5 Exercises After LOW BACK Surgery (Laminectomy, Fusion, Discectomy) | Aleks Physio
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- Опубліковано 28 вер 2024
- 5 Exercises After Low Back Surgery
Have you had or are planning to have surgery for your low back?
Here are 5 exercises that can be performed both pre operatively and post operatively to assist in recovery.
1. Deep breathing:
Deep breathing involves taking slow, deep breaths, filling your lungs with as much air as possible, and then exhaling slowly.
Sit in a comfortable position with your back straight and your feet on the floor.
Place one hand on your chest and the other on your stomach.
Take a slow, deep breath through your nose, filling your lungs with air and expanding your diaphragm for 2 seconds
Hold the breath for 2 seconds
Exhale slowly through your mouth, pushing out all the air and contracting your stomach muscles (4 seconds)
2.Walking:
Walking is a great low-impact exercise that can be done almost anywhere. Here's how to do it:
You can start with a walker and gradually wean off to a cane and eventually no aids based on how you are doing
3.Pelvic tilt:
Pelvic tilt exercises are designed to facilitate mobility in your pelvis (and subsequently your low back)
Lie on your back with your knees bent and your feet flat on the floor. Think about creating a tunnel between your low back and floor (Anterior tilt) and then close the tunnel by tilting pelvis backwards (Posterior pelvic tilt)
4. Knee to chest:
Knee to chest exercises can help relieve lower back pain and stretch the muscles in your lower back and hips.
Lie on your back with your knees bent and your feet flat on the floor.
Bring one knee up to your chest and grasp it with both hands.
Hold for 15-30 seconds, feeling the stretch in your lower back and hip.
Release and repeat with the other leg.
Repeat for 2-3 repetitions on each side.
5.Straight leg raise:
Straight leg raises help strengthen your hip and thigh muscles. Here's how to do it:
Lie on your back with one leg straight and the other bent.
Tighten your thigh muscle on the straight leg and lift it up off the floor.
*Disclaimer*
The content found on this channel and any affiliated websites are not considered medical advice. The information presented is for general education and entertainment purposes only. If you need medical attention, seek care from your physician or physical therapist. You agree to indemnify and hold harmless Aleks Physio, its employees and independent contractors for any and all injuries, losses, or damages resulting from any claims that arise from misuse of the content presented on this channel or associated websites.
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#physiotherapy #physiotherapy #lowback #lowbackpain #lowbackpainrelief #lowbackexercises #lowbackexercises #prehab #rehab #postsurgery #postoperativecare #spinesurgery #lumbarspinesurgery #lumbarspine #exercisetips #mobility #orthopedics #surgeryrecovery #surgery #surgeryday
Great Video..... Respect
Thanks for your kind words! -Aleks
That was one of the best low impact exercises. I had my 8 year hardware from Si to L4 taken out and had L3 fused, I like your exercises after two weeks out from surgery. Yes, the walking is the most important, I have to remember to take a short walk each day! Thank you!
Happy to help! Thank you for your kind words. All the best in your recovery! -Aleks
Plz tell me 3 4 year ago my lumber spine surgery can i do this exercise
Hi, I don’t know your story nor your history. Please speak with your PT and surgeon. -Aleks
@andrew-xr1de Hi Andrew I hope you are continuing to recover well with no hiccups.
