Early post-transplant phase
Learn about safe and effective physical activities designed to help you regain strength, improve mobility, and support your new organ’s function.
Getting started
Right after your transplant you may be followed by a physiotherapist while in hospital (who could provide more information about exercise) or you may visit another exercise specialist for a tailored exercise program after hospital discharge.
Early post-transplant (1-6 months after transplant) and/or in a case of medical instability, exercise programs should be supervised. Your transplant team can help guide you to appropriate facilities or programs, whether at a hospital, rehabilitation center, or specialized fitness facility.
If you are not currently active, please consult your transplant team prior to engaging in an exercise program.
How exercise can help you after having a transplant
Research suggests that exercising after a transplant can:
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increase your fitness and muscle strength;
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increase your ability to return to work;
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increase your ability to return to leisure activities;
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improve symptoms such as fatigue and shortness of breath;
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decrease inflammation;
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reduce stress and anxiety, which you may experience;
Your fitness journey in the early post-transplant phase 1-6 months after transplant
To get the benefits associated with exercise, it is recommended to exercise at a moderate-to-vigorous intensity, 3-5 times per week, for a minimum of 8 weeks. Considering the existing evidence and expert opinion, here are a few suggestions of activities to be performed while being supervised by an exercise professional:
Aerobic activities
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marching on the spot
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light walking
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light cycling
Strength exercises
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Exercises using free weights, elastic bands, weight machines, among others.
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Light exercises using gravity or your own body weight that can be performed seated or standing.
Flexibility
Stretching major muscle groups after your muscles are warm
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Frequency: daily
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Intensity: stretch to the point of tightness but not pain
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Duration: hold each stretch for 10-30 seconds
Range of motion exercises
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Frequency: daily or as tolerated
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Intensity: slowly bring each joint through its full range without experiencing pain or discomfort
Other activities
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Yoga
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Tai-chi
Understanding your limits
To avoid injury, it is important to be aware of your limits. There are certain steps you can follow to make sure you are not pushing your body too far:
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Reduce your activity level if your exercise program has been interrupted for a few days due to weather, vacation or illness.
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Do not exercise if you are not feeling well (e.g. if you have a fever, diagnosed with new infection, feel nauseous, lightheaded, or dizzy).
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If you are unusually short of breath or feel very tired during any activity, slow down or take a rest.
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If you experience joint or muscle pain during the exercise, stop and rest. If the pain persists, see your doctor.
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Stop exercising and rest if you: have pain or pressure in your chest, neck, shoulder, arm, back or jaw, trouble swallowing, talking or seeing, feel weak or lightheaded, dizzy, nauseous, have unexplained swelling, cold sweats, severe muscle cramps, or feel any other symptoms of concern. If symptoms persist see your doctor.
General tips
Pace yourself!
Pushing yourself too hard or using incorrect technique during exercise can lead to injury, especially for transplant recipients. Some medications may make your bones more sensitive, so it’s important to take it slow and give your body time to rest between activities. If you’re unsure about proper technique, consider reaching out to an exercise professional for guidance to ensure safe and effective movement.
Stay hydrated!
It’s important to keep your body well-hydrated, especially in hot weather. Heat causes increased sweating, which leads to fluid loss. Failing to replenish these fluids can lead to dehydration, which can strain your body, particularly your kidneys. Maintaining a healthy fluid balance is essential for your overall well-being and the proper functioning of your organs.
Protect yourself from the sun!
Certain medications you may be taking after transplantation can make your skin more sensitive to sunlight. Follow these tips to stay safe:
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Avoid direct sun exposure between 10 a.m. and 2 p.m., when the sun is the strongest.
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Seek shade whenever possible, especially during outdoor activities.
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Wear protective clothing, such as wide-brimmed hats, UV-blocking long-sleeved shirts, and sunglasses.
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Always use sunscreen with a sun protection factor (SPF) of 30 or higher.
Common obstacles to becoming more physically active at this phase in your journey
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Doctor may not recommend that you exercise at this time.
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Medical complications post-transplant.
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Side-effects from medications.
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Feeling like you have less energy/strength after your transplant.
Questions?
Check out our page of frequently asked questions (FAQs) to find answers to some commonly asked questions.
Learn about the other phases of the transplant journey
Pre-transplant phase
Discover how physical activity can enhance your fitness and well-being as you await your transplant and improve your recovery after transplant.
Early post-transplant phase
Learn about safe and effective physical activities designed to help you regain strength, improve mobility, and support your new organ’s function.
Late post-transplant phase
Explore exercise programs that promote cardiovascular health, muscle strength, and overall fitness, ensuring a vibrant and healthy future post-transplant.