Post-Spinal Compression: Safe Exercises and Precautions for Recovery - Orthopedics

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Due to spinal nerve compression, I want to ask if there are precautions to take after performing lumbar traction exercises?


Doctor, I have a couple of questions:
1.
Since I need to stretch my lower back every day, should the treatment process primarily focus on walking exercises? I practice Qigong, and some movements involve slowly twisting my waist, bending forward, or leaning backward.
Should I avoid these movements for now to prevent any setbacks?
2.
Aside from the movements mentioned above, can I still perform other Qigong exercises as long as I don't bend my waist, twist my hips, or lean backward? Thank you.

Xiao Xuan, 40~49 year old female. Ask Date: 2020/03/29

Dr. Wang Shouji reply Orthopedics


Hello, during the rehabilitation treatment for spinal nerve compression, in addition to being cautious when bending down to lift heavy objects, walking, twisting the waist, and practicing Qigong should be fine as long as proper warm-up is done.
Changhua Hospital cares about your health.
Wang Shou-ji.

Reply Date: 2020/03/29

More Info


Post-spinal compression recovery is a critical phase that requires careful consideration of exercise and activity to ensure proper healing and prevent further injury. Given your situation, it's essential to approach your recovery with a focus on safety and gradual progression.

1. Walking as a Primary Exercise: Walking is indeed one of the safest and most effective forms of exercise during the recovery process. It promotes circulation, helps maintain mobility, and strengthens the muscles that support the spine without placing undue stress on it. It is advisable to start with short walks and gradually increase the duration as your comfort level improves.
2. Avoiding Certain Movements: You are correct to be cautious about movements that involve twisting, bending forward, or backward. These actions can place significant strain on the spine, especially after a spinal compression injury. It is generally recommended to avoid any movements that could exacerbate your condition or lead to re-injury. This includes specific Qi Gong movements that require twisting or bending. Instead, focus on gentle, controlled movements that do not compromise your spine's stability.

3. Safe Qi Gong Practices: While some Qi Gong movements may be beneficial, you should prioritize those that maintain a neutral spine position. Movements that involve standing tall, gentle arm movements, or breathing exercises can be beneficial without risking your spine. Always listen to your body; if a movement causes discomfort or pain, it is best to stop and consult with your healthcare provider or physical therapist.

4. Consulting with Professionals: It is crucial to work closely with your healthcare team, including your physician and physical therapist, to develop a tailored exercise plan that suits your recovery needs. They can provide guidance on which exercises are safe and appropriate for your specific condition. Additionally, they can help you understand the correct form and technique to minimize the risk of injury.

5. Gradual Progression: As you recover, you may gradually reintroduce more dynamic movements, but this should be done under professional supervision. Your healthcare provider will assess your progress and determine when it is safe to incorporate more challenging exercises back into your routine.

6. Strengthening and Flexibility: Once you are cleared for more activity, incorporating strengthening exercises for your core and back muscles will be essential. A strong core supports the spine and can help prevent future injuries. Flexibility exercises, particularly for the hips and legs, can also be beneficial as they help maintain a full range of motion without straining the back.

7. Listening to Your Body: Throughout your recovery, it is vital to pay attention to your body's signals. If you experience pain or discomfort during any activity, it is a sign to stop and reassess. Recovery is a gradual process, and pushing too hard can lead to setbacks.

In summary, walking is an excellent primary exercise during your recovery from spinal compression. Avoid twisting, bending, or backward movements, especially those involved in Qi Gong, until you receive clearance from your healthcare provider. Focus on gentle, safe movements, and consult with professionals to create a personalized recovery plan. With patience and proper care, you can work towards a full recovery and return to your desired activities safely.

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