By Lauren Ohayon
The Restore Your Core podcast is all about health and fitness for those struggling with Diastasis Recti or Pelvic Floor issues.
Lauren Ohayon makes videos, runs a thriving facebook group, a
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The podcast currently has 42 episodes available.
Yoga is an ancient practice that’s sought to unite a person’s body, soul, and mind for whole body health and wellness. Today, yoga has been refined and used as a routine that boasts many health benefits and restorative exercise planning for men and women around the world. Some studies have shown that yoga poses health benefits in potentially helping with anxiety, depression, stress, and helping reduce inflammation in the body. Thus, yoga can go far beyond aiding in balance and flexibility by taking part in exercise routines designed to restore function to your core, pelvic floor, legs, hips, and lumbar spine.
As someone who has experienced a severe back injury and benefitted from restorative yoga, I prioritize how I move in my programs. Instead of reducing exercise, I have developed techniques for continuing yoga and exercise that prioritizes movement safety dynamically. In this article, I will address yoga poses I use in my program that focus on:
What are The 5 Basic Types of Yoga Stances?
In the practice of yoga, there are 5 basic stances or types of yoga. In order to find the right program for you and which yoga best suits your needs, it may be helpful to give an overview of the most commonly practiced types of yoga. Below is a list of the 5 basic types of yoga.
What are 9 Yoga Poses?
My program is designed to teach men and women how to help their bodies become more responsive in their daily activities. This means training the body to engage and respond appropriately when engaging in lifting, walking, standing, and other daily light activities. Posture, breathing mechanics, and how you move your body are crucial to full body health and wellness.
Below I will address a few asanas positions and stretches that I encourage in my yoga practice.
At Restore Your Core, we practice what is known as restorative yoga. This practice incorporates blocks, straps, yoga mats, and blankets to help encourage proper body alignment as well as releasing any tension in your body. Most of these stretches and poses are designed to help release the tension in your body passively – so not always during a stretch.
Leaking of any form sucks. It is a common problem that many people face and is not just a little pesky nuisance that’ll go away if you ignore it. Ignoring urinary leakage may actually lead to more complicated issues in the future, making it harder to manage. Severity of urinary incontinence ranges between a small leak when you sneeze, jump, or cough to sudden uncontrollable urges to urinate that its difficult to make it to the bathroom in time.
Many fitness and health gurus will most likely recommend kegels or exercises that seek to contract or tighten the pelvic floor. However, it isn’t always an issue with your bladder muscles or pelvic floor muscles. Yes, they may be affected or may be presenting the more noticeable symptoms, but more often than not, urinary incontinence is a whole body issue.
What is Urinary Incontinence?
Urinary incontinence is a loss of bladder control that affects people in different ways. The most common types of urinary incontinence include stress incontinence and urge incontinence – an overactive bladder. Incontinence is likely to affect approximately twice as many women as men. This most often due to pregnancy, childbirth, and menopause. Pregnancy stresses and strains the muscles in the pelvic region which may often lead to stress incontinence. However, urinary leakage is not a normal or natural part of aging and is often a sign of an imbalance in the body.
Leaking Bladder
If you are suffering from urinary leakage the chances are that this issue is part of a whole body imbalance. No need to freak out! A whole body imbalance merely means that incontinence is not about your pelvic floor alone. It is about the container that your pelvic floor lives in. Your body. Treating the pelvic floor alone is symptom-targeted rather than root issue focused.
Isolating symptoms can be unhelpful is truly finding and fighting the source of the imbalance. Often, the symptoms we notice did not originate in the affected area. Just like a foot injury may eventually lead to leg, hip, butt, and back pain, urinary incontinence can be a symptom that did not originate in the pelvic floor.
What are the Types of Urinary Incontinence?
The common types of incontinence include:
Symptoms of Urinary Incontinence
Some of the most common symptoms of bladder incontinence are:
Symphysis Pubis Dysfunction (SPD) happens when the ligaments that keep your pubic bone and pelvis stable become overstretched and no longer stabilize your pelvis. Essentially, a structure that is designed to move very little begins to move a lot, and it can be very painful and difficult to move with ease. SPD is a condition that sometimes arises during pregnancy, though it can also first occur during labor and birth or in the postpartum period. Pelvic girdle pain in general is quite common during pregnancy—between 48% and 71% of women report feeling significant pelvic discomfort. About 30% of women report that the area of the pubic symphysis is painful. While SPD does involve the pelvis and the integrity of the pelvic floor muscles, a general pelvic floor dysfunction treatment like kegels is often not the answer to symphysis pubis dysfunction.
