When and how you can begin exercise routines after major surgery will vary with the type of treatment you had. Most physicians will recommend at least a week, sometimes 6-12 weeks, of recuperation before even attempting regular routines. Consult your physician.

Most people will want to perform some kind of toning exercises and probably induce some weight loss. Most surgery reduces the metabolic and activity level – leading to weight gain and flabbiness.

Be sure to keep well hydrated, no matter what form of exercise you perform. This is helpful in order to keep the endocrine system functioning properly and aids the process that keeps joints lubricated.

Take it slow and return to your pre-operative level gradually. Here are some specific exercises for two different types of surgery. Again, consult your physician first.

Breast Surgery

About a week after surgery, you’ll still be experiencing discomfort. But recovery will be aided by some simple arm exercises. Perform steady breathing during the following:

Lift the arm on the operative side and simulate hair brushing and eating. Do a few reps at most the first few times. Raise that same arm above the heart for an hour, two to three times per day in order to reduce swelling. With the arm raised, gradually open and close the hand, building up to clenching a tennis ball as the discomfort decreases. Alternately bend and straighten the elbow.

After a couple of weeks you may feel fit enough to perform the following exercise.

Hold a broom handle (with the broom cut off), in both hands with your palms up, arms outstretched. Lift above the head and hold for a few seconds, then lower the broom handle to the pelvis. Repeat several times.

Hysterectomy

In these exercises, you’ll work the abs, pelvic, and back muscles. As with any routine, be sure to get the advice of your doctor before beginning.

Lie on the floor, knees bent, hands behind your head. Press the small of the back gently into the floor, then more firmly. Don’t try to work ‘through the pain’.

Raise your head and shoulders slightly off the floor, paying attention to the contraction of the abs. Take care not to move the chin toward the chest. Then slowly lower the head and shoulders back to the floor. Repeat several times.

Lift the hips, hold for a few seconds, then lower them. Do 10 reps. Then, alternate with the abdominal exercises. Roll over onto the knees, making sure you have some knee pads or carpeting to soften the point of contact.

Slowly raise one arm and the alternate leg. Alternate. Right arm out, left leg out, then, left arm out, right leg out. Hold each for a second or two, switch and repeat 10 times.

Again, don’t try to exercise if you feel intense pain as distinguished from mild discomfort. Take it slow, building up strength over time.

Exercise for the over-50 crowd is decidedly healthy. As people age, several changes occur that exercise can help slow or reverse. Metabolism slows, leading to increased fat accumulation. Artery passageways often narrow, leading to higher blood pressure and lowered flow. Bones become thinner and more porous, a condition known as osteoporosis. Muscles and skin lose tone.

Those effects can be retarded or even turned back to a degree with regular, age-appropriate exercise. The American College of Sports Medicine suggests 15-60 minutes of aerobic (oxygen-enhancing) exercise a few days per week.

One goal among others is to raise the heart rate to 60-90% of the safe maximum (220 beats per minute, minus your present age). A good cardiovascular workout – a 30-minute brisk walk or three 10-minute walks per day, mild jumping jacks, gentle jogging in place, swimming, a dance routine or any other method – helps keep the heart and blood vessels healthy.

Strength-building exercises help keep the muscles toned and keep weight and blood sugar levels at appropriate levels. Balance exercises can help build good leg muscles, leading to better support for joints and less likelihood of a fall. (The National Institutes of Health report 300,000 hospital admissions per year for broken hips, many of them from seniors falling.)

Gentle static and dynamic stretching exercises help keep muscles flexible and joints lubricated. That helps out with balance, but it also maximizes range of movement. That means better coordination and less pain during both exercise and everyday activities.

Endurance exercises help keep the heart and lungs healthy as well as keeping muscles toned, joints moving freely and other body systems functioning well. A slightly higher metabolic rate stimulates a variety of organs to produce needed biochemicals. The human body functions better, longer when it is subject to mild activity than when sedentary for long periods.

All these activities help raise the onset age of osteoporosis and to minimize its effects after it begins. Non-insulin dependent diabetes mellitus is less likely for the physically active. Certain forms of heart disease are less likely for those who exercise moderately later in life.

There is ample evidence that moderate, regular exercise helps the psychology as well. It can decrease the severity of depression and heighten mood. The social aspects can help with the isolation that older people sometimes feel, especially as friends and loved ones are no longer part of their lives.

Older people should consult a physician or trainer (preferably both) before starting any new exercise program. Begin slowly, especially if exercise has not been part of your lifestyle. Build up flexibility, strength and endurance gradually.

If you have a medical condition, be sure to discuss your plans with a physician and sports expert to develop an exercise routine appropriate to you.

No reputable researcher will claim that exercise will repair a weakened or diseased immune system. Nonetheless, a broad spectrum of studies confirm that moderate exercise can help sustain and strengthen it, even when the effects are indirect.

The role of exercise in helping to lower stress – and the subsequent beneficial effects on health – has been widely studied. Here the studies are less clear, contradicting one another in some details. But overall the conclusion is the same: moderate, regular exercise helps the immune system by moderating the effects of stress.

Most studies carried out over the last 30 years agree: a continual high level of stress has a number harmful effects on overall health. People who experience high stress get more colds, suffer more digestive tract problems and have more frequent bouts of fatigue. Part of the latter is indirect, since it tends to lead to lowered amounts of restful sleep.

Regular exercise helps relieve stress. It does so directly, by providing an outlet for, and consuming much of, the nervous energy produced by stress. It also helps indirectly by shifting one’s focus away from the external factors producing the stress.

