Low back surgery Physio rehab exercises
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- เผยแพร่เมื่อ 19 มิ.ย. 2024
- Spinal Physiotherapist Matt, runs through recommended exercises for after having low back spinal surgery.
These include general mobility, muscle activation exercises and nerve release exercises.
www.myphysiosa.com.au - กีฬา
A year ago now I had a bad fall and felt something in either my hip or lower back crack. Two days later my right leg was completely paralyzed. I went to the ER and they rushed me into surgery that day. I ended up severing a nerve cluster to my right leg and they were able to repair it to function again but I still have extremely little feeling in it. I can walk, I just cant tell if my bath is hot or cold or if my cat is clawing my leg. I've been scouring TH-cam for some exercise tips for rehab after the surgery and this video gives me a little hope. My lower back is still paralyzed and I have to use a walker just to get around. My legs work, my upper body works, but there's a disconnect at the waist where nothing works. Bladder, bowel, other important things. It's been life altering. I still get up and walk as often and as far and Im able to though. Going to try this routine out and hopefully regain a little independence.
Wow, keep fighting to gain more function out of your body! These are gentle initial exercises, so they are fine to try.
Best of luck with your recovery
Thank you so much Matt you explained these exercises really well.
Thanks!
Best I’ve seen! Thank you
Pam James Thanks!
Very ery helpful. Thank you Dr
Thank you so much
So very helpful especially the logic of getting the nerves to glide a very big thank you
Thanks, happy I could help
Thank you. Well explained, and easy exercises to understand.
Thanks, I hope they helped
Thanks your video it has a great deal of common sense.
Thanks, happy to help
Really useful. Havent been told to do anything other than walk for the first 4 weeks. I'm 9 days post l4 l5 microdiscectomy surgery and this will definitely help loosen you up.
How are you getting on now? I had MD at end of feb.. still getting a bit of pain in the hamstring area and buttcheek
Cheers
How long did it take you to walk decently?
Thank you so much brother
Hope it helps!
Thank you. It's nice to get some information about nerves.
Really helpful just completed my surgery 2 month ago and am getting better day by day
Great to hear. Speedy recovery!
your surgery was only remove the additional part of disk or all disk?
@Mohamed Roshdy I had an accident and damaged my L1to4, currently with a titanium rod. There's nothing like the original but Alhamdullilah.
Back surgery is a scam
Thank you so much for these easy stretches !!!
I hope they really help!
@@MyphysiosaAuAdelaide Thanks man.
I am a Korean physical therapist.
Your therapy video is helping.
thank you very much.
That’s great to hear. Thanks!
Thank you for your helpful and instructive guidance. I was diagnosed with lumbar spinal stenosis at multiple levels and had decompression surgery August 12, 2021 and have not as of yet received my physical therapy appointment. I have completed all steps with slight tension, but a good tension. I will update my progress. Today is 10/06/2021
Great to hear you feel on track and the exercises have been helpful. Keep it up. It will be awesome to follow your progress 👍
Did u undergo any surgery?
EXCELLENT GREAT 👍 JOB
This is excellent
Thanks. I hope the exercises help you.
Thank you old chap I just had a lumbar laminectomy very helpful😊
Thanks. I hope you have a speedy recovery!
@MyphysiosaAuAdelaide Any reason why I'm getting bad muscle spasms after lumbar laminectomy? In my lower back where operation was
.
Well explained
Thanks! Hope it helps you
This is very informative. Thanks. I had discectomy 2 weeks ago in Zambia. Am recovering well but i am failing to stand straight and my waist feels very heavy. The numbness on my butt and leg are disturbing my basic movements and exercises. Is there anything i need to do to help straighten me up and the numbness? Thank you
How are you now after a year?
hello.... is it possible to revisit this critically important topic, maybe a longer video with additional tips. Also maybe pre back surgery strengthening and building up of core muscles etc before lower spine is opened. Appreciate all that you and company provide.