Where is the Symphysis Pubis Located?
The pubic symphysis is a cartilage joint that resides in between the pubic bones: above the genitals and in front of the bladder. In most cases, the joint can rotate and move a few millimeters without causing any issues.
What are the Symptoms of Symphysis Pubis?
The symptoms of SPD can vary for different people, both in terms of severity and presentation. The most commonly experienced symptoms are:
The symptoms will vary from person to person – both in severity and in presentation. However, if you’re concerned that you have pubic symphysis dysfunction, these symptoms may be present:
What Causes Symphysis Pubis Dysfunction
Symphysis pubis dysfunction is most often pregnancy related. However, the factors that predispose people to SPD are quite varied. The medical literature on symphysis pubis pain seems to agree that the hormone relaxin is not entirely to blame. Factors as different as hypermobility, bearing twins or other multiples, and a history of back pain can play a role in pubic symphysis pain during pregnancy. SPD usually resolves for most pregnant people after delivery, with most returning to normal function by 6-12 months postpartum. Rarely, some people find that SPD becomes a longer-term problem. Most people are able to have a vaginal birth even with symphysis pubis dysfunction—finding pain-free ranges of hip movement prior to labor can be helpful if such a delivery is in your birth plan.
What Causes Symphysis Pubis Pain?
Symphysis pubis dysfunction (SPD) and pelvic girdle pain occurs when the ligaments and joints that help support and align your pelvic bone become overly stretched or relaxed. This often leaves the pelvic joint unstable and can lead to various painful sensations, including pelvic pain. During pregnancy, it is common for these joints and ligaments to become stretched, especially as you are nearing the time for delivery. When the pubis symphysis becomes too loose too early in your pregnancy, you may begin to notice more pain in your pubic region.
Although the most common cause of symphysis pubis dysfunction is pregnancy, SPD is not entirely pregnancy related. In some cases, the cause of SPD is unknown.
It may be common to experience pain during pregnancy or postpartum in these areas:
What Does Pubic Symphysis Pain Feel Like?
Discomfort and pelvic pain are usually the most common symptoms of symphysis pubis dysfunction. The pain is generally located in the front of the pelvis, above the genitals and pubic bone. In some cases, people report feeling a clicking or popping sensation as they walk or shift their weight. It is common for many men and women to experience the pain in their lower back, lower abdomen, hips, groin, and legs.
Sacroiliac (SI) joint dysfunction can sometimes lead to lumbar spine and leg pain. The SI joint is located between the sacrum and and ilium bones in the pelvis, connecting the spine to the hips. These bones help support and align the entire body. Although the medical field believes that the SI joint is responsible for those suffering from low back pain, it is often a difficult diagnostic to make.
In this article we hope to address SI joint dysfunction and how you may find recovery in our program.
What is SI Joint Pain?
Because the SI joints help support the weight of the entire body, sacroiliac joint pain is often more noticeable while you are walking or lifting heavy objects. The SI joint is supported by strong ligaments and muscles. This keeps the joint from having a flexible range of motion. As people begin to age, it is common for many people to experience stiffening of the ligaments. This can often lead to low back pain.
SI joint dysfunction often occurs when the cartilage wears down. This can lead to the bones rubbing together, which may irritate the sciatic nerve (located in the pelvis). If the joint is unable to move properly or degenerates, a common symptom is chronic pain in the lumbar spine.
In many cases, sacroiliac joint dysfunction can range between mild to severe pain. This can depend on the health of the joint or is caused by an injury. Acute sacroiliac joint dysfunction typically occurs suddenly and resolves over the course of a few days to weeks. Chronic sacroiliac joint dysfunction is characterized by persistent bouts of pain in the pelvis, low back, and legs that may last for more than 3 months. This pain may persist constantly or significantly worsen during certain activities.
Other terms for SI joint conditions include: SI joint dysfunction, SI joint syndrome, SI joint strain, and SI joint inflammation.
What Causes SI Joint Pain
Sacroiliac joint dysfunction is often caused by these four things:
Infection: Though rare, in some cases the si joint may become infected causing low back pain.
