and regulates metabolic processes.

Strength training, like deep bending, is prohibited for reflux symptoms due to increased intra-abdominal pressure and stress on the muscles abdominals. Complex physical therapy exercises should be developed by an experienced physician instructor. You should not do this on your own, so as not to harm your health if you select it incorrectly.

Exercising alone will not cure GERD. The disease is treated in a complex that includes drug therapy, a special diet and physical therapy. Breathing exercises must be combined with light physical exercise. Intense sports for people with diagnosed GERD, especially complicated or during an exacerbation, are prohibited. Diaphragmatic breathing exercises are undesirable during respiratory diseases; they are not suitable for hypertensive patients or people with diseases of the cardiovascular system.

Self-massage of the abdomen or abdominal wall should be performed with extreme caution, without using excessive force, preferably under the supervision of a doctor. It is most convenient to entrust the massage of this area to an experienced specialist, because this effective method improving the functioning of the digestive organs. But in the absence of knowledge and experience, massage can cause harm to health, including exacerbation of chronic gastrointestinal diseases.

Strengthening the lower esophageal sphincter, as the main means of combating esophageal reflux, is impossible without therapeutic exercises, a special diet, and drug support. If a patient with GERD has a great desire and desire to get rid of extremely unpleasant symptoms in the form of heartburn and other manifestations listed above, then it is necessary to persistently and diligently carry out this entire complex of treatment. Then the quality of life will be much higher.

The information on our website is provided by qualified doctors and is for informational purposes only. Don't self-medicate! Be sure to consult a specialist!

Gastroenterologist, professor, doctor of medical sciences. Prescribes diagnostics and carries out treatment. Expert of the group for the study of inflammatory diseases. Author of more than 300 scientific papers.

Physical exercise is an important part of therapy for reflux esophagitis.

Of course, on their own they will not cure a diseased organ, but in tandem with a therapeutic diet and medication support, they can greatly speed up recovery and contribute to the overall strengthening of the body.

Nuances of training for GERD

Gastroesophageal reflux disease forces you to draw up a special training plan, taking into account the severity of the disease and general physical training patient.

It is a scientifically proven fact that people who regularly exercised suffered much less from the specific symptoms of reflux disease than physically inactive people with a sedentary lifestyle, and especially those who were overweight.

Excess weight greatly increases your chances of developing GERD. People with a body mass index over 30 are more than 2 times more likely to become gastroenterologist patients than people with normal BMI within 18.5–25.

However, the patient should not forget that excessive load it is contraindicated. In addition, in order not to worsen your condition, you need to follow the recommendations of your doctor and trainer, and also do not forget about the following rules:

Digestion takes some time. In itself, a stomach filled with food is a load on the esophageal sphincter, and when shaking and physical stress are added to this, deterioration is inevitable. To prevent this, you need to train only on an empty stomach.
When planning your diet, you need to focus on your training schedule. Certain foods, especially fatty foods and legumes (by the way, the diet for reflux esophagitis prohibits such foods) take an extremely long time to digest. If the workout should take place 2-3 hours after eating, preference should be given to easily digestible carbohydrate foods, with a minimum content of fat and protein. Before training, you need to avoid consuming foods that cause heartburn and belching.
Avoid overly intense exercise such as fast run, crossfit, aerobics. With such a load, the contents of the stomach shake, resulting in discomfort. It is worth giving preference to exercises that keep the body in an “even” position: yoga, moderate jogging, skating, cycling (you can use an exercise bike or a stepper).
There is no need to get carried away with exercises in a lying position (bench press, Pilates), which provokes the reflux of stomach contents into the esophagus.
Throughout the training session, it is worth monitoring the fluid balance in the body. In addition to quenching thirst, water stimulates digestion and stabilizes the functional state of all organs.

Benefits of Exercise for GERD

The advantages of exercise therapy for reflux esophagitis include:

strengthening the lower esophageal sphincter;
reducing the intensity of reflux of stomach contents into the esophagus and mitigating the occurrence of night reflux;
increasing the body's immune defense;
stimulation of metabolic processes.

Breathing exercises for GERD

The key to effective training for reflux esophagitis is correct, even breathing. Before giving yourself an active load, you need to take a comfortable position (most importantly, without lying down). After this, the patient will have to perform the following tasks one by one:

Take a deep breath and slowly release the air. Repeat the exercise at least 5 times. When exhaling, you need to involve the abdominal organs as much as possible, strongly straining and “blowing out” your stomach.
Slowly inhale air and release it in several short exhalations.
Next task: take a slow, deep breath and a sharp, rapid exhalation, actively engaging the peritoneum. Repeat the exercise 8–12 times.
Take a deep breath and hold your breath for 5–7 seconds. Slowly release the air, tensing your abdominal muscles as much as possible. Do several approaches, gradually increasing the period of holding your breath to 17 seconds.
We must not forget about proper rest between approaches. Such breathing exercises can cause dizziness, and an unprepared, physically weak person can even faint.

Breathing exercises for reflux esophagitis reduce the pain of symptoms, reduce intra-abdominal pressure and stimulate the functioning of the stomach. Any exercise should be done with maximum tension. abdominal muscles and as if exhaling with your stomach.

