Coronary Artery Bypass Grafting (CABG) is a significant heart surgery performed to improve blood flow to the heart with severe coronary artery disease. After undergoing CABG, patients face the crucial task of recovery, where cardiac physiotherapy in Edmonton plays a pivotal role. This physio will walk through safely for post-rehab CABG.
Understanding CABG and Post-Surgery Symptoms
CABG involves creating new pathways around blocked or narrowed coronary arteries using grafts from other body parts, typically the leg, arm, or chest. While the surgery aims to restore proper blood flow to the heart, recovery can be demanding. Major symptoms may involve,
Fatigue
Fatigue is one of the most common symptoms following CABG. The surgery and the body’s healing process can leave patients feeling unusually tired and low energy. This fatigue can persist for weeks or months, making daily activities more challenging. It’s essential to allow the body the rest it needs and to reintroduce activities as energy levels improve gradually.
Chest Pain or Discomfort
After surgery, it’s normal to experience some chest pain or discomfort, particularly around the incision area. This pain is usually mild to moderate and decreases as the surgical site heals. However, it’s essential to differentiate between typical post-surgical discomfort and new severe chest pain onset.
Swelling
Swelling, particularly in the legs and around the incision sites, is another common post-CABG symptom. It occurs due to fluid retention and the body’s inflammatory response to surgery. Grafts from this area can also cause swelling in the legs. Elevating the legs, wearing compression stockings, and engaging in gentle physical activity can help reduce swelling.
Breathlessness
Difficulty with shortness of breath, especially during physical activity, is often reported after CABG. This symptom can arise from the body’s temporary struggle to efficiently circulate blood as it adjusts to the new bypass grafts. Over time, as the heart and lungs regain strength through rehabilitation, breathlessness should decrease. If breathlessness is severe or persistent, consulting with a physiotherapist is crucial.
Mood Swings
Emotional fluctuations, including feelings of anxiety, depression, or irritability, are pretty common after CABG. The combination of physical recovery, changes in lifestyle, and the emotional impact of undergoing major heart surgery can lead to mood swings. It’s important to recognize these feelings as a normal part of the recovery process and seek support through counselling, support groups, or talking to a loved one.
The Importance of Exercise After CABG
Before starting any post-CABG exercise program, clearance from a physiotherapist is essential, as healing usually takes 6 to 12 weeks. Incorporating post-CABG exercise with cardiac physiotherapy in Edmonton is crucial for restoring health and reducing the risk of future cardiac events. Here are some exercises recommended during post-CABG rehabilitation:
1. Walking
Walking is one of the most fundamental exercises recommended after CABG due to its simplicity and effectiveness. First, start with short walks around the home or garden, focusing on maintaining a steady, comfortable pace. As endurance improves, gradually increase the distance and duration of the walks. The goal is to reach 20-30 minutes of walking 3-5 times a week. Walking is a low-impact aerobic exercise that significantly improves cardiovascular fitness, enhances circulation, and promotes overall well-being without putting undue strain on the heart or joints. It’s a gentle way to help the body recover and regain strength.
2. Seated Marching
Seated marching is an excellent exercise for strengthening the legs and improving circulation without stressing the chest area. Sit in a chair with the back straight, and slowly lift one knee towards the chest, holding the position for a few seconds before lowering it back down. Then, repeat the movement with the other leg. Aim for 10-15 repetitions per leg. This exercise is particularly beneficial for post-CABG because it enhances leg muscle strength, improves blood flow, and boosts coordination, all while keeping the sternum protected during the early stages of recovery.
3. Arm Raises
Arm raises help to restore shoulder mobility and strength, which can be particularly important if a graft from the arm during the surgery. To perform this exercise, sit or stand with the arms relaxed at the sides. Raise the arms to the sides until they reach shoulder height, then gently lower them back down. Perform 10-15 repetitions, focusing on smooth, controlled movements. Arm raises help to regain shoulder flexibility and strength in post-CABG, contributing to overall upper-body recovery without straining the surgical sites.
4. Ankle Pumps
Ankle pumps are a simple exercise that is crucial in post-surgery CABG recovery. Point the toes away while seated or lying down, then flex them back towards. Repeat this motion for 10-15 repetitions. This exercise improves leg circulation, reduces swelling, and prevents blood clots, which are common concerns after significant surgery like CABG. Regularly performing ankle pumps helps maintain healthy blood flow and support the body’s healing process.
5. Wall Push-Ups
Wall push-ups are a gentle exercise that strengthens the chest, shoulders, and arms without placing excessive strain on the sternum. Stand facing a wall to perform this exercise. Place the hands on the wall at chest level and slowly bend the elbows to lean the body towards the wall. Then, push back to the starting position. Aim for 8-12 repetitions. Wall push-ups rebuild upper body strength gradually and safely, especially during the early stages of recovery when protecting the surgical site is essential.
Tips for Successful Post-CABG Exercise Routine
Stay hydrated before, during, and after exercise. Wear comfortable, loose-fitting clothing and supportive shoes to allow for easy movement. Exercising with a buddy or family member can provide motivation and make the experience more enjoyable. Set realistic goals for the recovery and celebrate small milestones along the way.
A Path to a Healthier Heart
Incorporating exercises after CABG is vital for a healthier heart and a more active life. Our physiotherapist guides you through a safe and structured exercise routine of cardiac rehab physiotherapy in Edmonton. Remember, never hesitate to seek advice if you have any concerns. With commitment and care, We Next Step Physiotherapy will show you the way to a more robust, healthier life. Contact us today to start your journey toward better heart health.