What Does SI Joint Pain Feel Like?
Sacroiliac joint dysfunction most commonly affects the lower back and buttocks. However, pain may spread to the legs, groin, and feet. It is often described as a stabbing and pinching chronic pain. Sacroiliitis may be aggravated by:
How Do You Relieve SI Joint Pain?
Sacroiliac joint dysfunction treatment focuses on restoring joint motion and alleviating pain. Physical therapy and movement treatments are usually an effective and preferred method over surgical treatments.
Initial treatments for sacroiliac joint pain typically include:
Core exercises and workouts help strengthen the muscles in your abdomen, back, and your pelvic floor. In many cases, working out core muscles may aid in your ability to do physical activities, restore damaged muscle groups, and aid in load and weight lifting. However, there are many fitness gurus and exercise routines that encourage unhelpful and potentially damaging core exercises.
One of the scenarios I run into many times with my clients is that they are encouraged to build core strength through navel to spine exercises. They are taught that in order to fully engage in fitness culture, they must try to achieve a flat belly or toned abs in order to be healthy. That cannot be any further from the truth.
This is the heart of what I teach in the Restore Your Core program: navel to spine does not work. Arbitrarily pulling our navel in, tightening the core to do exercise does not rewire, re-pattern, remind our bodies of what they need to do all day long. And if you are working out 1-2 hours a day and doing a lot of navel to spine but then the other 12 hours a day of waking time, your core is not reflexively doing its job – then those 2 hours on the mat are not useful.
In this article, we seek to address the proper way to pursue a strong core rather than doesn't sacrifice function for sexiness.
How Long Does it Take to Restore Your Core?
I wish I had an insta solution for addressing Diastasis Recti, but unfortunately, I do not. Getting a functional core is a process that involves many things including alignment, breathing mechanics and finally, the right way to train using exercise. The whole goal is to train your body to react and respond appropriately to your movements and activities. (Restore Your Core program is based on this approach.)
Effective Core Exercises & Training
Here is an alternate way to practice core engagement that doesn’t suck, suck, suck your belly in and it actually works. Try it:
Come to your hands and knees. Ensure that your spine has neutral curves: lower back has a slight arch and upper back is slightly rounded. Booty untucked gently. Look between your hands and imagine you have a cake between them with 100 candles. Inhale and exhale to slowly blow all 100 candles out. You should feel your belly lift away from the floor and tighten. That is your deep core.
Do the same thing sitting. Sit comfortably with a neutral spine. Imagine now you are blowing out a dandelion. Slowly exhale and feel how your core responds. Amazingly, these simple exercises are key to effective core training.
The next step is to get more and more complicated with the exercises so that each time your body needs support of your core – that exhale will direct the support mechanism to engage. The more you do that, again and again, and the harder and more progressive the exercises – the more reflexive your core will be. Your reflexive core will kick in for you for all of your activities because your deep internal support system will be back online.
Your pelvis is vital to supporting your spine and your entire body. At times, the pelvic floor may become overactive or hypertonic. When this happens, the muscles may be overly tight or tense when they should be relaxed. learning to relax and release the correct muscles in your pelvic floor (contracting the muscles as shortly as you would by bulging your bicep – or a long contraction as you would stretching out the bicep). If you have an overactive pelvic floor, you may experience symptoms such as: back pain, painful intercourse, a feeling of heaviness in your pelvic floor muscles, or incontinence.
What Causes a Weak Pelvic Floor?
The most common causes of a weakened pelvic floor usually include:
If your pelvic floor muscles are weakened, your body may begin experiencing a lack of support and alignment. Exercises can help strengthen your pelvic floor muscles and restore the proper support and alignment your body requires to function properly. They may also help alleviate pain and other symptoms you may be facing.
How to Strengthen Your Pelvic Floor Muscles
Find Your Pelvic Floor Muscles
Education is one of the primary benefits that we at RYC offer in our programs. Understanding where your pelvic floor muscles are located and how they affect your body can help benefit your recovery. In my program, I help men and women learn more about how their bodies work and how to properly engage and exercise their pelvic floor muscles.
Pelvic Floor Exercises
Exercise can be a great way to heal your pelvic floor. Unfortunately, in many work out programs for postpartum people and others seeking pelvic floor recovery, kegel exercises are the most commonly recommended exercise to use. However, kegel exercises can actually increase stiffness and make it harder to feel your pelvic floor muscles. Avoiding unnecessary contraction during pelvic floor exercises can be beneficial to recovering the strength and mobility of your pelvic floor muscles.