Great suggestion Yes, we are planning on an additional video soon that will cover some of your topics. 👍
@@MyphysiosaAuAdelaide Fabulous thanks. I hope the YY 'algo is kind to you guys being over in my favvv country. I heard it pushes mostly US based content....Canada has masses of top tier content creators and still cant get 50,000 subs after years of daily or weekly uploads.
Thanks so much I will have my back surgery in 2 weeks
How r u feeling now?
@@Badad80
I am much better is being 3 months.
Now my muscle having more sensitive i feel sore , but that's nothing compared with my leg pain and the side of my body bcos i had scoliosis also.
Therapy help a lot .
I am walking like i didn't had surgery, but like i said since i have more sensitively in muscles i have a little pain in my lower back. (Sore)
@@ingridramirez4436 Good to hear the positive feedback and pray u get well soon, me too in similar position and have completed 2 months if my back surgery. Expecting therapy to help getting back to normal activities.
@@Badad80
Therapy help a lot at home also.
Eat a good healthy meals protein very important.
Good luck
What should i do if i have pain of sciatica after surgery?
Hi Matt, I had open decompression L4/L5 laminectomy 12 months to relieve severe spinal stenosis. I walk comfortably but find my balance is off. Also where I once could squat down and stand up again pre-surgery, I now find my legs aren't strong enough to support that action. What can I do to build strength in my legs without hurting my back?
We actually use sit to stand chair squats a lot in our rehab programs postoperative. They are safe and are very functional. Start with x10 twice a day, use a higher chair to start with , and just touch your bottom on the the seat then come back up. Best of luck 👍
Just out of microdisectomy this morning- this is great but it would better and safer to give a time line with this, first week, second week… .
Wishing you a speedy recovery. These exercises can be started from hospital discharge as tolerated, and continued up to the about the six week mark.
Best of luck
Any tips on getting up from the ground?
I usually get up In the lunge position with one leg ahead and other bend on ground, how r u doing now?
I will be having a coflex placement at L4/5 next wk. When can I start strengthening and stretching exercises?
Let’s wait until your surgeon advises you next week. Each has their own protocols for when to start and which exercises to do.
The exercises we show in our video are just general in nature and can be started within the first week postoperative as tolerated. 👍
how long after the surgery should I wait before starting the exercises?
Your surgeon should advise you For our patients we start them gently by Day 3 👍
Hi! I am two weeks post op TLIF surgery at L4-L5 levels. Are these exercises suitable after spinal fusion?
Yes, these are gentle spine and nerve mobility exercises. Give them a try, making sure they are pain free during and after. Let me know how it goes 👍
@@MyphysiosaAuAdelaide Thanks a ton! Will try them out and surely keep you updated.
After surgery one month do exercise
I have my back fusion surgery on Thursday
Best of luck!
Hi, 4 days post op in the UK. Can you please let me know how may reps and how many times a day you ought to do these exercises, specifically for the nerve glide)? Many thanks.
Hi, in the first 2 weeks we recommend doing these up to 4 times per day but only do 5 reps of each. From 2-4 weeks it can be twice daily 10-15 reps each. Make sure they are pain free and comfortable to do. Best of luck with your recovery 👍
That’s wonderful. Thanks so much for taking the time to respond. Much appreciated 😊
Did they not show you and give you a leaflet before they discharged you ?
When you do the move around the 4 minute mark standing exercise nose out. If that hurts in the lower back would you think that is an issue with L5S1 disc? I had fusion L4/L5 a year ago and when I stand it kills, anytime my back is not perfectly straight. Even when I try and roll over in bed it hurts, but I think it might be the disc below the one I had surgery on. What are your thoughts and thanks for the video.
Hi Brad, there are a few structures in that area that can give you that pain. Do you have leg pain/symptoms as well?
