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 postoperative 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 17: 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 612
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 19: 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, bigbox 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.
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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.