If we want things to shift in our pelvic floor, we need to also shift the habit mode of our muscles. In the case of our pelvic floors, there tends to be much confusion. Is my pelvic floor too tight? Not tight enough? How can I tell the resting tension? How can I fix it? Before we set out to resolve/fix our pelvic floor dysfunction we need to first “know” our pelvic floor. Know what engaging it feels like, what releasing it feels like, and how to control both contracting and releasing it. Only then we can discern what our tendencies are and create new movement patterns and choices.
Pelvic Floor Exercises: Stretching
Below are a few pelvic floor exercises I cover in my program at RYC. These exercises may help you begin to feel the way your muscles work and go way beyond kegel exercises.
Supine Pelvic Floor Stretch:
Lying on your back, keep your knees bent and bring them toward your chest. Slowly extend your knees to the side to stretch the inner groin. Relax your pelvic floor and butt. Hold this position for 5 to 10 breaths and relax.
Supported Slight Backbend Pelvic Stretch:
This is a fantastic pelvic stretcher. Using a pillow or bolster of some kind, gently lower your back to rest on top of the pillow. Once in position, slowly bring your feet together so the soles of your feet are touching. Keep your knees bent, but gently allow them to open sideways. If you feel any discomfort at all in your back or inner thighs, you can use pillows for further support or get rid of the bolster. Hold for 30 seconds or more (roughly 15 to 20 breaths) and relax.
Pelvic floor exercise routines are often very diverse in information regarding the styles and methods you should pursue when seeking to build pelvic floor strength. Some exercise experts will advise pelvic floor muscle training and engagement that actively contracts both your core and your pelvic floor. Their reasoning may seem valid, as we commonly agree that engaging certain muscle groups can help strengthen them, as they contract and release. However, I believe that there is a lot to be desired with this method of exercising the pelvic floor.
In my programs, I always teach my clients how to properly train their pelvic floors to lift and release appropriately depending on the task and load.
When you contract your muscles, you either make them longer (think slow release of a bicep curl) or you make them shorter (as with a bicep curl). In each case, these muscles are contracting in order to gain strength. In pelvic floor exercises, such as kegel exercises, you are contracting (making them shorter) and tightening the pelvic floor muscles.
However, what many people may not realize is that with pelvic floor issues like pelvic floor dysfunction or pelvic organ prolapse, these muscle groups may already be too short, overly toned, and too strong. If this is the case, doing kegel exercises may only increase various symptoms you are already facing.
In order to properly strengthen the pelvic floor we need to train the pelvic floor to be responsive to load and movement. To contract as needed and to be able to release as needed. Simply blanket statements of “contract and shorten” all the time is a very one dimensional model.
How to Strengthen the Pelvic Floor
Many of my clients have come to me with the same issues mentioned above – overly short contracted pelvic floor that make engagement nearly impossible for them. Your pelvic floor helps support the entire pelvic system and much of your body’s weight – that is a ton of load! If your pelvic floor is too short, it makes movement, engagement, and pressure harder to handle. What we want to do is teach the client how to properly train their pelvic floor to handle their movements and respond appropriately to their actions, exercises, and movements. Kegel exercises which continue to shorten your pelvic floor are incapable of doing this. So, how do we do this correctly?
How to Do Pelvic Floor Exercises Correctly
The first step to improving the way we approach pelvic floor exercises is pelvic alignment. The position of our pelvis greatly affects the tone and strength of our pelvic floor. First, we must ensure that the client is not tucking their pelvis under all the time. If this is the case, the pelvic floor is too tight and will be harder to engage. Muscles cannot go through their full range when they are limited based on posture.
The second step is resolving any chronic tension, holding, and hypertonic patterns if there are any present. In this case, it may be helpful for the client to discuss internal exercises with a women’s health physical therapist. In my program, I would be teaching women and men how to properly re-pattern their movements. In some cases this involves kegel-like exercises, but do not focus primarily on squeezing and tightening the pelvic floor.
The next step would be pursuing neutral pelvic arrangement exercises.
