I have a Pilates client with diverticulitis who is unable to lie on her back for any length of time without feeling nauseous. This makes any work on the Reformer very difficult. She is extremely weak and tires easily. Has anyone else worked with a client that has this condition? If so, what types of exercises work best?
I am my own client, a certified personal trainer, I have had two serious bouts of diverticulitis. Additionally, I participate in two Pilates mat classes a week .
When the disease is symptomatic , it’s hard to exercise. It’s common for the individual to lose weight and have little energy. I have had no trouble exercising when the disease is under control. When it flares up, the “pounces” become inflamed and infection sets in. Heavy doses of antibiotics are prescribed and I can’t imagine anyone “training” during that time. The liquid diet can only be maintained for a short time. The nausea could be from lack of nutrients and/or medications she may be on.
Has your client seen a Nutrionist or Dietician?
I have just recently. The gentleman got sick almost every session. Static holds work really well and help them to build a bit of endurance to their condition. Be sure to teach them about 3 points of contact (3 body parts touching the ground at once) immediately though, because the vision and balance go very quickly and this will help them to react instantly by getting into a safe position. Keep their eyes focused forward for over head exercises and make sure they have a place to sit for all overhead lifting exercises. Monitor their vital signs (BP, HR, SPO2) like a religion to make certain they aren’t pushing too hard. I don’t teach pilates so I don’t have much info there but, a slow progression had this client doing jumping jacks within 2 months, with minimal nausea during fairly intense sessions. Of course, “get the DR. approval, recommend updated medical testing, yadda yadda..” The key is to realize that this person is there and ready to do this. They already know their condition sucks so, don’t rub it in their face by babying them. The pep talks and atta boy’s made all the difference for him.
Hope this helps. Good Luck, and tell that client “I think they are amazing for taking a stand and challenging themselves.”