@@MyphysiosaAuAdelaide I get some pain here and there in my right leg but nothing like the sciatic pain I had before the L4/L5 surgery. I had another surgeon look at my MRI and he says I have annular tears? My neurosurgeon said he does not operate on Annular tears but most Orthopedic Surgeons might? I was told 4 years ago I would be back to doing what I was doing physically and now feel like I am 80 years old. Anything I do other than walk hurts my back now. Thanks for any advice.
@@KBradAdams Mmm, you have a complex presentation. Having a customised slowly graded exercise program that includes flexibility and strength exercises that can help you regain your normal movement patterns and your confidence to move is your best non-surgical option. I recommend you find an experienced spinal Physical Therapist in your area and give it a go for a few months. Best of luck. 👍
@@MyphysiosaAuAdelaide yeah doing anything other than walking brings pain to my lower back and side of right thigh. I believe the L5/S1 disc was bulging even when I had the microdiscectomy at L4/L5 then after rupturing it again and having it fused, I feel it’s even worse now I would have hoped it would have healed. When I do anything like unloading a dish washer bringing in food from car. Basic sweeping the floor laundry it hurts the rest of the day. The fusion at L4/L5 looks great on CT so can’t imagine it’s not the L5/S1. Do annular tears heal from PT or does it just help. Before back issues I was super active competitive in Brazilian JiuJitsu now look 80 just trying to get off the floor after basic PT. I’ve tried Stuart Mcgills big 3 with no improvement although I know my back and core is stronger but when my spine moves or is not straight I am in nerve pain. I’ll give it more time and see how I progress. Appreciate the input! Thanks
@@KBradAdams if it is an annular tear that is giving you these issues it is tricky. Sometimes they just do to like taking any flexion loading. If core work and normalising your movement patterns doesn’t help enough, then it’s back to your surgeon ? Fusion is an option.
Please tell me when to start I did surgery on l4l5 four days ago
We get our patients starting these in the first week if they have their pain under control and are ready to get mobile again. Just start gently and make sure they are pain free. 👍
hello, how soon after surgery can these exercises be done?
It can depend on what type of surgery you had. But for the majority of people these are usually fine to start by day 5 postoperative. 👍
Is it normal to still have a bit of pain in the hamstring area and buttcheek? It’s been nearly 5 weeks since surgery
It’s not uncommon for symptoms to take up to 12 weeks to steadily improve. Chat to your surgeon at your six week checkup. Best of luck with the rest of your recovery 👍
I have a surgery two weeks ago. I still have a little bit pain in the leg (foot and calf). I was told that this pain should gone in 3 to 6 months (nerves took a little bit longer to fully recover).
can i do chair dance as in slow upper body shoulder circles lateral arm raises , heel /toe raises, leg side to side lifting leg just a few inches off the ground? v
You can, as long as it’s pain free and feels comfortable 👍
@@MyphysiosaAuAdelaide thank you for your reply all the exercises you show are very clearly explained
Thanks for this great video!
How long after a microdiscectomy in a 16 y.o. athlete, could these exercises get started? Thanks for your reply!
Everyone is different with their recovery. Most people though can start these within a few days. They just need to feel comfortable to do and be started gently. 👍
Dear Matt,
I have gone through lumber disectomy of L4-l5 and L5-S1.It has been 20 days now but my numbeness is still the same with a very minor change to normal.please guide me what should i do to make it normal.
20 days is still early. It can take months for your sensation to improve. Hang in there and do your exercises and keep moving. It’s very likely you will improve over the coming months 👍
Im a hairstylist, bending and twisting my back is part of my job. I had the lumbar discectomy in L4-l5 done 2 days ago, I can walk without too much pain, driving or sitting is uncomfortable. How many days should I need rest before I go back to work. Last thing I want to do is herniate my disc again
Your surgeon will advise you around returning to work when you have your first review with them. Typically, people have 2-4 weeks off work , depending on their type of job and how they are recovering from surgery
Best of luck
Which week after operation can u start this exercises?