Exercises to Re-Align the Pelvis:
Simply put, we don’t always need to squeeze or tighten the pelvic floor in order to resolve pelvic floor dysfunction or other additional pelvic floor issues. A responsive pelvic floor will lift up with proper core engagement when the pelvis is properly aligned and there is no chronic holding, tight, tension or hypertonic pattern. The passive lifting of the pelvic floor as a result of proper core recruitment is a much better way to train the pelvic floor. Not only that, but just squeezing the pelvic floor only gets to the more superficial fibers and not to the deeper layers of the muscles.
Diastasis recti is a common condition that is often mistaken or confused with a hernia. However, the two conditions are unique and require a variety of different treatments. Diastasis is latin for the separation of two parts. Recti is a latin plural meaning straight. In the medical field, diastasis recti is the separation of the linea alba (the straight line in between your six pack muscles) and the abdominal wall, commonly referred to as the six-pack muscles.
The confusion between diastasis recti and a hernia arises from the small to large bulge that may result in the midline due to diastasis recti and since a hernia is due to a “gap” – they are often confused. Please note that the two can often go hand in hand
What is Diastasis Recti?
A diastasis recti is a separation of the abdominal wall muscles (the rectus abdominis). Most of us know the famous 6-pack muscles by looking at fitness models or bodybuilders as they are the most superficial layer of muscle and easily spottable when body fat is low and muscle tone is high. With a diastasis recti, these muscles separate in the center of the abs, causing a gap between the left and right sides of the muscle. The left and right sides of the muscle attach into a connective tissue that runs from your ribs to your pubic bone and that tissue, the linea alba – stretches and thins and as a result – the 6-pack splits – left from right.
In both men and women, this gap can be created in the midline of your belly anywhere from the pubic bone to the base of your ribcage. One obvious way to feel for the gap is during a crunch or sit-up, where one would normally feel tension and closure at the center of the abs, there is a space and a gap and your fingers can sink into your belly easily.
What is a Hernia?
Your abdomen contains layers upon layers of muscles and strong tissues. These help you move while also supporting and protecting the internal organs. A hernia occurs when the muscular wall becomes compromised and allows the contents inside the abdomen to descend outward. There are many different types of hernias, but the most common two occur in the belly or groin area.
Diastasis Recti vs Hernia
As you may be aware, distinguishing between a hernia and diastasis recti may be challenging. However, there are distinct characteristics that help differentiate the two.
A diastasis recti occurs only at the midline of the abdominal wall. Although it can range in placement and severity from the rib cage down to the pubic bone, it does not vear from the midline of the abdomen.
A hernia can occur anywhere in the abdominal wall, groin, or even in the diaphragm. Hernias more often occur at the site of a prior surgery or due to a weakened abdominal wall due to the compromised muscle structures that typically occur after an invasive abdominal surgery.
A diastasis may enlarge over time, but not in the same way a hernia does. Diastasis recti may stretch or spread in span due to continued strain and excessive levels of pressure on the midline. However, a hernia may enlarge over time if left untreated which may lead to life-threatening complications – strangulation.
Hernias can incarcerate (also known as strangulate) which cuts off the blood supply to that particular section of the intestine. As stated before, this can be a life-threatening situation.
This is not a concern with diastasis recti.
Hernia vs Diastasis Recti Pregnancy
There are several common types of hernias that may be mistaken as diastasis recti. These include umbilical hernia and ventral hernia. In some cases, these types of hernias may be present alongside diastasis recti.
Abdominal hernias occur when an organ or other piece of tissue pushes through a weak spot in the abdominal wall. The sac or bulge that protrudes from the weak spot may contain either a part of the intestine or a piece of the fatty lining of the colon (called the omentum). This typically occurs with hernias located in the abdominal wall or in the groin.
If the hernia occurs in the diaphragm, the muscle that separates the chest from the abdomen, the upper part of the stomach may penetrate the weak area.
Your abdomen is made up of layers upon layers of different muscle groups, tissues, and organs. It is possible that with age, prior surgeries, past injuries, new injuries, or medical conditions your abdominal muscle strength and support may become compromised. Weak spots may develop in these layers allowing the contents of your abdominal cavity to protrude or herniate. The most common hernias include an inguinal hernia which occurs in the groin, a hiatal hernia (herniated diaphragm), and an umbilical hernia, which occurs in the belly button. Some hernias may be congenital (present at birth), or they may be acquired (happening at any point in your life).