Exercises prohibited for GERD:

any abdominal exercises, especially those related to raising legs while lying down;
bending the torso forward and all similar exercises;
lifting sports equipment weighing over 10–12 kilograms.

The treatment plan for GERD excludes exercises in horizontal position, since they intensify the reflux of stomach contents into the esophagus and increase discomfort: heartburn, burning, pain.

It is better to perform any exercise in a sitting or standing position. Moderate-intensity exercise is great for stimulating digestive function, and drinking enough water will further aid this.

In addition to moderate-intensity aerobics, if you have reflux esophagitis, you can do exercises to strengthen your legs, arms and core muscles:

swing your legs and arms;
any training combinations in the knee-elbow position;
various lifts of dumbbells (total weight should not exceed 15 kilograms) and bodybar in a sitting and standing position.

By following all of the above recommendations, gaining endurance and patience, and also enlisting the support of a trainer specializing in exercise therapy, you can not only reduce the unpleasant symptoms of GERD, but also strengthen and improve the health of the body. In tandem with proper nutrition and medication support (exclusively on the recommendation of the attending physician), recovery is progressing by leaps and bounds.

Gymnastics for gerb

Treatment of gastroesophageal reflux (GERD) is carried out using various methods to get rid of unpleasant consequences and symptoms.

For prevention, there is no need to use medications; dietary adjustments and lifestyle changes will suffice. Breathing exercises for GERD will be a good prevention.

Gymnastics is not a method of treatment

Before you start doing therapeutic exercises, you need to understand the basic rules:

A breathing exercise will not get rid of heartburn, but it can speed up the period of recovery and recovery, and relapses are reduced several times.
There is no ideal scheme for such therapy, so each person chooses exactly what can help him.
Exercises are not the main method of therapy; all of them can only be carried out together with the use of medications and diet, otherwise there will be no results from the exercises.
No one can guarantee that the result will be positive and that GERD will not bother you again.

Today there is no such complex that can help with any gastrointestinal problem. Often, gymnastics, yoga and other exercises will not help with exacerbations, but they can alleviate the condition and progression of the pathology.

Main tasks of gymnastics

Therapeutic gymnastics is selected personally for the patient, depending on exercise tolerance and the severity of the disease. After correct selection of breathing gymnastics GERD Maybe:

Stimulate defenses and also have a general strengthening effect.
Using any activity, the muscular and vascular systems develop, which will allow tissues to recover.
Properly selected exercises help strengthen the lower esophageal sphincter, which will prevent the release of food.
Sometimes gymnastics can reduce reflux at night, and also improve the body's ability to take medications.

There are a few effective exercises, which can be used as GERD gymnastics.

Diaphragmatic breathing

The patient is required to learn to breathe using the stomach, and not the chest. Thus, the diaphragm muscles are strengthened. Gymnastics is performed in three variations:

In a lying position with legs bent You need to put your left hand on your chest and your right hand on your stomach. Inhale through the nose as slowly as possible, but so that the chest does not move and the stomach increases. Exhaling, you need to take the starting position. You should perform up to 30 repetitions and rest for a couple of minutes, then repeat 30 more times. During the day, for GERD, therapeutic exercises are performed three times.
You need to sit on a chair and do the breathing described above, but put your hands on your knees. After a week of repetitions, the stomach should protrude as you inhale and tense slightly, and retract as you exhale. This must be repeated up to 30 times.
While sitting and with your hands on your knees, you need to inhale with your mouth half-open, through a small gap in your lips. The abdomen should expand as you inhale, and when exhaling, you need to form your lips into a tube and exhale in bursts up to 20 times.

Exercises for difficult breathing with GERD

To perform this, you need to breathe through your nose and at the same time blow out your stomach, then stop breathing for 3 seconds. You need to exhale through your nose as long as possible, closing your right nostril.

The exercise must be repeated up to 30 times, alternating exit through the nostrils.

The second exercise will be to inhale through your nose and exhale through your mouth, curling your lips into a tube. For the exercise, you need a plate of water, into which you lower your lips and exhale.

To make it easier, you can use a drinking straw and exhale through it. About 25 repetitions are performed.

Gymnastics Strelnikova

Such exercises can be performed only a month after the above-described classes.

The essence of the program is to take short breaths from the stomach through the nose about 30 times, only then exhale long distances through the mouth. When inhaling, you need to move your arms, hugging your shoulders.

To perform the exercise, you can take a lying, standing or sitting position. In the first days of gymnastics, you need to take about 400 breaths.

Then increase the load. The average rate per day should be 1000 breaths, more is possible.

Aerobics for GERD

For reflux esophagitis, not only breathing exercises are performed, but also more active exercises. They can be used every day or every other day.

It is allowed to walk at a fast pace for an hour a day; if jogging is used, the time is reduced to 20 minutes and is carried out every other day. Great for cycling or swimming.

When exercising, patients should not experience heartburn or excessive salivation. If possible, yoga can be used, which is better than any gymnastics.

