This article really resonates with me. I do a LOT of massage on women that have fascial holding around their breasts due to bra constriction. Abdominal tension can contribute to low back pain, IBS, pelvic floor dysfunction, infertility, bladder control issues, and a whole host of other problems. If you have suffered any of these maladies caused by the "body vice grip" aka shapewear, massage therapy on your abdomen can help.
"I hate Spanx because even though they look so good under your
clothes, sometimes mid-wedding I'll be like, 'I feel so nauseous,'" actress Jennifer Coolidge once said. "They're so tight, who knows what you're cutting off?"
Turns out, that star was on to something. While we can all relate to
the aforementioned pain and suffering, most of us have no idea about the
health ramifications of shapewear. Are we hurting our bodies in the
name of smooth garment lines? We spoke to gastroenterologist Dr. John Kuemmerle, dermatologist Dr. Maryann Mikhail and chiropractor Dr. Karen Erickson to find out.
When you wear shapewear, you're compressing your organs.
Shapewear couldn't do its job if it wasn't tight. Unfortunately, this
leaves your stomach, intestine and colon compressed, which Dr.
Kuemmerle says can worsen acid reflux and heartburn. Restrictive
clothing can also provoke erosive esophagitis.
Your digestive tract is also affected, explains Dr. Erickson. The
intestines are supposed to contract and move food along, but when
they're compressed over a long period of time, the flow of digestion is
stifled. "It's like when people eat a huge meal and then unbuckle their
jeans," Dr. Kuemmerle says. This damage, though not permanent, can lead
to unpleasant symptoms like abdominal discomfort, bloating and gas.
Another hallmark of shapewear? Shallow breath. When you inhale, your
diaphragm expands and your abdomen flares out, Dr. Erickson says, but
shapewear restricts this movement and decreases the excursion in
respiration.
That includes compressing your bowels.
Those with functional bowel disorders and irritable bowel syndrome
should wear shapewear with caution. "In someone who has weakness down
below and a tendency towards incontinence," Dr. Kuemmerle explains,
"increasing intra-abdominal pressure can certainly provoke episodes of
incontinence."
Dr. Erickson also notes that there can be a tendency for those
wearing shapewear to not to want to go to the bathroom. "You've got all
of this pressure on your bladder from the shapewear pressing down," she
says. "If you postpone urinating, it can cause stress incontinence,
where you leak, or it can exaggerate stress incontinence with people who
already have it."
You can develop tingling, numbness and pain in your legs.
Sitting in shapewear can lead to a reversible condition called
meralgia paresthetica, which is when the peripheral nerve in your thigh
is compressed. This leads to tingling, numbness and pain in your legs,
all of which can come and go or become constant. "It's like
putting these giant rubber bands around your upper thighs and tightening
them when you sit," Dr. Erickson says. (She's also seen this condition
in those who wear too-tight pantyhose and pants.)
This rubber band effect can also decrease your circulation and lead
to blood clots. When you sit in shapewear, Dr. Erickson explains that
those genetically prone to varicosities can develop varicose veins and
lymph congestion, which manifests as swollen ankles.
Your muscles will suffer if you rely on shapewear for good posture.
"Shapewear is not a substitute for having strong muscles," Dr.
Erickson says. It's important to develop muscle tone, because it's those
muscles that hold your posture in perfect alignment. Many people use
shapewear as a crutch to avoid using those muscles, Dr. Erickson says.
And don't be fooled into thinking that shapewear works like a medical
back brace. "Shapewear's a little different in that it's not
therapeutically designed -- it's cosmetically designed," she explains.
Plus, shapewear can create an environment prone to infections.
Shapewear is occlusive, meaning it traps moisture and anything else
under it, which predisposes shapewear wearers to both yeast and
bacterial infections. Dr. Mikhail says that the most common infection
she sees is folliculitis, since bacteria often gets trapped among hair
follicles and causes red puss-filled bumps. "Usually folliculitis can
be easily treated with topical antibiotics," she says. "But recurrent
infections may develop antibiotic resistance, meaning they get harder
and harder to treat."
Dr. Mikhail notes that the risks are higher in overweight individuals, diabetics and those who sweat excessively.
Like everything in life, it's important to exercise moderation: Don't wear them too often.
"Everyone I know owns shapewear -- it's kind of a miracle," Dr.
Erickson admits. "But I think we want to be mindful to not wear it on a
day-in and day-out basis." It's not a problem if you wear it for an
evening or a special occasion, she says, but it's not a good idea to
wear it daily and sit in it for hours on end.
If you're exhibiting any of the aforementioned symptoms, all three
doctors recommend avoiding shapewear until the issues are completely
resolved.
Lastly, choosing the right fit is key.
There are so many different types of shapewear out there. You should
pick the right style, but you also need to pick the right size, Dr.
Erickson says. "You really want to pick shapewear that actually fits
you," she explains. "You want it to do its job, but you don't want to
get something so small that it's damaging you." For example, shapewear
that goes up to your bra line isn't a good idea for those with acid
reflux or heartburn, as that area is particularly sensitive for people
predisposed to those conditions.
A good way to tell if your shapewear fits correctly? "It's not
cutting in anywhere," says Dr. Erickson, who recommends trying out
different brands and materials. "All it really does is smooth out the
rough edges and you can easily get in and out of it without a struggle."
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