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
I went through the same about 3 months ago. Only one side, I had bilateral herniations, but the left side was worse so we discussed that. I was walking day 1, doing my stairs and walking a lot. I didn't clock it but it was a lot, I hate sitting. I have walked miles, and just got to doing low weight workouts. Tried doing standing squats with low weights and hit 5 and bam! No more weights for that anyways now. Didn't have much disc pain, and wouldn't have needed any meds for that. But, where they went in, they went through about 4 inches of muscle to get to the discs and that was miserable for 2 months. I took 3 weeks of meds, and have dealt with it since. There is still a bit of pain, like working out or doing certain things that are strenuous. Just got to be careful. Unfortunately, I also have the other herniation I am going to have to deal with next, and that's the same disc other side. Worried they may want to fuse it. Also have facet issues
I had a fusion L4 L5 four month ago Still aching in the low back Cannot sleep on my back unless with 45 deg pillows Walking, half push ups on knees and front bending pick on floor are the best exercises for me
Good that you are finding what works best for you and what doesn’t. Residual pain post surgically is common and the length and intensity of it varies noticeably from person to person. Continue to follow up with your surgeon as needed. -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
Great information. I had L5-S1 fused on 10/29/2024, there was pain and nerve compression. I had L3-L5 fused 10 years ago, and it changed my life for the good. I am 6 weeks post-op from my last fusion, and I don’t feel like I have had surgery at all. The surgeon shortened the rods at L5, so now I am fused at L3-L4 and L5-S1. I am very careful to not twist or bend too far over. I want to keep my core muscles strong during my recovery. I have worked out on a regular basis for the last 10 years, walking, lifting free weights(not too heavy, (3lb-8lb). I like the pelvic tilt, and straight leg lift, is the bridge exercise ok to do as well?
Hi Michelle, I would follow the instructions of your surgeon and Physio as to exercises to avoid and do. Generally, bridges are appropriate to perform post surgically. As always, use pain as somewhat of a guide and slowly build your tolerance based on how you’re feeling and the 24 hr period after. Follow up as needed. Hoping for a speedy recovery and thank you for sharing your storey. -Aleks
I had a spinal fusion in my thoracic spine D9 ( D7-D11) due to a car accident. Do you have any videos specifically targeting the thoracic spine ? I found a lot of videos regarding lower back, Lumbar rehab exercises but cant find exercises related to mid back. Please help !
Hello, I don’t have any specific videos regarding exercises following mid back surgery. I do have some general mid back exercises for aches and pains however. I will take your recommendations and make a video post thoracic spine fusions in the near future. Thanks for your feedback. -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
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. 😀
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
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
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
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
I had L4-5 microdiscectomy surgery on Tuesday (12/10). Is it OK to start these exercises for mobility a few days later? I worry about putting pressure on my back/ incisions (I'm a larger woman, so there's lots more body fat back there). I've been walking in 15 min spurts 2-3 times per day, since Wed. I am having continued pain/numbness in my left leg, which is a bit disappointing, but it is less than what I experienced prior to surgery.
These were the exercises that we prescribed to our patients when I worked as a Physio on the spine floor for individuals like yourself after surgery. Of course, each individual surgeon might be slightly different in terms of their recommendations, but if there were no issues during surgery and no specific restrictions, then I don’t see how these would affect your recovery. Regardless, please chat with your surgeon if you have any concerns. I would’ve hoped they would’ve given you some things to work on. But at the same time, I would argue that short walks throughout the day are your best bet. Note: The tingling that you’re experiencing can vary in terms of how much relief you can get. Some get none, some get a lot of relief. Nerve recovery can vary quite a bit and surgery isn’t generally initially recommended for tingling so it’s hit or miss if it’s helps when done. Hoping for a speedy recovery! -Aleks
@aleks_physio Thanks for responding. The only instructions I was given was to 'walk aggressively' with the target being 1 mile per day. I was not even doing that prior to surgery. So, I'm doing the best I can and listening to my body. Surgery was recommended due to my severe sequestered disc herniation, which caused immense pain down my left leg and foot drop/muscle weakness/numbness.