Forbidden

There are certain requirements that you need to know and avoid using:

In severe cases of GERD, it is necessary to wait with gymnastic exercises until the symptoms subside.
After a full treatment, a meal or a small snack, as well as after drinking water, gymnastics and other exercises are prohibited. The sphincter only relaxes from the foods taken.
During classes, all movements should be slow and calm.

Reflux disease can appear several times a year, which means that gymnastics can be used constantly as a preventative measure.

All the described exercises must be repeated at least twice a week.

There is no need to rely only on therapeutic exercises. It can be an excellent addition to walking, running, and swimming. When training, you need to pay attention not to the muscles, but to the internal organs.

In addition to medical therapy for GERD, it is necessary to use medications and vitamins as prescribed by doctors and follow the rules of the working day, alternating workload and rest.

Sports and GERD

Be careful with exercise for GERD

Physical activity with functional abnormalities of the digestive organs is often prohibited. There are no strict restrictions for reflux, but you need to remember the basic rules that will help make the sport completely safe for your health and bring maximum benefits.

It is forbidden to exercise immediately after eating. This is because the lower esophageal sphincter is weak, which means activity after eating will cause stomach contents to regurgitate up into the esophagus. This will lead to severe heartburn. In view of these circumstances, you need to wait at least an hour after eating and start sports activities. You should not eat for an hour after activity. There is no need to talk about prohibiting snacking during exercise.

When eating food, you should not bend or twist forward, and you should not lift heavy objects. This will cause the same reaction as exercising after eating. In addition, bending over compresses the stomach, which increases the load on the gastrointestinal tract.

You need to carefully monitor the breaks between food and exercise, and then it will not cause harm. In addition, you need to adhere to a healthy lifestyle.

What loads are contraindicated?

There are certain prohibitions on playing sports with reflux esophagitis. Some doctors recommend avoiding abdominal exercises only, as they increase the pressure inside the abdominal cavity, which can aggravate the disease.

It is recommended to limit the weight you use during training. This rule is suitable for those who have previously worked with heavy weights. Those patients with GERD who have not exercised with weights should not do so.

In general, no sports are prohibited. You need to follow the recommendations of your doctor and not put too much strain on yourself. Then there will be no harm to health. Sports will go only beneficial, as it allows you to release negative energy, which will reduce the likelihood of relapse of reflux esophagitis due to stress.

Yoga classes: benefit or harm?

Yoga, like any sport, can bring both benefits and harm. Doctors do not recommend asanas that place pressure or stress on the abdominal muscles, as this will cause an increase in internal pressure. Therefore, yoga asanas such as bhujansana, salabhasana and others are prohibited. Yoga exercises that do not load the abs (for example, nauli, udiyana), on the contrary, are indicated for patients with GERD.

Yoga is rich in breathing asanas, which are useful for patients.

Is it possible to cure exercise therapy disease?

It is impossible to cure reflux esophagitis with exercise alone, since no sport will affect the root of the problem. In order to relieve symptoms and get rid of causes, treatment with pharmaceutical drugs is necessary. Sometimes therapy for reflux cannot be done without surgery.

Physiotherapy will benefit the patient, as it helps strengthen the diaphragm. Thanks to this, the esophageal sphincter better retains the contents of the stomach in it, without passing upward.

Gymnastics and exercise therapy

Benefits of physical therapy

Exercise therapy should be prescribed by a doctor, since such activity is differentiated depending on the degree of the disease and the physical capabilities of each individual patient. If a patient has complicated or advanced reflux esophagitis, physical activity is completely contraindicated for him. The advantages of physical therapy are the following factors:

such exercises improve muscle tone, which improves metabolic processes and promotes tissue regeneration;
Exercise therapy improves the functioning of the human immune system;
proper activity helps strengthen the diaphragm, which improves the functioning of the esophageal sphincter;
Exercise therapy is used as a preventive measure against GERD;
The right exercises can help get rid of night pain and burning.

Exercise therapy refers to physiotherapeutic treatment, so the complex is different for each patient. It is aimed at achieving specific goals:

strengthen the immune system;
develop the muscle layer, which will improve metabolic processes;
heartburn prevention;
improved absorption of medications.

Breathing exercises

In order for physical therapy for reflux esophagitis to bring maximum benefit, you need to learn how to breathe correctly. To do this you need to do breathing exercises. Before class, you need to find the most comfortable body position, it is best to stand or sit. You need to inhale deeply and exhale slowly. Repeat 4 times. You need to train on an empty stomach. If the patient has a severe degree of illness, he should refuse the procedures.

Such training should be done with breaks for rest, as physical exercise can cause fainting or weakness. You need to train for preventive purposes three times a week. In addition, you need to engage in other activities. Swimming and cardio exercises are useful for reflux esophagitis.

Breathing exercises

At the beginning of the course, everything should be done lying on your back or on your right side on a plane slightly raised to your head. First you need to inhale, sticking your stomach forward and hold it for a few seconds. As you exhale, the abdominal wall relaxes; there is no need to pull in your stomach. The duration of the workout is 10 minutes with breaks of 20 seconds every minute.

Then, after a couple of workouts, you can begin to draw in your stomach as you exhale. After a few more sessions, leg movement is added to breathing. After which you can move on to exercises in a sitting or standing position. A course of physical therapy, which is used to treat GERD, takes approximately 3 months.

