Subarachnoid Hemorrhage: A Guide to Exercise and Physical Activity

Xander Kingsley / May, 9 2023 / Health and Wellness

Understanding Subarachnoid Hemorrhage

Before diving into exercise and physical activity guidelines for individuals who have experienced a subarachnoid hemorrhage (SAH), it's important to first understand what this condition is and how it affects the body. A subarachnoid hemorrhage is a type of stroke that occurs when a blood vessel in the brain ruptures and bleeds into the space surrounding the brain, called the subarachnoid space. This bleeding can result in increased pressure on the brain and can cause serious complications, such as brain damage, coma, or even death.


Recovery from a subarachnoid hemorrhage can be a long and challenging process, as it often involves physical, cognitive, and emotional challenges. One of the key components of recovery is participating in exercise and physical activity, which can help improve physical strength, cognitive function, and overall well-being. In this article, I will share some practical advice and guidelines for incorporating exercise and physical activity into your daily routine after experiencing a subarachnoid hemorrhage.

Consulting Your Medical Team

Before beginning any exercise or physical activity regimen, it's crucial to consult with your medical team, including your neurologist, physical therapist, and occupational therapist. They will be able to provide you with personalized guidance and recommendations based on your specific condition, medical history, and recovery progress. Remember, every individual's recovery journey is unique, so it's important to follow the advice of your healthcare professionals to ensure that your exercise program is safe and effective.


Additionally, your medical team can help you set realistic goals and expectations for your exercise program. This can help you stay motivated and focused on your recovery, as well as prevent you from pushing yourself too hard and causing further harm.

Starting Slow and Gradual

When beginning an exercise program after a subarachnoid hemorrhage, it's essential to start slow and gradually increase the intensity and duration of your workouts. This can help prevent injury and allow your body to adjust to the new demands being placed on it. Begin with low-impact exercises, such as walking or gentle stretching, and slowly progress to more challenging activities as your strength and endurance improve.


It's also important to listen to your body and be aware of any signs that you may be pushing yourself too hard. Pay attention to any pain, dizziness, or fatigue, and be prepared to adjust your workouts accordingly. Remember, slow and steady progress is the key to a successful recovery.

Incorporating Aerobic Exercise

Aerobic exercise, also known as cardiovascular exercise, is an important component of a well-rounded exercise program for individuals recovering from a subarachnoid hemorrhage. This type of exercise can help improve heart and lung function, increase endurance, and promote overall health and well-being. Some examples of low-impact aerobic exercises that may be appropriate for individuals recovering from a SAH include walking, cycling, swimming, and water aerobics.


As with any exercise, it's important to start slow and gradually increase the intensity and duration of your aerobic workouts. Be sure to consult with your medical team for personalized guidance and recommendations on how to safely incorporate aerobic exercise into your recovery program.

Strengthening and Flexibility Exercises

Strength training and flexibility exercises are also essential components of a well-rounded exercise program for individuals recovering from a subarachnoid hemorrhage. These exercises can help improve muscle strength, joint mobility, and overall functional ability, making it easier to perform daily tasks and maintain independence.


Resistance exercises, such as using resistance bands or performing bodyweight exercises, can help build muscle strength and endurance. Stretching exercises, such as yoga or tai chi, can help improve flexibility and balance. As with any exercise, it's important to start slow and gradually increase the intensity and duration of your workouts. Consult with your medical team for personalized guidance and recommendations on how to safely incorporate strength training and flexibility exercises into your recovery program.

Staying Motivated and Consistent

Staying motivated and consistent with your exercise program is crucial for achieving the best possible recovery outcomes. One way to maintain motivation is by setting realistic, attainable goals for your exercise program and tracking your progress over time. This can provide you with a sense of accomplishment and encourage you to continue working towards your recovery.


Another strategy for staying motivated is to find activities that you enjoy, as you are more likely to stick with an exercise program that you find enjoyable. Don't be afraid to try new activities or mix up your routine to keep things interesting and fun. Finally, consider enlisting the support of friends or family members who can join you in your workouts or provide encouragement and accountability.

Adjusting Your Exercise Program as Needed

As you progress in your recovery journey, it's important to regularly reassess your exercise program and make adjustments as needed. This may involve increasing the intensity or duration of your workouts, incorporating new activities, or making modifications to accommodate any ongoing physical limitations or challenges. Keep in close communication with your medical team, as they can provide guidance and recommendations for adjusting your exercise program to best support your ongoing recovery.


Remember, recovery from a subarachnoid hemorrhage is a long and challenging process, but with patience, persistence, and the right approach to exercise and physical activity, you can make significant strides towards improved physical, cognitive, and emotional well-being.