Doctor insights on:
Lumbar Fusion Physical Therapy Protocol
How painful is recovery from lumbar fusion surgery? Will I need pain medications to deal with lumbar fusion recovery? How long will the pain last? .
Very: Most people need pain meds for 2 weeks to 3 months. ...Read more
Surgery to cause 2or more lower (lumbar) spine segments to be joined together through a growth of bone initiated by placement of bone tissue or graft taken from patient or from a donor source or even a manufactured source which could include: bone growth proteins and particulate structures that act as scaffolds for bone to grow on & may include implants or instrumentation ...Read more
Lots of variables: Most doctors wait about four weeks before starting physical therapy after an acdf. Depending on the level of the surger, yphysical therapy activities will vary. Because of the long period of convalescence after a fusion like this, patients usually have compromised stamina, so treatment may include exercise to improve core strength. This is a good place to learn more: http://tinyurl. Com/p2z8ud. ...Read more
How soon following a lumbar fusion do guidelines tell you that you may begin interventional pain therapy. My last surgery was a salvage procedure.?
Strengthening, etc: The cornerstone of therapy protocols following hip and knee replacement centers on gait training and strengthening. Hip replacement patients should focus on walking, abductor and gluteal strengthening, while knee replacement patients should focus on range of motion of the knee, quadriceps strengthening program. ...Read more
Weeks: After deep tissue surgery, 6 weeks of restrictions apply. This does not prevent you from exercising while lying on your back - weights, legs, arms. Walking is not restricted. You can exercise in water after the wound is healed. Pleased to hear you are motivated to stay fit. Physical therapy will be helpful if you have mechanical problems with the area that needed surgery. ...Read more
Yes: Physical therapy helps with muscle relaxation and can realign the skeletal system. I the symptoms are not improving with therapy, adding medications (muscle relaxants and anti-inflammatories, among others) can help. If symptoms not responding to above, consider imaging, usually an x ray and possibly an mri. ...Read more
This can range from: None with just home exercises such as walking progressing to stretching and core strengthening over a few weeks to full activities by 12 weeks to a guided pt program basically providing the same with the addition of modalities such as heat, ultrasound, massage and muscle stimulation and reinforcement and encouragement. ...Read more
How long after surgery for having deep intramuscular lipomas removed from lumbar both sides should I have physical therapy thank you?
I just had PT for my back because my spine and lumbar section had mild scoliosis. After the physical therapy my back is hurting. Is this normal?
ConsultSpineSpeciali: It can happen following therapy. You should however tell that to the therapist at the next session. Mild Scoliosis by itself does not need Physical therapy at your age unless it is causing pain and other symptoms or there are associated disc problem. Discuss your options with a Spine Specialist. I think it is a good idea to consult a Spine Specialist ...Read more
Not necessarily: It is an option.Get a more detailed answer ›
My friend has an acute form of lumbar radiculopathy, that made him unable to use his legs for over 2 months. Physical therapy didn't help. Surgery?
It is a good one: I guess that depends on who is answering this question but it is an appropriate choice & a good one, it is not the best as there are other options including, rest, activity modification, medication, massage, heat and/or ice applications, a simple back support or chiropractic as well as even acupuncture. It is a good way to learn back exercises & correct biomechanics to avoid a recurrence. ...Read more
Does a lumbar strain ever go away? I've had pain meds. Inflammation meds. Physical therapy. Its been a year and a half since my incident
Find pain generator: Strain is a nonspecific descriptor of symptoms, and does not explain causation, or actual source of problems. Consider sacro-iliac dysfnctn, hip problems, pyriformis syndrome, postural and reconditioning issues. Perhaps visit a nearby osteopathic physician and investigate some of these issues, as much if not all can be reversed once diagnosis is reached. ...Read more
Walking and more: Physical therapy is central to recovery. Standing and walking, with assistance, is usually started within 24 hrs. Beyond that, specific therapy protocols are tailored to the individual patient. In general, exercises are chosen to strengthen and stretch muscles like stair climbing and bending. Cycling and swimming, not running, are often introduced within months. Talk with your doctor for specifics. ...Read more
Lots of exercise: You will need to strengthen the muscles around your hip. You will lift it in multiple directions, and walk on it ("weight bear") to get used to the new conditions. You may get on a stationary bike to aid in motion. You may have some motion precautions in the early stages, depending on the surgeon's approach to the hip. ...Read more
Here's a You Tube video I produced with our physical therapists...
