Hysterectomy

A hysterectomy is a surgical procedure to remove the uterus (womb) and, in many cases, the cervix (neck of the womb). After this surgery, you will no longer have menstrual periods and will not be able to conceive. The operation is performed under general anaesthetic, so you will be asleep and completely pain-free during the procedure.

Recovery from a hysterectomy can take time, and physiotherapy plays a crucial role in helping you regain strength, mobility, and overall fitness. At Ace Physio Sports, our specialist women’s health physiotherapists are experienced in supporting women through post-hysterectomy rehabilitation, providing personalised programmes to optimise recovery and restore confidence in daily activities.

There are different types of hysterectomies depending on the reason for your surgery:

  • Total abdominal hysterectomy: Removal of the uterus and cervix through an incision in the abdomen.
  • Subtotal hysterectomy: Only the uterus is removed..
  • Vaginal hysterectomy: The uterus and cervix are removed through the vagina. .
  • Laparoscopic hysterectomy: Small abdominal incisions are made, allowing the surgeon to use a tiny camera to guide the removal of the uterus..
  • Radical or Wertheim’s hysterectomy: Removal of the uterus, cervix, fallopian tubes, and part of the vagina, usually performed in cases of cancer.

The experienced physiotherapists at Ace Physio Sports can create a tailored rehabilitation programme to support your recovery. We often recommend starting your physiotherapy slightly before surgery to optimise outcomes and prepare you for a smoother post-operative recovery.

Physiotherapy Prior to a Hysterectomy

Your physiotherapist at Ace Physio Sports can provide a range of treatments to keep you active and prepare your body before surgery. Pre-operative physiotherapy may include:

  • Upper limb strengthening exercises
  • Pelvic floor muscle exercises
  • Transverse abdominis (core) exercises
  • Cardiovascular activities such as walking or cycling
  • Hydrotherapy sessions
  • Lower limb strengthening exercises
  • Guidance and preparation for your post-operative physiotherapy programme

Symptoms Following a Hysterectomy

After your operation, you may experience a range of temporary symptoms. Your physiotherapist at Ace Physio Sports will help you recognise and manage these effectively. Common post-operative symptoms may include:

  • Temporary pain around the surgical area
  • Reduced strength and cardiovascular fitness
  • Scar formation at the incision site
  • Swelling around the wound
  • Temporary numbness or loss of sensation due to nerve disruption
  • Bruising around the wound

Physiotherapy Following a Hysterectomy

Hospital stays usually last 5–7 days, depending on the type of hysterectomy and your individual recovery. Once discharged, it is important to begin your personalised physiotherapy programme at Ace Physio Sports as soon as possible. Your rehabilitation will focus on restoring strength, mobility, core stability, and overall fitness, helping you return safely to daily activities and normal life.

Week 1

In the first week following your hysterectomy, physiotherapy at Ace Physio Sports focuses on managing pain, maintaining mobility, and starting gentle strengthening. Treatments may include:

  • Advice on scar care and management
  • Pelvic floor strengthening exercises
  • Pain management techniques
  • Elevation exercises to reduce swelling
  • Guidance on the most comfortable resting positions
  • Gentle mobility exercises, such as short walks
  • Transverse abdominis (core) strengthening exercises
  • Lower limb strengthening and range of movement exercises

Weeks 2–6

By this stage, your symptoms should be improving, and you may feel ready to gradually resume normal daily activities. Physiotherapy may include:

  • Progression of all strengthening exercises
  • Upper limb strengthening and mobility exercises
  • Advanced transverse abdominis (core) exercises
  • Pelvic floor exercises in more functional positions
  • Functional activities related to hobbies, work, and daily tasks
  • Guidance on pacing and safely increasing activity levels

Week 7 Onwards

From week 7, most patients are gradually returning to normal activities with minimal or no pain. Physiotherapy at Ace Physio Sports now focuses on functional recovery and achieving your personal goals. Key points include:

  • Gradual resumption of lifting activities without pain (heavy lifting should still be avoided for up to 6 months)
  • Functional training tailored to your lifestyle, work, and hobbies
  • Guidance on safely returning to driving, usually possible around 12 weeks post-surgery

Summary

A hysterectomy is a surgical procedure to remove the uterus and, in some cases, other reproductive organs such as the cervix, fallopian tubes, and ovaries. Physiotherapy before and after the operation is highly recommended to support a safe and speedy return to your normal daily activities. The experienced women’s health physiotherapists at Ace Physio Sports will design a personalised programme tailored to your needs, helping to optimise recovery and minimise the risk of long-term complications.

To arrange an assessment with AcephysioSports.com, please contact us or call +65 8153 5374. Alternatively, you can book an appointment online today!

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