I have been waiting for a year past my original surgery date. I call my surgeon’s office every 2 months, checking in to see if they have a new date for me. The surgeon will be removing my 17 year old hardware and fusion at L5S1 and L4L5. Then re-fusing and fusing from S1 to L2L3 and continuous hardware from S1 to L2L3. I was wondering how extensive was your surgery, how long were you in hospital and how well did they manage your pain. Also, what were your first weeks at home like for pain management and managing mobility. I live in British Columbia, Canada and our health care system is failing miserably!🤙
I had a S1L5 microdiscectomy 4 weeks ago, I walked 1/4 mile the day of surgery and then 1/2 mile the day after, then 2 to 3 miles every day since. I feel great, never took any pain meds
Great to hear! Definitely the discectomies without hardware tend to generally recover much quicker! Thanks for sharing your story. -Regards, Aleks
I've just had decompression and discectomy of l5 s1 im 33yrs, really acrive brfore but ovee weight and wondering with the knee ticks do you do them on the floor or bed x
Hey Stevie, generally whatever feels comfortable. Sometimes getting on the floor might be more challenging so it would be more efficient and easier to do on the bed, but either option would work. Hope this helps! All the best in your recovery! Remember not medical advice. -Cheers, Aleks
hai sir, i had l5 S1 laminectomy and plif surgery 7 weeks ago.but still am feeling pain in my legs and hip region. am not able to walk morethan 15 minuts. burning sensation on my legs, what to do sir give me a saggetion pls…..
Hi, generally the surgery should help with your leg symptoms (up to 70-80% beneficial). Have you had a follow up with your surgeon? Usually there is a follow up to see how the hardware is looking and if there are concerns from an infection or hardware failure perspective. Please speak with your surgeon or arrange a follow up if you are still having these symptoms. -Aleks
thank u sir
U had L1 fuxation can i play basketball after 6months?
Chat with your surgeon. Usually you have a follow up after 6 weeks and 3 months. Most tissue healing occurs after 3 months physiologically, however, you need to slowly work your tolerance up especially for a sport like basketball. Work on your exercises as prescribed and once they give you the clearance then you would want to find a good Physio to slowly build up your tolerance and performance until you’re ready to play. Keep me posted. -Aleks
Hi Aleks. I'm 1 month post L4 L5 S1 surgery. I have numbness in my left leg before surgery but in now both legs. Is it normal? I walk every day but have not yet started any exercises. Thank you
Yes it can be. Nerves are still healing. Numbness is usually the last to recover. Unsure how much recovery as it all depends. Day by day. Keep walking and exercises as per surgeon recommendations. Follow up as needed. -Aleks
Hi Aleks. If the numbness from epidural fibrosis, what exercise do you suggest tqvm
@adilahaz none in particular over general exercises as described here. Unless your surgeon has any specific restrictions or limitations. -Aleks
OK thanks.. I just follow the exercises tqvm
how many repitions for each excercise
Generally, we say 5-10 for 2-3 sets 1-3 times per day. It’s quite vague. It really just depends on pain levels and where you are in the healing phase. That’s why I didn’t recommend specific numbers. There is no research to support an optimal reps/set/frequency range when looking from a rehab perspective. See a PT, not medical advice. -Aleks
I had a back injury and it resulted in paraplegia.The surgery has been done. what exercise do I do to recover
I wouldn’t know as I don’t know the entire story to what happened. I’m also not sure about the recovery and prognosis or any details regarding. These exercises aren’t medical advice. Follow up with your surgeon and Physio with regards to what and to what extent can be done to help (if possible) improve your condition. Hope this helps. Regards, Aleks
After having a discectomy at L5S1 do you think its ever smart to use a back extension with a roman chair to build strength or is that too much stress and pressure? It seems like no one will tell me what the disc will withstand now after surgery. I understand it is a very gradual recovery but im terrified i will reherniate the disc. Building your internal pressure with straining, perhaps that will blow it out. Situps and crunches, maybe that flexion and load is bad? Running? I would love to know your general recommendations
Hi Stirv, it is difficult to say without knowing the entire story. Generally I would say to talk to the surgeon who performed the surgery as each likely have different views and beliefs on what is allowed and isn’t. Was it a discectomy in which a small piece of the disc was removed or a moderate amount? Generally, discectomies are quite minor surgery and recovery tends to be quicker relative to some of the other lumbar spine surgeries (fusions, multilevel fusions, etc). Generally, the premise would be to focus on walking and lighter intensity movements early on and build up after the 3 month follow up based on symptom provocation. Strengthening your trunk muscles and overall strengthening is generally endorsed by most spine surgeons whom I have worked with and a gradual exposure to load is a reasonable approach. I don’t see why lumbar extensions would be harmful and could see it as being an appropriate exercise given the right context and progression towards it, generally. There usually are not any limitations. Research shows that running is actually quite beneficial for your discs and overall spine health. Remember you have multiple layers of muscles, ligaments, tendons in your spine and doing activities such as sit ups and crunches are quite low relative to the load that your back can sustain. See a Physiotherapist would be your best bet to make sure you’re on the right track after you have your follow up with the surgeon you’re cleared without restrictions. Cheers!