With our surgeons protocols we start these exercises for most people after 1 week. Always best to get the ok from your surgeon if you are unsure you are ready to start them this early. Best of luck
Hii sir.. My mom had open L4 laminectomy and forminectomy in the last week. Dr suggested to do physiotherapy like back , gluteal, and hamstring muscle strenthining exercises.. Is these exercises are helpful to my mom
Hi, yes these are gentle exercises to start the spine moving again. After 6 weeks you can then start some strength exercises. 👍
@@MyphysiosaAuAdelaide tq..
I have undergone spine surgery four years ago but I have lower limbs weakness with no pain.I can walk but not in a straight posture .If I resume to physiotherapy will I be able to walk upright and run????
Hi, we always encourage patients to keep working on their strength and conditioning. Over time it often improves. Getting the right guidance is important , so seeing a Physio is good idea. Best of luck
Hello, I had my l5 s1 microdiscectomy down just under 2 weeks ago. I feel so much better but when I do the 4th exercise (head back leg up) I feel nerve pain and can’t get my leg any higher. Is this normal? Thank you
Yes, it’s a sign there is still some nerve tension. This can take many weeks to improve. Keep the exercises going but don’t push into any discomfort. Best of luck with your recovery
I have nerve pain in my calf, back of my thigh and buttock. Is this a normal part of the recovery?
@@katiehutchen4356 is it the same area’s as pre surgery?
Hi , I have gone through lamentomy and desectomy for l4-l5 herniated disc. It's been 3 months but my feet and last two toes and butt chicks are numb. May I know the reason? But doctor told me it will take 1 year for nerve to be heal? Iam also having severe back cramps. Help me please
Your surgeon is correct, it can take many months for the nerves to recover after being compressed. Hopefully over the coming months you feel some gradual improvement.
Try to focus on becoming more active and conditioned as tolerated. Being able to do more things you enjoy is the best way to feel better 👍
I had a Spinal tumor (Schwannoma) at L2 L3 region and gone through a surgery. It has already been 9 weeks but i still feel pain around my lower back when i sit/stand/walk for about 45 to 60 minutes. Is it normal? Will it get better with time? It is really troubling with my daily activities.
Note: I do not have other problems from surgery.
Some back pain still after 9 weeks is quite normal. Most people postoperative can have pain for up to six months. Hang in there. Pace yourself with your activities and listen to your back. Rest when you need to but keep up the exercises daily. 👍
i have done spine tumor surgery schwannoma t1l1 region sep 22 hill and buttock numbness still have
@@kamlochankarma9658 it reduces with time. I too had numbness below right buttock down to feet. Now i feel minimum numbness. Keep doing physio.
Hello sir,
My younger brother fell into the canal from his bike . After MRI report, the doctor told me that his two bons of rib are fractured and nerve is damaged so spin surgery must be done. Now 2day spent, but lower limbs are not working, only he feels when someone touch but sir , ankle and down its parts , he does not feel when someone touches.
Please sir suggest me. I am from Bihar in India.
Hi, sounds like he has a serious injury. Best to listen to your doctors and follow their advice on the best treatment for him. Wish him best of luck for a speedy recovery
I had undergone bilateral D11 L1 screw fixation due to D12 vertebral fracture after an accident. My doctor advised me only walking as an exercise. The accident is before 1.5 years but now I am unable to do normal household activities and even unable to travel for a small distance due to severe back pain and leg pain. Can stretching and strengthening exercises help me? Please respond
Hi, it’s worth a four week trial of doing these exercises and see how much it helps. Your back will be sensitized and you will need to start the exercises very gently and only only do a few repetitions of each to start with. Try them x2/day. Let me know how it goes. Best wishes
Thank you sir for your advice🙏
Hiii Sir... i am from india and I have had lumbar surgery twice in L4 L5 . The last operation was 2 years ago so everything is normal but I feel my back very tight so what can I do for it? Please suggest me
Hi, search our channel for back stretches, we have some great video’s with safe stretches for you to try 👍
@@MyphysiosaAuAdelaide ....Ok Thank You 😊
I have a C7-T1 laminectomy two months ago still I have a stifness in my 1 leg. I am taking medicine for it still I am not feeling good. Plz help me
If you have leg tightness or pain still, then try this sciatic nerve stretch. David
th-cam.com/video/eEGzMmEmRqw/w-d-xo.html
It’s been six months since my wife underwent l5s1 mis tlif surgery
But she still feels pain in her back
What can she do better to relax her back? And get relief in her lower back
Thanking you in advance
These exercises could be a good start.
