Plan for Training with Stitches

Hi, Docs,

First off, thanks for all of the content you guys put it. It’s unbelievably helpful for someone trying to tread their own way like myself. Now to my question. I am undergoing a minor surgery this week to have a severely dysplastic nevus removed from my back sitting basically right on top of my thoracic spine. I spoke with both my dermatologist and surgeon, who both recommended that I not lift anything heavy that stresses the back for 4-5 weeks, or I run a significant risk of breaking the stitches, which will result in a bigger scar and significant oozing/wound care protocols. My surgeon did clear me to ride a stationary bike or perform leg curls/extensions.

My training background began with SS, proceeded to Texas Method, then Sheiko, then Mike T’s intermediate program, which I have slowly changed over time to provide the appropriate volume and exercise selection for me (with programming mistakes along the way).

My question is two fold: First, my intention is to basically run HIIT 4 times per week on the stationary bike until I am cleared for lifting. With the obvious disclaimer that I am not asking for nor will I take your response as medical advice, is there a way I can better optimize training during this period without stressing my stitches?

The second portion of my inquiry is to confirm that I should try to transition back into my old program once my surgical site is healed. I imagined taking 2-3 weeks to work back up to the volumes that I was working at with appropriate RPEs before jumping back into the programming I was running before. Does this sound optimal and/or reasonable?

Thanks in advance.

-Tim Z.

I spoke with both my dermatologist and surgeon, who both recommended that I not lift anything heavy that stresses the back for 4-5 weeks, or I run a significant risk of breaking the stitches, which will result in a bigger scar and significant oozing/wound care protocols. My surgeon did clear me to ride a stationary bike or perform leg curls/extensions.

My question is two fold: First, my intention is to basically run HIIT 4 times per week on the stationary bike until I am cleared for lifting. With the obvious disclaimer that I am not asking for nor will I take your response as medical advice, is there a way I can better optimize training during this period without stressing my stitches?

I would do the resistance training that your doctors cleared you for, perhaps using a blood flow restriction protocol.

The second portion of my inquiry is to confirm that I should try to transition back into my old program once my surgical site is healed. I imagined taking 2-3 weeks to work back up to the volumes that I was working at with appropriate RPEs before jumping back into the programming I was running before. Does this sound optimal and/or reasonable?

That seems entirely reasonable, yes.