Lumbar Fusion Recovery Physical Therapy Rehabilitation Step by Step Guide
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- Опубликовано: 2 июн 2024
- Lumbar Fusion Recovery Physical Therapy Rehabilitation Step by Step Guide
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Meeting with a physical therapist before and/or a few days after surgery is important so specific direction can be given on when to begin various types of exercise.
Because of these variations, some exercises may not be appropriate for all patients. The surgeon's technique and the patient's individual diagnosis will influence what rehabilitation should be done.
While the program will be different for each patient, here is a general guideline for post-operative spine fusion rehabilitation that should be customized for each patient.
Week 1: Start Rehabilitation and Exercise
A surgical team will typically advise a patient to take short walks and do gentle stretching during the first week after surgery.
Day 1: Limit Exercise to Short Walks
The patient must move frequently beginning the first day after surgery. The patient should walk as often as the surgeon allows, to the point of minor aching, but stop if there is any sharp pain.
Days 1-7: Start Stretching
For all stretches, patients should feel the stretch, but never to the point of pain, If a patient feels pain the stretch should be stopped.
Stretching the hamstrings and quads
A nerve stretch is achieved by lying on the back with legs on the ground, and slowly lifting one leg until a stretch is felt in the back of the thigh and through the hip. While supporting the raised leg with hands behind the knee, pump the ankle while holding the knee still.
See Spinal Fusion Surgery Recovery: 1 to 3 Months After
Patients can add more rigor and variety to their routines by using an exercise ball or resistance bands.
The exact timing of when a surgeon will recommend adding dynamic exercises is dependent on both the quality of stability achieved at surgery and the surgeon's own personal preference.
Guide to Dynamic Exercises after Spine Fusion: Weeks 6-12
Because these exercises allow for motion of the trunk, many times they incorporate use of an exercise ball into the program.
Do these exercises on a yoga or gym mat. If you don’t have a mat, try doing them on a rug or carpet.
Weeks 1-9: Include Static Stabilization Exercises
These movements are described as "static" because they are done without moving the trunk. They should be completed by moving arms and legs while avoiding any rocking or arching of the lower trunk.
Stretchy elastic bands called resistance bands are commonly used for strength training and physical therapy. They are sold in sports equipment stores, big-box stores, and online.
When using an exercise ball, maximizing the range of motion is not as important as staying in control, which takes practice if a patient is not familiar with using an exercise ball.
Please leave a comment for any specific question with this video.
#lumbarfusion #rehabiliation #backpainrelief #flexibility
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Annie Pilates Physical therapist , recommend you consult with a physician before starting any exercise program. The exercises give here are not meant to treat, diagnose medical condition. Please stop if you have any increasing pain or discomfort. You understand that any physical activity can pose a risk and this channel you assume all risk and injury, you are voluntarily participating in these activities, assume all risk of injury to yourself.t meant to treat, diagnose medical condition. Please stop if you have any increasing pain or discomfort. You understand that any physical activity can pose a risk and this channel you assume all risk and injury, you are voluntarily participating in these activities, assume all risk of injury to yourself.
Hello Pilates and Yoga Lovers! I will be re-launching my Back Master Class soon this April! Here is the 6 part video series to learn more ruclips.net/p/PLvpHteEYSr2-RXpZzEkH3tQIgdAnJytzV
Back surgery is a scam
I'm 20 months post surgery, and have never been offered PT. I'm recovered, but I do have reduced mobility. Thank you,
Finally perfect help.after my surgety ..thank you than i find you!
hi dear annie! thank you for the exercises. you stay fab! xoxo!💖✨️
Thank you so much for this great video.
excelent video ! very informative !
Hi dear friend! Thanks for sharing. Have a great day!❤️😊👍16
I love the idea of doing bird dog with the ball. That's one of my big problems, I'm just not strong enough. (I'm post op 15 years) Strengthening my core has been super painful and not one physical therapist has suggested this. Thank you!
Really good info
Thank you so much. This helps a lot.
Thats great to hear
Thank you!!
❤️🙏👍
I love you, it was awesome
What awesome exercises
❤️🙏👍
Thank you so much I did not get that when I was doing my physical therapy you do a great job
Thank you
Thank you 🙏🏼
Welcome ❤️🙏👍
Any video on therapies and exercise for foot drop?
Great video , very sweet lady , I thank you ! Bob M .
Thank you for sharing this beautiful and Absolutely great Physical Therapist work you do and fabulous video and the awesome so beautiful footage you played my dear beautiful friend Annie keep safe have a beautiful Day Much Love from Huggie xoxo
Awe Thank you
Watching ma'am
Wow this is very informative sis. We are learning so much through your vlog.
❤️🙏👍
You have a video but for ACDF?
