Sports Medicine Specialist Questions Hernia

Can working out cause a hernia?

I'm 37 years old, and I work out a lot. Mainly with weights. However, recently my primary care doctor told me I need to be more careful and that lifting weights could cause me to have a hernia. I didn't ask him why, but now I'm just wondering. But how does lifting weights cause hernias? Is it really possible?

4 Answers

Hernias usually have a preexisting weakness that advances to hernias. Lifting weights puts a great deal of pressure in the abdomen, which can contribute to hernia.
There are different types of hernias that can occur in the abdomen and groin. In general, the muscles layers of your core hold your abdominal organs (like your intestines for example) in containment, and if you injure one of these muscles by over lifting or by straining too hard, a piece of abdominal organ can be pushed into a defect caused by the muscle injury and get stuck, which is the definition of a hernia.
A hernia is typically caused by a weak point in the fascial layer; so, if you are lifting something heavy or straining to lift something heavy (furniture, weights, kids, etc.), a hernia may develop. As one ages, hernias become more common. Higher repetitions with lower weights may be better for the long-term on your body by sparing joints, tendon & muscle tears, etc. Incorporate a flexibility program to your workouts.

Mark Burt, M.D.
Yes, lifting weights can cause a hernia. If you hold your breath while weight lifting, the increased pressure inside your abdominal cavity can push out a hernia. So, breathe out when lifting.