Prohibitions and warnings

Each sport has certain caveats, especially if the person playing it is sick. Exercise therapy and breathing exercises are no exception. With esophagitis, you need to remember the following requirements:

You can’t exercise after eating, even if it’s a snack (you can’t exercise after taking a sip of water);
It is better not to do gymnastics during exacerbation of GERD;
everything needs to be done calmly, in moderate pace without putting too much strain on the body.

Esophagitis usually recurs 2 times every 12 months, so courses of physical therapy and gymnastics are aimed at prevention. The minimum number of workouts per week is 2 times. Exercises should be selected by the attending physician who is competent in such matters.

Gymnastics is not the only treatment. The patient needs a course of drug therapy. In addition, the patient needs to engage in other sports, exercise healthy image life.

It is important not only to exercise, but to change your lifestyle to one that will have a beneficial effect on the body. This will help prevent relapses of the disease and improve well-being, because sports, proper nutrition and the absence of destructive habits are the basis of health.

Therapeutic exercises for gastroesophageal reflux disease

To treat gastroesophageal reflux disease (GERD), a comprehensive approach is needed. Therapeutic exercises are a method of therapy used outside of exacerbation of esophagitis. Physical education speeds up recovery, having a beneficial effect on the body. Exercises to strengthen the diaphragm for GERD do not have a negative effect on the internal organs. The diaphragmatic muscles are strengthened, as well as the ligamentous apparatus. Breathing exercises normalize blood circulation, saturating the organs with oxygen. It is worth starting physical therapy classes after consulting a doctor.

Why you need to do exercises

Gymnastics is included in the rehabilitation plan for patients with GERD and esophagitis. They are necessary for the full restoration of the body’s strength.

It is forbidden to start training in the active stage of the disease.

Advantages of exercise therapy for esophagitis:

strengthening the immune defenses;
development and strengthening of the diaphragm muscles;
improvement of tissue trophism;
improving the body's recovery abilities;
strengthening the esophageal sphincter.

Therapeutic gymnastics activates metabolic processes in muscles. The trophism of individual structures improves, and the elasticity of ligaments increases. The cardia of the stomach and the lower part of the esophagus become toned. The sphincter closes normally after the passage of food, the food stops moving in the opposite direction. As a result, the insufficiency of the esophageal cardia is leveled out, and the symptoms of esophagitis disappear.

What loads are contraindicated?

Exercising with esophagitis is useful and healthy. However, it is necessary to know which loads are incompatible with esophagitis.

It is useful to do pull-ups on horizontal bars and do push-ups on uneven bars. Bodyweight training strengthens the diaphragmatic muscles and ligaments.

Only patients with healthy sphincters pump their abs. Abdominal training causes a sharp increase in pressure in the abdomen. After such exercises, 9 out of 10 patients complain of exacerbation of esophagitis.
Limiting free weight for training. Do not lift or bend over weights. Weight training helps relax the diaphragm muscles, as well as increase intraperitoneal pressure.
Dynamic aerobics is allowed only during the period of complete remission. If the sphincters fail, active movements provoke acid reflux, aggravating the course of esophagitis.

For reflux esophagitis, therapeutic exercises are indicated, as well as non-intensive training without weights.

How to strengthen the sphincter between the stomach and esophagus

Exercises for reflux esophagitis are selected individually. It is advisable to attend several training sessions with a certified instructor. This approach will help avoid injuries during exercise.

Exercises

Physical exercises for esophagitis are performed under the supervision of an instructor. It is important to do gymnastics on an empty stomach.

Gymnastics complex for GERD:

Sitting on the floor, lean forward and bend your knees. Exhaling, press your fingers on the subcostal area. With each exhalation, plunge your fingers deeper and deeper.
Standing straight with a straight back, bend to the right and left, sliding your hands on your hips.
Lying on your back, bend your knees. Reach your elbow to the opposite knee and vice versa.
To strengthen the lower sphincter, you need to lie on your right side on an inclined surface and raise your left leg at an angle of 45°. Repeat on the opposite side.
Standing straight, perform sharp circular movements hands. Swings develop the upper well shoulder girdle, and also create negative pressure in the pleural cavity.

Breathing breaks are 1-3 minutes. The complex must be repeated 2-3 times. Focus on your well-being.

Aerobics for GERD

Dynamic movements with body displacement in the vertical plane are contraindicated in patients with GERD. The best choice for cardio exercise would be an exercise bike.

During exercise on an exercise bike, the heartbeat and breathing increase, the organs are saturated with oxygen, and the activity of oxidative processes is inhibited. Improvements in esophageal motility are observed after 2-3 workouts.

In cases of severe symptoms of gastroesophageal reflux, aerobic exercise is contraindicated. This measure is necessary to prevent peptic esophagitis.

Breathing exercises

Breathing exercises for reflux esophagitis - optimal physical activity. But it must be done correctly.

Before starting classes, you should warm up. The lungs take an active part in this complex, so it is necessary to do 5-7 complete acts of breathing. Deep breathing straightens all the alveoli, forcing the lungs to work at full capacity.

