The Role of Physical Therapy in HS Management

Hidradenitis Suppurativa (HS) is a chronic inflammatory skin condition that significantly affects patients’ quality of life by causing painful abscesses and scarring, primarily in areas of the body where skin rubs together. Alongside medical treatments, physical therapy and structured exercise programs are increasingly recognized for their benefits in managing HS symptoms. At Beverly Hills Hidradenitis, a holistic approach is employed, which means that all aspects of the patient’s condition are taken into account. This includes physical therapy to enhance mobility, alleviate pain, and reduce the frequency of HS flare-ups. This blog explores the role of physical therapy in HS management and how it can be effectively integrated into treatment plans.

Understanding HS and Mobility Challenges

HS often affects areas such as the armpits, groin, buttocks, and under the breasts, making everyday movements painful and challenging. Chronic pain can lead to decreased activity, resulting in muscle weakness, joint stiffness, and reduced fitness levels, further impacting a patient’s mobility and overall health.

Benefits of Physical Therapy for HS

• Pain Management: Physical therapists use various techniques, including manual therapy and modalities like ultrasound or TENS (Transcutaneous Electrical Nerve Stimulation), to help manage pain. These therapies can increase blood flow, reduce inflammation, and alleviate pain, making daily activities more manageable.
• Improved Mobility: Regular, targeted exercises can help maintain joint function and muscle strength, often compromised in HS patients due to pain and inactivity. Physical therapists design personalized exercise programs that enhance flexibility and range of motion without aggravating affected areas.
• Lymphatic Drainage: Techniques that promote lymphatic drainage can be particularly beneficial in reducing swelling and preventing fluid buildup in areas prone to HS flare-ups. By managing these flare-ups, physical therapy can help maintain a more stable condition. Manual lymphatic drainage techniques can help clear the lymphatic system, which is crucial for managing chronic inflammation.
• Posture Correction: Physical therapy helps correct posture imbalances that may exacerbate HS symptoms. A well-aligned posture reduces pressure on affected areas, decreasing the risk of friction and subsequent flare-ups.

Integrating Exercise into HS Management

• Gentle Exercise Routines: Low-impact activities such as swimming, cycling, and yoga are excellent options for HS patients. These exercises minimize skin friction while promoting cardiovascular health, flexibility, and strength.
• Strength Training: Building muscle can benefit HS patients in several ways. Increased muscle mass can improve metabolic health and reduce fat deposits in areas prone to HS lesions. Additionally, strength training can enhance overall fitness and endurance, making daily activities easier to manage. However, it’s important to note that strength training should be tailored to avoid aggravating affected skin areas.
• Flexibility and Stretching Exercises: Regular stretching helps improve flexibility, reduces stiffness, and enhances bodily movement. For instance, stretching the neck, shoulders, and back can be beneficial. Special attention is given to stretching areas that do not directly impact HS lesions but contribute to overall mobility.

Creating a Customized Physical Therapy Program

• Assessment and Tailoring: Each HS patient’s condition is unique, and their journey to managing their symptoms should be too. This is why a thorough evaluation by a physical therapist specializing in chronic inflammatory conditions is crucial. The therapist will tailor exercises and treatments to the patient’s symptoms, pain, and mobility limitations, ensuring that each patient feels valued and understood in their treatment plan.
• Collaboration with HS Specialists: Physical therapists are not just individual practitioners, but integral members of a larger healthcare team. They work closely with the rest of the team, including dermatologists and surgeons, to ensure that the exercise regimen complements medical treatments and surgical interventions. This collaborative approach ensures that every aspect of the patient’s care is considered and optimized, fostering a sense of support and teamwork.
• Education and Self-management: A critical component of physical therapy is educating patients about self-management techniques to perform at home. These techniques can include specific exercises, the use of heat or cold therapy, and the application of compression garments if necessary. By learning and practicing these techniques, you can effectively manage your symptoms and contribute to your overall treatment plan.

Conclusion

Physical therapy is a crucial part of the holistic approach to managing Hidradenitis Suppurativa at Beverly Hills Hidradenitis. This approach, which takes into account all aspects of the patient’s condition, offers patients non-invasive options to enhance their quality of life. Physical therapy can significantly reduce HS patients ‘ daily challenges through pain management, improved mobility, and personalized exercise programs. Dr. Som is dedicated to incorporating comprehensive, multidisciplinary approaches to HS management, ensuring that each patient receives tailored care that addresses all aspects of their condition.

If you are struggling with HS and looking for ways to improve your mobility and reduce pain, consider consulting with Dr. Som to explore how physical therapy can be integrated into your overall treatment plan. Together, we can develop a strategy that treats HS and enhances your overall health and mobility. By managing your condition effectively, physical therapy can empower you to lead a more active and fulfilling life, free from the limitations imposed by HS.