@@aleks_physio Thank you for the detailed response. It's a different world in rural Iowa. My surgeon took the staples out at one week and said you're good. I don't need to see you again. Physical therapy folks aren't much different. I guess the surgeon never told me how much he removed and I never thought to ask. I guess I'll just gradually increase activity as the year goes by and hope I don't reherniate the disc.
@@stirv6462 Iowa eh? Go Hawkeyes?! Yeah it would be difficult to say. Remember this isn't medical advice so it all depends on the individual surgery and how it went. If they were pretty nonchalant I guess it could mean two different things. Either the surgery went really well and it was quite minor or they don't really care too much. Regardless, I think it would be good to see a PT, even to have someone to touch base with every once in a while to make sure you're on the right track. All the best in your recovery! - Aleks
When you start walking is before 6 weeks or after 6 weeks ?
Usually the day of surgery! Unless you have something called a dural tear, which involves lying in bed for 24 hours. Hope this helps - Aleks
I have done l4 l5 l5 S1 surgery. For left side. Now i feel little bit compression in right hip when I set not in walking. Kindly guide me thanks
I would need more information. See a PT to help guide you if you are having right sided hip pain as it could be from a multitude of factors. Keep me posted. -Aleks
I had a discectomy four months ago not have any proper exercise but i feel a bit hardness and a slight pain sometimes suggest me something
It’s normal to have some level of discomfort in that time frame generally. These exercises may be a foundation to start. But it’s best to see a Physio to give you a more personalized approach to your recovery. Good luck! -Aleks
I have done my disc slip surgery L4 L5 now I am feeling left side weakness in my left leg below knee
Follow up with your surgeon and let them know the updates. Sometimes nerves can get irritated after surgery as there may be some increase in swelling. But if this is new and progressively worsening, it would be a good idea to see your surgeon as soon as able. Not medical advice. -Aleks
Thanks for the easy exercisee. I had Spinal Fusion L5-S1, on January 30th.
Happy to help. Thank you for your kind words. How did the surgery go? How are you feeling today? -Aleks
I have seen your video which could be better positioned by SEO.
Probably!
Great.
How long after surgery we can start do it?
Usually we get people up and moving the day of surgery or the day after, barring any other complications from surgery (such as a dural tear which can require 24 hours bed rest). Walking and basic mobility (transferring to a chair, going to bathroom, etc). Then we add some mobility exercises within the first few days progressing as able and respecting restrictions if any. -Aleks
Very helpful. Thank you 🙏. I’m assuming walking includes hiking trails if we’re up to it. Would you recommend using a stationary bike as an alternative to walking or a rebounder like the one on my pilates reformer?