Abdominal and Pelvic Floor Hernias
Inguinal Hernias
Groin hernias are the most common hernia to occur in both men and women. Of the groin hernias, there are two different types: inguinal hernia and a femoral hernia. Statistically, almost all groin hernias are inguinal.
Inguinal hernias occur when part of your intestine protrudes through a weak spot in your lower belly. This affects what is known as the inguinal canal.
Of the inguinal hernias, there are type different types:
Most people develop this type of hernia due to improper lifting mechanics when lifting weights or other heavy objects.
Inguinal hernias are more common in men, yet are not limited to adults either. The primary characteristic of an inguinal hernia is a lump or bulge located on either side of the pubic bone when the thigh meets the groin. You may notice this more when you cough, stand, or strain and may be painful during these activities. The lump may also disappear when you lay down.
It is important to note that one of the primary dangers of an inguinal hernia is strangulated. Although many hernias are asymptomatic and can be managed without experiencing much pain, a strangulated hernia can cause severe pain, nausea, vomiting, and may inhibit your ability to perform a bowel movement. If this ever occurs, it is important to seek immediate medical attention.
Femoral Hernias
A femoral hernia typically occurs through an opening in the abdominal floor in a space that allows for the femoral artery and vein to pass from the abdomen and into the upper leg. Femoral hernias are a groin hernia that tend to occur more frequently in women than men due to their wider pelvic structure.
Like an inguinal hernia, a femoral hernia may pose potentially life-threatening health risks. Femoral hernias are dangerous because they are often asymptomatic until you need immediate medical attention. If you notice a lump around the crease of your groin or in the upper thigh, it is best to have a doctor take a look at it.
Obturator Hernias
Obturator hernias are the least common of the three pelvic floor, lower abdominal hernias. However, they are commonly found in postpartum people who have experienced multiple pregnancies or in people who have lost significant weight. The obturator canal (another connection between the abdomen and the leg) may herniate causing the obturator artery, vein, and nerve to protrude into the upper leg of the individual.
Hernias are relatively common and can affect many men, women, and children at any time in their life. Hernias may arise due to a variety of circumstances. A hernia occurs as a result of a weakening in the abdominal tissues and muscles. This may cause an organ or fatty tissues to slip through the small tear which may result in abdominal pain, other digestive issues, or even be asymptomatic, meaning, not present any symptoms initially.
Often a hernia occurs in between the chest and hips or lower abdomen. However, they may also appear in the upper thigh or even in your groin.
Most hernias are not immediately life-threatening. They typically do not resolve on their own and do require medical attention to diagnose and to treat. Unfortunately, there are times when surgery will be required in order to prevent any life-threatening side-effects.
Symptoms of a Hernia
One of the most common side-effects of a hernia is the presence of a slight lump at the site of pain or in the affected area. For example, inguinal hernias typically present a lump or bulge on either side of the pubic bone at the site where the groin and thigh meet.
It is more common to feel the bulge when you are standing, coughing, or bending over. Often, discomfort and pain will be felt at the site of the hernia. Depending on the type of hernia you have, the symptoms may vary. Some of the most common symptoms include:
In severe cases, a strangulated hernia (a hernia which cuts off the blood supply to the intestines and abdomen), may present symptoms of fever, vomiting, nausea, and severe cramping. If this is the case, you will need to seek immediate medical attention to prevent life-threatening complications.
In many cases, however, a hernia may never present any of the above symptoms. In many cases, a hernia is noticed during a routine medical evaluation or physical or during a check up for an unrelated issue.
What is Hernia Pain Like?
Hernia pain is often described as a mild discomfort, aching, or a sensation of fullness or pressure at the site of the hernia. This discomfort or pain may increase with activity, exercise, or any lifting that may place a strain on the abdomen (i.e. running, heavy lifting, or bearing down during bowel movements). Others may not feel any pain or discomfort for some time.
Does a Hernia Cause Stomach Pain?
In severe cases, the contents of the hernia may become twisted or trapped in the torn muscle in the abdominal wall. This can obstruct the bowels leading to severe stomach pain, nausea, vomiting, and may lead to the inability to have a bowel movement or flatulate. This is known as a hernia strangulation and cuts the blood flow to part of your intestines. As mentioned above, this can be a medical emergency and requires immediate attention. You should consult your doctor if you believe you have a hernia. They can provide medical advice, diagnosis, and look for a strangulation.
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