The goal from a walking perspective is generally short frequent walks versus a long walk. Yeah one mile would be difficult if that’s something you weren’t even doing before. I think it’s easy to make a blanket goal without knowing your initial health and fitness levels. Each day try to slowly build up as needed. -Aleks
Hang in there. Follow up with your surgeon as needed. Generally, a walking program is advisable as pain becomes better controlled in order to help with mobility, function and weight management. See a Physio. -Aleks
Remember this isn’t medical advice. See your family physician. I don’t know you not do I know your conditions after surgery. This is just general education only. -Aleks
Generally I tell people to gradually wean off of it so you don’t become dependent as you get more and more comfortable without it. But speak to your Physio to determine if this is right in your specific scenario! -Cheers, 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
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 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
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!
@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!🤙
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
Hi sir i have low back surgery it's being 1½ year when i try to stand with stand and mom help my knees are bending,no strength in knee ,what can i do sir. From d11 below to c above operation sir
Were there any issues during the surgery that would have affected your strength? How was strength before surgery? I would recommend following up with surgeon and seeing a physiotherapist to see if there is a window of opportunity to help build your strength and function. Hang in there. -Aleks
@aleks_physio no sir surgery is done good ,as it is critical surgery i learned sitting for 1 month and after 2nd month to I'm trying to learn how to stand ,with the help of caliper I'm walking good if anyone stand beside me .but without caliper I'm not standing my knees are bending sir please suggest any exercises sir please
@aleks_physio no sir there is no problem in surgery, before surgery i walked happily and done my works after surgery if I learned sitting in a month and after 2nd month I'm learning how to stand and I can walk with calipers if anyone is beside me , but without calipers I can't stand if anyone holds my knees lightly I can stand but without mean knees bending sir , please sir suggest me exercises or food to get strength in my knees .how many hours a day hardwork I have to do ?
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
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
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
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 .
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 went through the same about 3 months ago. Only one side, I had bilateral herniations, but the left side was worse so we discussed that. I was walking day 1, doing my stairs and walking a lot. I didn't clock it but it was a lot, I hate sitting. I have walked miles, and just got to doing low weight workouts. Tried doing standing squats with low weights and hit 5 and bam! No more weights for that anyways now. Didn't have much disc pain, and wouldn't have needed any meds for that. But, where they went in, they went through about 4 inches of muscle to get to the discs and that was miserable for 2 months. I took 3 weeks of meds, and have dealt with it since. There is still a bit of pain, like working out or doing certain things that are strenuous. Just got to be careful. Unfortunately, I also have the other herniation I am going to have to deal with next, and that's the same disc other side. Worried they may want to fuse it. Also have facet issues
Thank you. One of the very challenging phase of my life right now. I had spine fusion. This vedio is a great help.
Thank you for your kind words. Hoping your recovery progresses along without complication. Cheers, Aleks
Nice information, Thanks!
Thanks for the kind words! -Cheers, Aleks
I had a fusion L4 L5 four month ago
Still aching in the low back
Cannot sleep on my back unless with 45 deg pillows
Walking, half push ups on knees and front bending pick on floor are the best exercises for me
Good that you are finding what works best for you and what doesn’t. Residual pain post surgically is common and the length and intensity of it varies noticeably from person to person. Continue to follow up with your surgeon as needed. -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
Great Video..... Respect
Thanks for your kind words! -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
Great information. I had L5-S1 fused on 10/29/2024, there was pain and nerve compression. I had L3-L5 fused 10 years ago, and it changed my life for the good. I am 6 weeks post-op from my last fusion, and I don’t feel like I have had surgery at all. The surgeon shortened the rods at L5, so now I am fused at L3-L4 and L5-S1. I am very careful to not twist or bend too far over. I want to keep my core muscles strong during my recovery. I have worked out on a regular basis for the last 10 years, walking, lifting free weights(not too heavy, (3lb-8lb). I like the pelvic tilt, and straight leg lift, is the bridge exercise ok to do as well?
Hi Michelle, I would follow the instructions of your surgeon and Physio as to exercises to avoid and do. Generally, bridges are appropriate to perform post surgically. As always, use pain as somewhat of a guide and slowly build your tolerance based on how you’re feeling and the 24 hr period after. Follow up as needed. Hoping for a speedy recovery and thank you for sharing your storey. -Aleks
I had a spinal fusion in my thoracic spine D9 ( D7-D11) due to a car accident. Do you have any videos specifically targeting the thoracic spine ? I found a lot of videos regarding lower back, Lumbar rehab exercises but cant find exercises related to mid back. Please help !