Great question Christy. Generally, you want to take it slow within the first few weeks as the incision is still fresh (walking and low impact) movements. Some surgeons will give precautions primarily for this reason early on so as to not stretch the stitching and possibly increasing infection risk. Hiking trails can be implemented after the first few weeks but as with everything slow and gradual and progress from there based on symptoms, type of surgery and timelines. Bike positioning may irritate the back but of course, hard to know until you try and what you’re feeling before. Be mindful of posture initially then ease up from there. Not too familiar with the reformer and the positions. Hope this helps. -Aleks
@@aleks_physio Thank you for responding. As you say, gradual progress and attention to body position is the sensible way to go. I will continue with the level and paved local rail trail for another week before hiking the park. It’s good that the pain is daily improving and i want that to continue. 😀
@Christynmaine hoping for a speedy recovery and keep me posted on the progress! Cheers, Aleks
I'm 13 months out from Laminectomy which doesn't seem to have been successful. More pain now than previously. I'm waiting for a surgical consult to see what can be done now, and in the meantime, I will work with your low impact exercises to see if they can help relieve the tailbone pain I'm experiencing now. This started after a 2nd blood patch after the initial surgery :( Hope these help me get through the days. Thank you for providing.
Hi Melodie, hang in there. Unfortunately, as with any procedure there can be complications and side effects, one of which can include more pain than previous to surgery due to inherent nature that of surgical demands. Hang in there. Hoping that the pain improves and your function improves as well. Please seek appropriate guidance through your medical provider as to the best options for you moving forward as discussed. Keep me posted. -Aleks
That is great advice. It is very encouraging to hear. I am 4 months out from Laminectomy fusion and also have more pain than before surgery. I guess I need to be more patient.
Hi Steve. Pain is very complex. Depends on a multitude of factors. It’s a wide spectrum. Spine surgery is quite helpful (about 80% success rate) of helping with the leg or arm pain that you had previously. When it comes to the neck and back pain that you had it it accompanied the sciatica, the odds are less. Sleep, emotions, thoughts, beliefs, pain before, meds, previous experiences with pain, complexity of surgery, etc all play a role in overall outlook and healing. Hang in there. -Aleks
Thank you...Aleks
Useful for me, thanks
Glad I could be of assistance. Thank you for your kind words! -Aleks
Thank you.
Thank you for your comment and I’m glad to help! 🙂 -Aleks
I had a lumbar spine surgery and i wanted to know if it’s ok to do low impact core exercises or more like pilates at home post 3 months surgery . Also do they normally take the hardware out after it’s healed completely after a few years?
It depends on the type of surgery and the preferences of each surgeon. Generally, you have a follow up at 6 weeks and 3 months to see how the status post operatively (if you had a fusion). After the 3 month follow up there are generally no concerns with you doing low impact core exercises but again I wouldn’t be able to know that for sure. Speak to the surgeon if you can at the follow up. No they don’t usually take the hardware out and it’s there forever unless there is a fusion failure (hardware pieces start to break down over time), then you may need another surgery. Hope this helps. All the best in your recovery! -Aleks
Is it advisable to do sitting and walking exercises 2 weeks after surgery? L5-S1 spinal fusion
Yes it is. Generally, unless there are specific medical reasons or restrictions not to do so, we would get individuals up the following day after surgery and get them walking and doing some light exercising. But of course, follow the advice of your surgeon to ensure there are no specific restrictions to the types of movement you can and cannot do. -Aleks
I had lumbar laminectomy and micro discectomy left L5-5, with L5 foraminotomy . Now been 5 weeks . Is it advisable to stand long hours? Standing walking aroud couple of hours. Thanks .
Hello Anvarjon, it depends on if the surgeon specifically has any restrictions following the surgery. Generally they would see you for a follow up after 6 weeks. However, if you didn’t have any hardware put in (no fusion?) then unlikely for them to do an X-ray to reassess. Most tissue healing takes anywhere from 6 weeks to 3 months. Generally it is advisable to use pain as your guide and slowly progress as able, taking breaks in between long periods of sitting, standing or walking. But I would say best thing is to chat with whoever did the surgery to ensure you have no specific restrictions (generally unlikely). Hope this helps! Not medical advice. Regards, Aleks
@@aleks_physio thanks for your advise . I'll take a note . I've been following to your video exercises which is really helpful . It gets better as you said day by day .
@AnvarjonTohirov-sp4lf thank you for your kind words. All the best in your recovery! Regards, Aleks