Medical expert of the article
New publications
Gastric and duodenal ulcer - Therapeutic exercises
Last reviewed: 03.07.2025

All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
Despite the fact that many issues related to the causes of occurrence and exacerbations of peptic ulcer disease (imbalance between factors of aggression and factors of protection of the mucous membrane, the role of Helicobacter pylori), as well as treatment and prevention of the disease, by the end of the 20th century have been well studied, some patients have a fairly high percentage of recurrence of the pathological process - the ulcer opens again. A large role in this belongs to the neuro-emotional factor. One of the leading medical theories of the 20th century explains the occurrence of peptic ulcer disease by the imbalance of the central nervous system. Indeed, in practice, we note a clear relationship between the occurrence and subsequent exacerbations of the disease and stress (from the English stress - tension) in patients. Such patients must necessarily correct nervous processes, stabilize the activity of the central nervous system, and increase stress resistance. There are various medical technologies for increasing stress resistance, and therefore you should use the services of a psychologist or psychoneurologist.
As medical experience shows, patients can independently, even with the help of gymnastic exercises, solve the problem of restoring balance in the psycho-emotional sphere. Exercises are performed during the period of remission of peptic ulcer disease.
[ 6 ]
Exercise 1
The exercise improves the functioning of almost all internal organs: liver, gall bladder, spleen, stomach, pancreas, intestines, pelvic organs. In addition, this therapeutic pose increases the body's immunity, improves arterial blood circulation, optimizes blood composition, normalizes the concentration of carbon dioxide in the tissues and cells of the body.
Take the starting position
- get down on your knees,
- spread your heels apart and touch your big toes,
- sit between your heels,
- back straight,
- look straight ahead at one point,
- Place your palms on your knees.
(You can take another starting position: sit on the floor, cross your legs in a Turkish style. Place your palms on your knees, keep your back straight: your torso and neck are in one straight line. Slightly bend in the lumbar region so that there is no extra tension in the back muscles and it is comfortable to sit).
Breathe naturally, shallowly, through your nose.
Technique of execution
- place your hands behind your back on your lower back, grab your right wrist with your left hand (the woman should grab her left wrist with her right hand);
- take a calm, slow breath through your nose, while simultaneously pulling your stomach up (as if towards your nose);
- as you exhale, gently tilt your torso and head forward and down, trying to touch the floor with your forehead. When tilting, try not to lift your buttocks off the floor;
- stay in this position for a pause after exhaling, trying to relax all the muscles of the body as much as possible and enjoy this pose;
- concentrate your attention on the abdominal organs: gallbladder, liver, pancreas, intestines, feel the warmth in these organs, the soft blue light turning into rich green and red;
- Again, slowly but shallowly inhale through your nose and slowly return to the starting position.
If during the first few days of doing the exercise your forehead does not touch the mat, do not be upset: after some time you will gain the necessary flexibility and you will be able to fully master this exercise.
Frequency of execution
- in the first 10 days, do the exercise once,
- in the next 10 days - 2 times,
- in the third decade - 3 times.
Perform the exercise no more than 3 times in a row.
Exercise 2
The exercise helps to harmonize the psycho-emotional state, balances the processes of excitation and inhibition in the cerebral cortex, increases the level of stress resistance and self-esteem of the individual.
Take the starting position
- stand up straight,
- heels and toes together,
- arms hanging freely.
Breathe naturally, shallowly, through your nose.
Technique of execution
- relax your left leg as much as possible and then vigorously strike your left heel into your left buttock, bending your leg at the knee,
- now hit your right buttock with your right heel,
- Concentrate your attention on your tailbone, feel the warmth in this area, mentally imagine how a golden light pulsates there, turning into red-orange.
Attention! When performing strikes, watch for a uniform, correct rhythm of strikes. In the extreme position - when the heel touches the buttock - there is no need to fix this position, immediately change legs.
Frequency of execution
- on the first day, do 5 kicks with each leg,
- In the following days, add 1 kick with each leg, bringing the total number of kicks to 25.
[ 7 ], [ 8 ], [ 9 ], [ 10 ], [ 11 ], [ 12 ]
Exercise 3
The exercise develops the ability to concentrate, focus, switch thoughts, and distract yourself from the surrounding environment. It has a calming effect on the central nervous system. The exercise can be performed at any time, but not immediately after eating.
First option
Take the starting position:
- sit on a chair or on the floor in a Turkish style,
- the head, neck and body form a strictly vertical line,
- close your eyes,
- place the nail phalanx of the thumb of your right hand between your eyebrows,
- connect the remaining 4 fingers and straighten them vertically,
- the left hand lies freely on the left knee.
Breathe naturally, evenly, through your nose.
Technique of execution
- with the palm of your right hand, smoothly and slowly rotate it around your thumb to the left and right,
- concentrate your attention on the space between your eyebrows, where the so-called third eye is located,
- mentally imagine a pinkish light turning into purple-violet.
Frequency of execution:
- on the first day - 1 minute,
- As you train, increase the time you disconnect from your surroundings, but do not exceed 10 minutes.