Surgery is usually to help leg symptoms but there can be residual back pain.
Keeping your back flexible and your core strong is the best way to manage your back.
Check our other videos to get more exercises. Best of luck
Informative Sir,
I had L5S1 surgery on 12oct’21. (PIVD, spine canal stenosis 3mm diameter) Now I am taking physiotherapy & walking but since last day I am feeling nerve pain in right leg. Concentrate behind knee & one point in hip… is it normal????
Hi, nerve pain into the leg is common after back surgery. It usually settles over the first few months. There are nerve medications that can help. Let your surgeon know about your leg pain. Best of luck with your recovery 👍
@@MyphysiosaAuAdelaide Thank You So Much Doc! 😊
Hi, I had similar surgery a week back. I feel pain behind knee and one point in hip ; It is sometimes more and sometimes less. Can you suggest how did you deal with this?
@@ManaKathalucanada Yeah, it's very common for few months. You should walk daily and use hot pack. It will be settle itself with time.
@@adeshgoel9502 Sure, I will do that. Thanks for responding ❤️
Sir I have l4l5s1 surgery two weeks before
I did that exercise but after doing that exercise there is a pain in my calf and my calf become so tight
Kindly tell me what is the reason of this
It’s always best to review with your surgeon if you develop any new symptoms in the early stages after surgery. Some nerve irritation after surgery is a common issue. It usually resolves by itself. 👍
What if my disc herniates again with this exercise. Thats what worries me.
Anon Anonymous they are gentle exercises and if you do them pain free they are safe. Getting your spine moving is super important. 👍
Thanks for your reply, my left leg and foot is still numb its been a month post OP. I'm trying to follow this exercise daily. ThankYou
@@Anonymous78666 the numbness would remain for 2 months nearly and by passing time it will be fine.. happened the same to me.. I operated in 2019..
@@sayemahali542 sorry to ask, did you have back pain after surgery? Its 7 weeks from surgery and I am worried as I have pain somedays... thanks in advance
👍
I have had 2 fusions and now L3 and 2 are ruptured. Its hard to move my back due to all the hardware.
Any ideas?
Hi, you have a lot of history by the sounds of it! The basic advice will always hold true, that is, you need to keep your spine mobility as good as possible so that you can keep your function ie sit, get on off chair or toilet, get shoes on etc
These exercises are great for maintaining basic function.
They do need to be pain free during and after though. If they aren’t and you have tried them gently, then I recommend you see a Physio who can review your mobility and try some other exercises. Best of luck.
Lamenectomy had done with titanium on my l4__l5__S1 in Calcutta on 19_01_2011, left sided pain stopped but I'm feeling very weighty since then.Hospital physiotherapist was advised some exercise to follow but no result. Then doctor suggest me to visit a pshichiatrist, since then I am taking venlafaxine150, libotrip,yet no result. Kindly advise me some exercise so that I can get relief. Thanking you.
Hi, do you have any leg symptoms?
@@MyphysiosaAuAdelaide yes,during walking I was feeling so much pain from buttok to left leg which was intolerable.
@@ganeshchakraborty5485 okay. The exercises in this video should help, plus do the below sciatic nerve stretch video for your left leg.
Let me know how it goes. Best of luck
th-cam.com/video/szJY-4YH56g/w-d-xo.html