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

@aleks_physio

2 ай бұрын

Great to hear! Definitely the discectomies without hardware tend to generally recover much quicker! Thanks for sharing your story. -Regards, Aleks

Great Video..... Respect

@aleks_physio

2 ай бұрын

Thanks for your kind words! -Aleks

Thank you.

@aleks_physio

3 ай бұрын

Thank you for your comment and I’m glad to help! 🙂 -Aleks

Useful for me, thanks

@aleks_physio

Ай бұрын

Glad I could be of assistance. Thank you for your kind words! -Aleks

Thanks for the easy exercisee. I had Spinal Fusion L5-S1, on January 30th.

@aleks_physio

Ай бұрын

Happy to help. Thank you for your kind words. How did the surgery go? How are you feeling today? -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!

@aleks_physio

2 ай бұрын

Happy to help! Thank you for your kind words. All the best in your recovery! -Aleks

@rosefor123456

Ай бұрын

Plz tell me 3 4 year ago my lumber spine surgery can i do this exercise

@aleks_physio

Ай бұрын

Hi, I don’t know your story nor your history. Please speak with your PT and surgeon. -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?

@aleks_physio

2 ай бұрын

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

@Christynmaine

2 ай бұрын

@@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. 😀

@aleks_physio

2 ай бұрын

@Christynmaine hoping for a speedy recovery and keep me posted on the progress! Cheers, 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

@aleks_physio

2 ай бұрын

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 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?

@aleks_physio

6 ай бұрын

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

Great. How long after surgery we can start do it?

@aleks_physio

8 күн бұрын

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 have done my disc slip surgery L4 L5 now I am feeling left side weakness in my left leg below knee

@aleks_physio

23 күн бұрын

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

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

@aleks_physio

6 ай бұрын

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!

@stirv6462

6 ай бұрын

@@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.

@aleks_physio

6 ай бұрын

@@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

I had a back injury and it resulted in paraplegia.The surgery has been done. what exercise do I do to recover

@aleks_physio

7 ай бұрын

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

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

@aleks_physio

17 күн бұрын

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

When you start walking is before 6 weeks or after 6 weeks ?

@aleks_physio

7 ай бұрын

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

how many repitions for each excercise

@aleks_physio

29 күн бұрын

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

I have seen your video which could be better positioned by SEO.

@aleks_physio

7 ай бұрын

Probably!

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 .

@aleks_physio

4 ай бұрын

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

@AnvarjonTohirov-sp4lf

4 ай бұрын

@@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 .

@aleks_physio

4 ай бұрын

@AnvarjonTohirov-sp4lf thank you for your kind words. All the best in your recovery! Regards, 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…..

@aleks_physio

Ай бұрын

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

@bujjianil9039

Ай бұрын

thank u sir

Is it advisable to do sitting and walking exercises 2 weeks after surgery? L5-S1 spinal fusion

@aleks_physio

Ай бұрын

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