Hello, I don’t have any specific videos regarding exercises following mid back surgery. I do have some general mid back exercises for aches and pains however. I will take your recommendations and make a video post thoracic spine fusions in the near future. Thanks for your feedback. -Aleks
@ Thanks Aleks for doing the great job.
Happy to help!
Thank you.
Thank you for your comment and I’m glad to help! 🙂 -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
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 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
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
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
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
I had L4-5 microdiscectomy surgery on Tuesday (12/10). Is it OK to start these exercises for mobility a few days later? I worry about putting pressure on my back/ incisions (I'm a larger woman, so there's lots more body fat back there).
I've been walking in 15 min spurts 2-3 times per day, since Wed. I am having continued pain/numbness in my left leg, which is a bit disappointing, but it is less than what I experienced prior to surgery.
These were the exercises that we prescribed to our patients when I worked as a Physio on the spine floor for individuals like yourself after surgery. Of course, each individual surgeon might be slightly different in terms of their recommendations, but if there were no issues during surgery and no specific restrictions, then I don’t see how these would affect your recovery. Regardless, please chat with your surgeon if you have any concerns. I would’ve hoped they would’ve given you some things to work on. But at the same time, I would argue that short walks throughout the day are your best bet. Note: The tingling that you’re experiencing can vary in terms of how much relief you can get. Some get none, some get a lot of relief. Nerve recovery can vary quite a bit and surgery isn’t generally initially recommended for tingling so it’s hit or miss if it’s helps when done. Hoping for a speedy recovery! -Aleks
@aleks_physio Thanks for responding. The only instructions I was given was to 'walk aggressively' with the target being 1 mile per day. I was not even doing that prior to surgery. So, I'm doing the best I can and listening to my body. Surgery was recommended due to my severe sequestered disc herniation, which caused immense pain down my left leg and foot drop/muscle weakness/numbness.
The goal from a walking perspective is generally short frequent walks versus a long walk. Yeah one mile would be difficult if that’s something you weren’t even doing before. I think it’s easy to make a blanket goal without knowing your initial health and fitness levels. Each day try to slowly build up as needed. -Aleks
I had a T12 spinal fusion over 2 months ago I have put on weight I used to be a weight lifter
Hang in there. Follow up with your surgeon as needed. Generally, a walking program is advisable as pain becomes better controlled in order to help with mobility, function and weight management. See a Physio. -Aleks
@@aleks_physio thank you for your advice I haven't had my appointment to see my surgeon yet
@@aleks_physio I do have pain I try and walk as I can until my body tells to stop
Keep me posted on the outcome.
@@aleks_physio ok thank you will do
I have surgery 2 times. In second time surgery both lower limbs weak. How can I do these exercises?
Remember this isn’t medical advice. See your family physician. I don’t know you not do I know your conditions after surgery. This is just general education only. -Aleks
Can i contininue using corsert belt after 8 weeks of spine sugery
Generally I tell people to gradually wean off of it so you don’t become dependent as you get more and more comfortable without it. But speak to your Physio to determine if this is right in your specific scenario! -Cheers, 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
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 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
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!🤙
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
Hi sir i have low back surgery it's being 1½ year when i try to stand with stand and mom help my knees are bending,no strength in knee ,what can i do sir.
From d11 below to c above operation sir
Were there any issues during the surgery that would have affected your strength? How was strength before surgery? I would recommend following up with surgeon and seeing a physiotherapist to see if there is a window of opportunity to help build your strength and function. Hang in there. -Aleks
@aleks_physio no sir surgery is done good ,as it is critical surgery i learned sitting for 1 month and after 2nd month to I'm trying to learn how to stand ,with the help of caliper I'm walking good if anyone stand beside me .but without caliper I'm not standing my knees are bending sir please suggest any exercises sir please
@aleks_physio no sir there is no problem in surgery, before surgery i walked happily and done my works after surgery if I learned sitting in a month and after 2nd month I'm learning how to stand and I can walk with calipers if anyone is beside me , but without calipers I can't stand if anyone holds my knees lightly I can stand but without mean knees bending sir , please sir suggest me exercises or food to get strength in my knees .how many hours a day hardwork I have to do ?
@aleks_physio ok sir thank you
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
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
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
I have seen your video which could be better positioned by SEO.
Probably!
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
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