Second option
Take the starting position:
- sit on a chair or on the floor in a Turkish style,
- the head, neck and body form a strictly vertical line,
- Close your eyes.
Breathe naturally, evenly, through your nose.
Technique of execution:
- clasp your little, ring and middle fingers of each hand into fists, but without tension,
- put your thumbs aside, straighten your index fingers and place them on the “third eye”,
- make light massaging linear movements towards the temples with both fingers simultaneously,
- concentrate your attention on the space between your eyebrows, where the so-called third eye is located, mentally imagine a pinkish light turning into purple-violet.
Frequency of execution:
- on the first day - 1 minute,
- As you train, increase the time you disconnect from your surroundings, but do not exceed 10 minutes.
[ 13 ], [ 14 ], [ 15 ], [ 16 ], [ 17 ], [ 18 ], [ 19 ], [ 20 ], [ 21 ]
Exercise 4
The exercise develops the ability to concentrate and focus, harmonizes the higher nervous centers, and also trains the vestibular apparatus and develops flexibility of the ligamentous-muscular apparatus.
Take the starting position
- stand up straight and look straight ahead,
- hang your arms freely along your body,
- feet at any distance from each other.
Breathe naturally, evenly, through your nose.
Technique of execution
Raise your right leg slightly off the floor, bend it at the knee and move it outward behind your left leg (ideally, the right foot is fixed behind the inner surface of the left shin), bend your arms at the elbows,
- place the elbow of your left arm on the elbow of your right arm,
- put your palms together,
- concentrate your attention on the area of the larynx, where, according to the yogic tradition, there is a 16-petal lotus of greenish-blue color. Mentally imagine flowers and feel the warmth spreading throughout the body.
Try to stay in this position, maintaining balance and enjoying the fact that you were able to perform the exercise. Do not be upset if your posture is far from ideal, in any case, the therapeutic effect will occur.
Do the same with your left leg and right arm.
Exercise 5
The exercise develops the ability to concentrate and focus, regulates the processes of excitation and inhibition in the cerebral cortex, trains the vestibular apparatus, which is known to be responsible for balance and is of great importance in the human immune system.
First option
Take the starting position:
- stand up straight and look in front of you, feet at any distance from each other,
- arms hanging freely.
Breathe naturally, calmly, through your nose.
Technique of execution:
- lift your right leg off the floor,
- bend it at the knee as much as possible,
- place your foot on the inner surface of your left thigh with your heel towards your groin and your toes pointing down,
- join your palms (as in prayer) and place them on your sternum strictly in the middle and vertically,
- raise your elbows so that your forearms are horizontal,
- concentrate on maintaining balance, feel the warmth and light pleasant heat in the mediastinum, mentally imagine a red-scarlet light filling the internal organs.
Stay in this position as long as you feel comfortable and warm.
Second option
Take the starting position:
- stand up straight and look straight ahead,
- feet at any distance from each other,
- arms hanging freely.
Breathe naturally, calmly, through your nose.
Technique of execution:
- lift your right leg off the floor,
- bend it at the knee as much as possible,
- place your foot on the inner surface of your left thigh with your heel towards your groin and your toes pointing down,
- put your palms together and point them perpendicular to the sternum (fingertips from the sternum forward),
- concentrate on maintaining balance, feel the warmth and light pleasant heat in the mediastinum, mentally imagine a red-scarlet light filling the internal organs.
[ 22 ]
Third option
Take the starting position:
- stand up straight and look straight ahead,
- feet at any distance from each other,
- arms hanging freely.
Breathe naturally, calmly, through your nose.
Technique of execution:
- lift your right leg off the floor,
- bend it at the knee as much as possible,
- place your foot on the inner surface of your left thigh with your heel towards your groin and your toes pointing down,
- put your palms together and stretch your arms forward,
- concentrate on maintaining balance, feel the warmth and light pleasant heat in the mediastinum, mentally imagine a red-scarlet light filling the internal organs.
The fourth option
Take the starting position:
- stand up straight and look straight ahead,
- feet at any distance from each other,
- arms hanging freely.
Breathe naturally, calmly, through your nose.
Technique of execution:
- lift your right leg off the floor,
- bend it at the knee as much as possible,
- place your foot on the inner surface of your left thigh with your heel towards your groin and your toes pointing down,
- put your palms together and stretch your arms up,
- concentrate on maintaining balance, feel the warmth in the mediastinum, mentally imagine an orange light filling the internal organs.
The next day, when doing the exercise, change your leg, but the sequence of hand positions with folded palms remains unchanged: palms in front of the sternum vertically, in front of the sternum - forward, arms extended forward, extended upward.
Other recommendations during gymnastics for peptic ulcer disease
It is necessary to make sure that the patient does not take NSAIDs (including analgesics for various pain syndromes or acetylsalicylic acid for prophylactic purposes). If their long-term use is necessary, it is necessary to consider the possibility of reducing the dose of the drug or replacing it with another drug that has a lesser effect on the gastrointestinal mucosa. It should be remembered that taking NSAIDs with food does not reduce their negative effect on the mucous membrane of the stomach and duodenum. Replacing NSAIDs with enteric-coated dosage forms also does not eliminate their undesirable effect.