This is my 11 week, and doing walking
This was awesome...do you have a video for the second trimester.. week 12 -24? plesase point me to it..thank you
Wow! I am on day 25 of my MIS TLIF of L4-L5-S1 and was wondering what I could do in the healing process as there wasn’t much information given to me outside of no BLT and walking some. Not sure how much I should or shouldn’t be doing as some of these exercises seems like it would help especially with the nerve regeneration.
See your local physical therapist to evaluate your strength and ask clearances from your doctor before proceeding to my program
I had spinal decompression and fusion surgery with 3 titanium lmplants in February 2022. Got partial numbness in my rightfoot, and pains/cramps on same leg. Stiffness around the surgery area. Please what exercise would help me? Please.
I had a lumber spine fusion and i do the exercises thst was given to me. But i get a lot of pains on my sides and numbness in my right foot please tell me whats good for me .thank you
How to sleep with a S curvature...the C curve is towards right so the hollow is on left...and also straightening of cervical spine. Pls help as if my neck feels OK...my collarbone area doesn't feel OK and vice versa.. How do I sleep on my back? Can't sleep on sides right now as I have an injured left arm ..pls help?
I am fused from S1 to t10. What kind of excercises can I do? I am 8 months after surgery and can't get better
What is a loombar
Can you do an online video consultations pls? I'd love to get some advice from you...
Yes I have the back master class , I will be re-opening it again for new students this April , here is the link to sign up for the early bird waitlist www.backmasterclass.com/google-compliant-opt-in1593164697549
See you soon
@@AnniePilatesPhysicalTherapist any one to one consultation?
@@musicallife3981 it is a group Zoom
I am 5 months post spinal fushion, an extension to a previous fusion. I am waking every night sometimes many times with waves of sensation running through my pelvic area and down both legs, quite painfully. Any ideas what they are and can I exercise them away? Any advise please
Nerve issues, see your neurologist promptly. And overtime you can exercise it away with medical guidance
@@Si_mma I don’t have a neurologist. I do see my orthopaedic surgeon in the new year, but he already knows about these sensations as I woke up after surgery with these symptoms. Nobody seems particularly concerned about them
@@willow9790 he’s obligated to provide you answers or refer you to a neurologist. I’m dealing with the exact thing. 7months lost second spine fusion.
@@Si_mma ok thank you. I will push for a referral to a neurologist. I am in the uk so I don’t know how successful I shall be, but I won’t give up
Yes Champ, we stay fighting, go at them hard but respectfully and insist on getting to the root of it hence it’s complication from the surgery.
Is this safe for heirnated discs
Depends on your disc herniation . I can Help you with my back Master Class link on my description
@@AnniePilatesPhysicalTherapist ok thank u just submitted
Lying on our back to do any of that is impossible.
I would definitely check with your surgeon and physical therapist before doing anything and then follow only their protocol exclusively. Some of these are more advanced than what has been indicated that I should do. I will be in a hard back brace for a minimum of 4 months and will not be getting down on the floor to do mat exercises for quite some time. Surely she meant to do these from a bed or chair, which is how they should be demonstrated. She does say to check with your doctors, but please don’t do any of these without getting specific clearance from your surgeon and your physical therapist who should be working in conjunction with your surgeon.
True!
She literally kept saying & repeating to check with ur Surgeon , as well as everyone is different, listen next time
@@drealomeli1020 I listened all the way through. If someone isn’t clear about their surgeon or PT after spinal surgery, it should come from the surgeon, not videos one finds on RUclips. Most of these are contra-indicated for spinal surgery early on. And she acknowledged that as well, but many people who get spinal surgery don’t have adequate help or guidance, so my comment is not about her, but about the first and foremost need to check with your surgeon. Since RUclips is a public space, I an entitled to my opinion on this topic and my intent is to add my thoughts on the clarity of the message. I’m sure you want that as well.
😰👍👍👍
What the HELL?? WHY IS A BELL RINGING???
OUCH DON'T GET FUSION
Yes ! I regret mine 4months ago..I'm in worse shape than before...I can hardly walk and in excrutiation pain 😫 my MRI last week showed everything is good and xRay shows the hardware is good . So I don't know..I'm waiting for physio now.
Back surgery is a scam!
Nerve injury ruined me
I was told not to start PT until after my 12th week to make sure the bone growth around my fusion, I can't even bend my legs enough to put on my own shoe's, my legs are very sore and what I find strange is that my heels hurt a ton, any advice on that? until I can actually see a PT, it makes it very difficult to even walk. would love to be able to go back to work sooner then later. said noone ever but I've been off work for 6 months. thank you for your video!
When it is safe to climb steps after spine surgery.. Which week month