Respiratory complex against esophagitis:

Lie on your right side. Rest your head on your arm, bent in elbow joint. Take a deep breath, then exhale with maximum force. Repeat once. Repeat the cycle on the opposite side.
Get on your knees. At the height of inhalation, bend the spine. Exhale. Repeat 8-10 times.
Lie on your back. As you inhale as much as possible, rotate your pelvis. Make 10 turns on each side.

You should do breathing exercises regularly, not skip a day, always on an empty stomach and not forgetting the warm-up.

Gymnastics Strelnikova

All exercises from the complex are performed at the height of inspiration:

Stand up straight. Place your arms bent at the elbows to the sides. Palms face forward. Clench your palms into a fist. Exhale freely, hands are relaxed.
Standing straight, hands at waist level, fists clenched into fists. “Throw” your arms downwards, straightening your fist.
Round your back, arms hanging freely. When bending over, bend your spine in the thoracic region.
Feet shoulder-width apart, hands at waist level. Make a turn to the side, squatting a little. At every turn, clench your palms into fists.
Feet shoulder-width apart, arms folded on the chest. Give yourself a quick hug and relax.
Combine No. 3 and No. 5.
Turns the head to the sides.
Tilts of the head to the sides.
Bends the torso forward and backward.
One foot forward, the other back. Shift your body weight to the front and rear limbs alternately.
Alternately bend your knees with an upward movement.
Repeat No. 11, only with the leg thrown back. Try to touch your buttock with your foot.

All parts breathing exercises Strelnikova is repeated 96 times. You can do 4, 8, 16 or 32 times. However, the total should be 96.

Breathing is the most important component of training. Ideal to practice with a partner.

Massage

Lie on your back, bend your knees. Find a point above and to the right 3 cm from the navel. As you inhale, hold your breath for 5-8 seconds. Make circular massaging movements. As you exhale, inflate your stomach. Repeat 8-10 times.

You should massage your stomach in a clockwise direction. Mechanical compression empties the gallbladder well, improves digestive processes, and relieves pain and bloating.

The peculiarity of the procedure is to perform it only on an empty stomach.

Yoga classes - benefit or harm?

Yoga is an ancient Eastern teaching. Currently, some asanas (yoga poses) are used for therapeutic purposes.

Yoga requires complete control of breathing. At correct execution Gymnastics strengthens the abdominal press, diaphragm and esophageal ligaments. Ancient practice used in the East as monotherapy (the only treatment) for GERD and esophagitis. After exercise, pain goes away, blood circulation and digestion are normalized.

There will be no harm from yoga for esophagitis if you follow the instructor’s recommendations and do not overexert yourself.

Gymnastics is not the only treatment method

Exercise therapy for reflux esophagitis is an important component of therapy. However, the approach to GERD should be comprehensive, including not only gymnastics, but also drug treatment, physiotherapy, and diet. Patients are advised to adhere to the following healthy eating principles:

If you have esophagitis, you should eat often, but not much.
When eating, you need to sit upright so that the esophagus is in a straight position.
Do not lie down for 30 minutes after eating.
Do not eat food that is too cold or too hot.
Chew each piece thoroughly.

The diet for GERD with esophagitis should be varied. Supplement the diet with vitamin and mineral complexes. For successful therapy, complete mutual understanding between the doctor and the patient is important.

Rehabilitation treatment for gastroesophageal reflux disease

The manifestation of gastroesophageal reflux disease is erosive reflux esophagitis of varying severity.

A common cause of esophagitis is the reflux of active gastric juice into the esophagus due to cardia insufficiency (functional insufficiency of the lower esophageal sphincter) - this is the so-called reflux esophagitis, which in most cases is observed with axial esophagogastric hernias of the esophageal opening of the diaphragm. With this type of hernia, the abdominal segment of the esophagus and the proximal part of the stomach are displaced through the esophageal opening of the diaphragm into the posterior mediastinum.

The development of insufficiency of the lower esophageal sphincter and the appearance of reflux is promoted by:

The main clinical manifestations of functional insufficiency of the lower esophageal sphincter: heartburn, belching of food, pain in the epigastrium or retrosternal region, mild dysphagia. It is advisable to treat gastroesophageal reflux disease and, in particular, insufficiency of the lower esophageal sphincter according to the scheme (modified by R. Siewert et al.).

The main tasks of exercise therapy:

Exercise therapy classes are carried out no earlier than 2-2.5 hours after eating. At the beginning of the course of treatment, the main starting positions are lying on your back and right side on an inclined plane with the head end raised.

Much attention is paid to abdominal breathing. At the beginning of treatment, it is necessary to protrude the abdominal wall forward as much as possible while inhaling, fixing this position for 2-3 seconds. During exhalation, the abdominal wall cannot be pulled in, it must be relaxed. This exercise, reducing pressure in the upper abdominal cavity, gradually strengthens the diaphragm and its medial legs. After 5-6 days of training, which should be carried out 3-4 times a day for 10 minutes (with pauses for rest), it is recommended to begin drawing in the abdominal wall while exhaling, gradually increasing the range of motion. The criterion for the correct performance of this and all other exercises is the absence of heartburn or belching during training. The complex of physical exercises gradually includes leg movements and rotations of the body in an i.p. lying on your back, on your right, and later on your left side, stomach, knees and standing.