http://www. Youtube. Com/watch? V=20zybMbnVoU
and here is a more in depth academic paper, with theory, "A phased rehabilitation protocol for athletes with lumbar intervertebral disc herniation"
http://www. Ncbi. Nlm. Nih. Gov/pmc/articles/PMC3812831/ ...Read more
Very likely....: Most adults will have back pain at some point in their lifetime. Common causes are musculoskeletal, strains, sprains, etc. In the absence of any neurological issues (ie. Muscle weakness) initial treatment includes: nsaid's (like ibuprofen), activity modification, stretching, and physical therapy. See your pcp for a prescription..... ...Read more
Varies: Despite many years of research, there has never been one form of exercise that has proven superior to another for lower back pain. This is probably because back pain is not a single condition. Generally what we try to do is find exercises that can initially be done with reasonable comfort and then progress to more difficult and strenous ones as tolerated. ...Read more
When to start physical therapy for sciatica and lower back pain, while in pain or wait until the pain is reduced?
Not Known: Nothing can work fast, however if PT can relieve pressure on the spine where the nerve is getting pinched gets relief than pain relief can occur. If you are not improving after 2-3 weeks with regular therapy sessions, I would suggest seeing a pain/spine specialist to see if a cortisone injection might be helpful. ...Read more
I have hip pains that refer anywhere from lower back to outer side of my calf. Occur almost always. Been to physical therapy twice and nothing helps.
May need imaging: If an MRI hasn't been done it may be time for one. I am assuming you have already gone and had x-rays, done nsaids and an adequate amount of treatment time. Also if your in a physically demanding job or activity that may have contributed to it, you've backed off on activity that makes it hurt to allow some healing time. Talk to your doc about next steps. ...Read more
I have a prolapsed disc in my lower back. Can physical therapy reverse this or is the best I can hope for to get the pain to a manageable level?
Pinched Nerve: Sounds like you have a pinched nerve in your back. I would suggest seeing a fellowship trained pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you. There are interventional treatments besides medications and surgeries that might reduce or eliminate the pain altogether. ...Read more
Was injured at work a few weeks ago. Pallet Jack handle slammed down unto my lower back. Just completed physical therapy and ibp 600 is not working?
7.5 percent of caucasian patienists are b27 positive, a marker that relates to inflammation of the sacroiliac joints, called sacroiilitis.
This problem can be also associated with psoriatic arthritis (phil mickelson-golfer) and other types. You need medication for this to stop inflammation causing the problem. Of course exercise and massage are ueful for sore muscles, but a correct DX is needed. ...Read more
Started physical therapy today (for my lower back pain and sciatica), is it normal that I feel more in pain now (while the PT, I felt pain relief)?
Maybe your problem: Is bigger than originally thought. May want to see surgeon to discuss issues. ...Read more
Lower back also pain in the left calf of leg one dr says physical therapy to strenght lower back. My family dr says I need the injection in my back therapy won't take the pain away I have degerant arthrsis. The pain in my left calf of the leg is very pain
Back pain shooting down the left leg is called sciatica. Sciatica results when a disk, bone spur or stenosis pinches the sciatic nerve as it leaves the back and goes into the leg. Treatment for sciatica include rest, anti-inflammatories, physical therapy, steroid injections and surgery. Initial treatment is usually rest, anti-inflammatories followed by physical therapy. People who do not respond may go onto steroid injections and/or surgery. Sometimes patients skip physical therapy if the pain is severely aggregated by movement. This maybe why one doctor is recommending steroid injection first.
Today there are minimally invasive options for disk surgery. Please see my health guide on lumbar disk disease and sciatica. Good luck! ...Read more
Depends: The determination of whether a compromised nerve can be treated with PT or other intervention (surgery) depends on the degree and type of issue causing symptoms. It seems that the best thing you can do is to speak with your physician to go over your test results in detail in order to make an educated decision. ...Read more
I have chronic lower back pain. I chose physical therapy instead of an epidural injection. Which is more effective or should I do both?
A fusion gets rid of a joint or disk between to bones, getting the bones to join together with bone between them. If successful, it eliminates almost all the motion between the bones. Sometimes fusion simply occur as a result of disease, rarely from aging. Most of the time ...Read more
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