Exercise can help the cardiovascular system, which in turn improves blood flow, carries away toxins from muscles and organs, and helps keep the kidneys and endocrine system working well. It helps remove germs and circulate antibodies.

All those promote a healthy immune system by lessening the body’s susceptibility to disease, while increasing the robustness of the immune system itself.

Exercising increases the body temperature slightly. This, as anyone who has suffered from a cold knows, is the body’s natural response to colds, flu and other diseases. The increased temperature helps kill the infecting organisms.

A study at the University of Colorado, Boulder suggests that moderate exercise helps prevent colds as well. It showed that individuals are less likely to get sick after stressful situations when they had engaged in a regular program of moderate exercise. Those that began exercise only on the same day as the stressor didn’t enjoy those benefits.

The study was carried out on rats, but one of the reasons those mammals are used is the similarity in some systems, and their responses, to humans.

Exercise programs, undertaken consistently and correctly, help improve body image – that’s one of most individuals primary goals in making the effort, after all. That improved body image often leads to higher levels of confidence and relaxation in social situations. That in turn helps reduce stress and enhance the immune system.

Whether the effects are direct or indirect, exercising can help you support and enhance your immune system. That leads directly to better overall health.

Particularly today, when there are so many electronic alternatives, young people may exercise less than they should. It’s during the formative years that individuals lay the groundwork for what later become healthy or poor habits.

Kids will usually become quickly bored with routines designed for adults. But the activity doesn’t have to involve organized group sports, either. A gentle jog with an adult, a tennis game, swimming, golf, martial arts, bicycling, dancing, gymnastics and many other sports are enjoyable for the younger crowd.

Kids are usually sensitive to anything that appears inconsistent or hypocritical from adults. Be prepared to follow your own advice and exercise with them. That also helps parents share quality time with their kids outside the house and during activities that benefit both. Parents get the added benefit of monitoring to ensure that the kids are exercising in a safe and proper way.

Like any routine, if it produces pain – even the day after – the individual is less likely to continue. Keep it simple and build up the difficulty and length gradually. Kids are more flexible, but they too need to warm-up and gently stretch before engaging in vigorous exercise. A few minutes of static and dynamic stretching will help avoid injury.

Exercise routines should take into account the age group of the individual child.

Children from about 4-7 should focus primarily on developing basic physical skills, such as coordination and balance. These are the years when motor skills, eye-hand coordination and other things adults take for granted are still fluid. Children take to these activities naturally, as well. Jumping rope, hopscotch and other simple activities help guide the development of these skills.

From the age of 8 or so, exercises can become more vigorous in order to keep that active metabolism from turning food into fat. Here again, though, adults need to guide kids in order to build good habits and avoid injury. Weight machines are almost always a bad idea for pre-teens, for example. They’re risky and unnecessary.

Gymnastics, by contrast, helps build on those basic motor skills learned earlier while developing strength, balance and keeping the endocrine system active and healthy.

For teens, the field is wide open. They have the basic bone and muscle structure that gives them the potential for high performance activity in a wide variety of activities. But here, too, the possibility of injury remains for those who don’t get the proper guidance.

Teens are inclined to roughhousing and rebelliousness. Give them an outlet that directs all that energy and independence to the achievement of positive goals – fitness, endurance, high scores.

Few could afford to buy the variety of equipment that gyms typically offer. Multi-station weight machines are just the beginning. Most gyms have treadmills, stationary rowing equipment, stretching bars, etc.

Many have tennis and racquetball courts, occasionally even squash and Jai Lai courts. Jai Lai is that fast-paced Spanish-origin game played in a racquetball-like court with a curved racket, only much faster. In addition, some gyms offer swimming pools, saunas and even rock-climbing practice walls.

Unless you’re a multi-millionaire you couldn’t begin to duplicate the space or the gear.

Then there’s the expertise you’ll find at a gym – both from the trainers and the other members. Gyms frequently have professional trainers on staff that can answer just about any question you have. They provide weight-training guidance, health tips and even dietary advice.

Gym members are sometimes more knowledgeable than the professionals. People dedicated to optimal fitness often take the time and effort to study the field. You’ll find fitness fanatics, aerobics instructors and medical doctors among the clientele.

Apart from the equipment and assistance, gyms offer an opportunity to socialize during activities that can be pretty boring. Few people think a treadmill is the height of excitement and watching TV while walking can deaden your mind as you tone your body.

You’ll make social contacts, get encouragement and have the chance to psych up into a regular routine in a way that is hard to duplicate at home.

But gyms sometimes have a common set of drawbacks.

Gym membership can be expensive. Most offer different payment plans – per visit, per month, per year or lifetime. Per visit is usually pricey, though it might be a good option if you’re just visiting a city. Per month is often the best value, but prices can still be between $30 and $300 per month. Many will offer a trial membership, either free or at a reduced rate for the first month.

Of course, no price is a good deal if you don’t go. And going to the gym can begin to seem like just one more duty among more pressing obligations. Many people in contemporary society lead extremely busy lives and finding time to go to the gym may well end up near the bottom of a long list.

Gyms can be messy. Most gym members are conscientious about wiping down the equipment, but it only takes a small number to spoil a gym for the majority. Alert staff can help keep those occasions few and far between, so look for a gym with staff that care.

Gyms can be unhealthy. Mingling with lots of people in a hot, humid atmosphere can encourage the spread of colds and other air-borne or contact-spread diseases. Showers are particularly prone to this since you usually have to touch the controls.

Only the individual can weigh the pros and cons and reach a final decision about which are most important. Unless you are lucky enough to find the right one the first time out, try a few on a trial basis before committing to anything long term.