In the starting position on your knees and standing: extension, bending the body to the sides, turns, squats, walking, jogging. For a long time, bending the body and all movements that increase pressure under the diaphragm are not recommended. This rule also applies to training on various machines. After exercises with isometric muscle tension, they are relaxed.

Exercise therapy is most effective for functional disorders and sliding hiatal hernia. Classes should be carried out regularly, for at least 2-3 months, 1-2 times a day with a gradual increase in load.

In order to combat flatulence and constipation, self-massage, massage of the abdominal wall with a hockey (tennis) ball, massage of the lumbosacral area and abdomen, dosed walking, swimming, cycling with the torso upright, games (avoiding tilting the torso forward) are recommended.

People who suffer from gastro-food reflux also do not refuse to exercise. But with such a disease, any training must have a special approach. Gastroesophageal reflux disease, as it is called “scientifically,” brings a lot of trouble to a person, and sports in this case can become a source of relief and bring a lot of benefits to the body. This is also proven by studies that were conducted back in 2004. Then it was noted that all the people who played sports experienced much less symptoms of GERD than all those patients who never became friends with sports. Relieves the symptoms of GERD and the ability to maintain a healthy weight, which is also possible with exercise. With weight gain, the symptoms of the disease noticeably increase and worsen.

It has even been noted that all overweight people suffer from the symptoms of this disease 2.5 times more than people with normal weight. There was a greater likelihood of developing digestive tract cancer in fat people than in people who are not overweight.

In any case, physical exercise has a beneficial effect on the body. They help improve its health in many aspects and reduce the symptoms of GERD. But there is still a risk of aggravating such symptoms, so you should be careful with sports. Although, this does not mean at all that you should put aside your sneakers and immediately put on slippers to sit on the sofa in inactivity. There are more benefits from sports than from inactivity. In this regard, there is no need to give up training at all. It is only important to study a few recommendations and then follow them carefully in order to keep the disease under control, improve your well-being and enjoy the results of sports training.

Rules of conduct for reflux

1. In order for the digestion process to proceed properly, it takes a little time. The weight of a filled stomach itself is a rather serious test for the sphincter. If you add to all this the concussions that occur during sports, it is clear that the symptoms can quickly worsen. Therefore, it is very important to control your food intake and exercise. It is advisable that at least two hours pass between them. Although, it all also depends on the person, as well as on the type of food. If you ate something very light for lunch, then it may take a little less time to digest. If the diet was heavier, then more time will be required before training.

2. Be very careful about what you eat. Food should be quickly digested and quickly absorbed. Fatty foods will take a long time to digest, just like protein foods. Before training, it is better to give preference to a diet rich in carbohydrates. It is also advisable to avoid foods that may cause heartburn. But, in any case, no matter what foods you choose, remember that it will take time to digest them.

3. Take a bottle of water with you, as it tends to raise your energy level. After all, it is water that will help prevent dehydration, which often becomes a consequence of too intense training. In addition, water is an excellent aid for digesting food.

4. There is no need to pay too much attention to intense exercise, which includes jogging or, for example, intensive classes aerobics These movements can only aggravate the condition, because during such training the contents of the stomach are actively shaken. It is best to choose more “even” sports that will not contribute to aggravation. Exercises such as yoga, walking, cycling or rollerblading are suitable. There are people for whom exacerbations begin when they take a “lying down” position. In this case, it is important to try to avoid such exercises.

Be prepared to consult a doctor

If none of the recommendations help, you need to consult a doctor. After a little research, the attending physician will tell you what must be done in order to relieve discomfort from physical activity. You may need to undergo an additional course of treatment.

GEBE has symptoms such as chest pain and heartburn. But they can occur not only with BBB, but also become a consequence of other diseases. This especially applies to chest pain, because this symptom may indicate some kind of heart disease. Therefore, if chest pain intensifies, doctors recommend not to ignore it, but to immediately seek advice from a clinic.

Each person has his own characteristics. And the body of each of us is individual. We experience diseases differently, feel symptoms, and everyone has their own level of sensations. Therefore, what is useful for one person can become a big and serious problem for another. And everyone is looking for their own path in sports on their own. This also applies to people who suffer from gastrointestinal reflux. Each of them must find their own preferences in sports. But this is not easy to do; you often have to use trial and error.

Insufficiency of the esophageal cardia is a pathological condition consisting in inadequate closure of the valve that separates the internal space of the gastric region from the esophagus. The main function of this sphincter is to protect the esophagus from the entry of not only gastric juice, but also enzymes that take part in the digestion process. That is why the problem of insufficiency of the lower esophageal sphincter, as well as the upper one, must be approached extremely carefully. Special attention is paid to exercises that help restore its function.

Causes and symptoms of cardia failure

Before understanding the features of treatment, I would like to pay special attention to what are the causes and symptoms of esophageal cardia insufficiency. The main factor is poor nutrition; we should also not forget about drinking carbonated drinks in significant quantities, strong tea, alcoholic beverages and coffee. Other no less significant provoking factors should be considered leading a passive lifestyle (especially in physically), excessive body weight, other stomach diseases - gastritis, ulcerative lesions. The next reason for the need for exercise in case of insufficiency of the esophageal cardia, experts call increased pressure levels inside the peritoneum.

The symptoms of this pathological condition should be given much more attention, because this list includes constantly recurring heartburn.

Its characteristic feature is its formation regardless of the sessions of eating food. Other symptoms of the disease include:

a burning sensation behind the sternum and a constant feeling of fullness in the stomach;
periodic belching of air;
rumbling and gurgling in the intestinal area;
painful sensations in the abdominal area that are “vague” in nature. They do not have any clear localization;
worsening appetite and even apathy.

Additional symptoms indicating that it is necessary to begin treatment are decreased ability to work and general fatigue. The objectives of exercise therapy, the peculiarities of its implementation and breathing exercises deserve special attention.

Main tasks of exercise therapy

Experts call the leading tasks of exercise therapy, first of all, the stabilization of the motor function of not only the stomach, but also the intestines. In addition, this is how the fight against progressive flatulence is ensured. The next task of exercise therapy for achalasia of the esophageal cardia is to increase the contractile abilities of the lower esophageal sphincter. As is known, the legs of the diaphragm directly take part in the formation of the latter, which also need to be trained.

The next task is to increase the strength and strength of the diaphragm. This is what will allow a person to count on the correct functioning of the esophagus, and therefore the entire digestive system. However, in order to achieve the presented goals, it is strongly recommended not to forget about all the features of the implementation of exercise therapy.

Features of exercise therapy

Exercise therapy classes are carried out no earlier than 120-150 minutes after eating. At the beginning of the recovery course, the main positions should be considered to be lying on your back and right side. In this case, an inclined plane is used with the head end raised by 15-20 cm. Speaking about the features of such training, I would like to note that:

considerable attention is paid to the so-called abdominal breathing;
the criterion for the correct implementation of all exercises without exception should be considered the absence during training of symptoms such as heartburn or, for example, belching;
the complex of physical exercises systematically includes such elements as leg movements, turns of the body in the starting position lying on the back;
Later, the right and left sides, as well as the stomach and knees, are included in the presented exercises. Some exercises can be done while standing.

Noting the features of the exercises, I would like to note that they are carried out starting from the starting position on the knees and exclusively standing. To do this, a person will need to perform extension, bending of the torso in different sides, as well as turns and squats. At the last stages, when the restorative effect turned out to be significant, the introduction of walking and jogging is acceptable.

For a fairly long period of time, it is not recommended to bend the torso and all those movements that increase the pressure directly under the diaphragm.

The presented rule also applies to training on special simulators. I would like to draw your attention to the fact that after elements that involve isometric muscle tension, their relaxation must be ensured.

According to experts, exercise therapy is most effective for various functional disorders, as well as the so-called sliding hernia in the area of the esophageal opening. In order to achieve success in the treatment process, it is recommended to exercise regularly. Speaking about this, pay attention to the frequency of at least two to three months, namely from one to two times a day. Wherein prerequisite is an increase in load. Given the huge variety of exercises and elements, it is advisable to discuss specific algorithms for their implementation with your doctor in advance.

Briefly about massage

In order to combat not only flatulence, but also constipation, self-massage is strongly recommended. Speaking about this, pay attention to the massage of the abdominal area, which is carried out using a hockey or tennis ball. Also useful is massage of the lumbosacral region and peritoneum, leisurely walking and swimming (at a slow pace, for pleasure).

Other useful elements include riding a bicycle with an upright body position, as well as all kinds of minimally traumatic games. In this case, it is advisable to avoid bending the body forward. In order to exclude cardiospasm of the esophagus, one should not forget about the benefits of all kinds of respiratory elements.

Breathing exercises

The situation is more difficult with the esophagus; stimulating it requires great effort. But regular breathing exercises can help a little. TO general recommendations The following points include:

All elements can be carried out exclusively on an empty stomach, at least because active exercises on a “full” stomach will inevitably lead to aggravation of the condition of the lower esophageal sphincter;
practically the only organ in the sternum that can be controlled is the lungs;
in this regard, it is advisable to begin familiar and completely natural respiratory movements. For example, alternately inhale and exhale;
There is one minor feature - the elements are carried out not only by thoracic, but also by peritoneal breathing. When we talk about this, we mean a process in which, within the framework of inhalation and exhalation, not only the chest, but also the shoulders rise or fall.

In addition, in the latter process, the participation of the abdominal muscles is a mandatory element. Only in this way will it be possible to achieve a significant increase in the tone of the sphincter of the esophageal opening of the diaphragm. A variety of internal organs take part in the training process, namely the digestive and cardiovascular systems, respiratory sections and nearby muscles and blood vessels.

In the final stages of deterioration general condition sphincter exercises will not be effective. While at the initial stages of loss of the ability for optimal contractions in the region of the esophageal cardia, it is through breathing exercises that everything can be restored.

It will be more than enough to perform similar active respiratory movements every day, namely for 10-15 minutes. Experts recommend not to be lazy and perform at least two to three approaches three times a day - this is the minimum amount. It is desirable that there are about five such repetitions during the day. This will also help get rid of such an urgent problem as achalasia of the esophagus. In order to consolidate the effect obtained, it is recommended to additionally resort to physical therapy.

Features of physiotherapy

Physiotherapeutic techniques such as DDT are effectively used, namely diadynamic currents, electrophoresis with certain medications, and also due to a probe embedded inside. It is necessary to understand that each of the presented methods will not directly affect the problem area of the esophagus, because it is extremely difficult to reach.

However, this is exactly how the phrenic nerve is stimulated, which will also innervate the esophagus. The electrodes through which the current is supplied must be applied to the area of the cervicothoracic spine at the back. While the second is behind the angle in the lower jaw area. In this way, from seven to 10 procedures are carried out every day or every other day.

Electrophoresis with medicines They are carried out in a similar way, however, certain drugs are applied to the cuff with electrodes as an additional measure of influence. They are the ones who can inhibit excessive production of hydrochloric acid, which will gradually lead to calmer functioning of the esophagus.

According to experts, changes such as improved blood supply to tissue structures and internal organs are noted. In addition, we are talking about healing processes that will occur much faster. A person also notices a slight, but still noticeable analgesic effect.

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1.Can cancer be prevented?
The occurrence of a disease such as cancer depends on many factors. No person can ensure complete safety for himself. But everyone can significantly reduce the chances of developing a malignant tumor.

2.How does smoking affect the development of cancer?
Absolutely, categorically forbid yourself from smoking. Everyone is already tired of this truth. But quitting smoking reduces the risk of developing all types of cancer. Smoking is associated with 30% of deaths from cancer. In Russia, lung tumors kill more people than tumors of all other organs.
Eliminating tobacco from your life - best prevention. Even if you smoke not a pack a day, but only half a day, the risk of lung cancer is already reduced by 27%, as the American Medical Association found.

3.Does it affect excess weight on the development of cancer?
Look at the scales more often! Overweight will affect not only the waist. The American Institute for Cancer Research has found that obesity promotes the development of tumors of the esophagus, kidneys and gallbladder. The fact is that adipose tissue not only serves to preserve energy reserves, it also has a secretory function: fat produces proteins that affect the development of a chronic inflammatory process in the body. And oncological diseases appear against the background of inflammation. In Russia, WHO associates 26% of all cancer cases with obesity.

4.Do exercise help reduce the risk of cancer?
Spend at least half an hour a week training. Sport is on the same level as proper nutrition when it comes to cancer prevention. In the United States, a third of all deaths are attributed to the fact that patients did not follow any diet or pay attention to physical exercise. The American Cancer Society recommends exercising 150 minutes a week at a moderate pace or half as much but at a vigorous pace. However, a study published in the journal Nutrition and Cancer in 2010 shows that even 30 minutes can reduce the risk of breast cancer (which affects one in eight women worldwide) by 35%.

5.How does alcohol affect cancer cells?
Less alcohol! Alcohol has been blamed for causing tumors of the mouth, larynx, liver, rectum and mammary glands. Ethyl alcohol breaks down in the body to acetaldehyde, which is then converted into acetic acid under the action of enzymes. Acetaldehyde is a strong carcinogen. Alcohol is especially harmful for women, as it stimulates the production of estrogens - hormones that affect the growth of breast tissue. Excess estrogen leads to the formation of breast tumors, which means that every extra sip of alcohol increases the risk of getting sick.

6.Which cabbage helps fight cancer?
Love broccoli. Vegetables not only contribute to a healthy diet, but they also help fight cancer. This is why recommendations for healthy eating contain the rule: half daily ration should be vegetables and fruits. Particularly useful are cruciferous vegetables, which contain glucosinolates - substances that, when processed, acquire anti-cancer properties. These vegetables include cabbage: regular cabbage, Brussels sprouts and broccoli.

7. Red meat affects which organ cancer?
The more vegetables you eat, the less red meat you put on your plate. Research has confirmed that people who eat more than 500g of red meat per week have a higher risk of developing colorectal cancer.

8.Which of the proposed remedies protect against skin cancer?
Stock up on sunscreen! Women aged 18–36 are especially susceptible to melanoma, the most dangerous form of skin cancer. In Russia, in just 10 years, the incidence of melanoma has increased by 26%, world statistics show an even greater increase. Both tanning equipment and sun rays are blamed for this. The danger can be minimized with a simple tube of sunscreen. A 2010 study in the Journal of Clinical Oncology confirmed that people who regularly apply a special cream have half the incidence of melanoma than those who neglect such cosmetics.
You need to choose a cream with a protection factor of SPF 15, apply it even in winter and even in cloudy weather (the procedure should turn into the same habit as brushing your teeth), and also not expose it to the sun's rays from 10 a.m. to 4 p.m.

9. Do you think stress affects the development of cancer?
Stress itself does not cause cancer, but it weakens the entire body and creates conditions for the development of this disease. Research has shown that constant worry alters the activity of immune cells responsible for triggering the fight-and-flight mechanism. As a result, a large amount of cortisol, monocytes and neutrophils, which are responsible for inflammatory processes, constantly circulate in the blood. And as already mentioned, chronic inflammatory processes can lead to the formation of cancer cells.

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