Post-Surgery Exercise Guidelines for Disc Herniation Recovery - Rehabilitation

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Postoperative Exercise after Disc Surgery


Hello, doctor.
I had surgery for a herniated disc in October last year, and it has been over a year since the operation.
Occasionally, I lift things, but I pay attention to my posture and do less bending at the waist.
I no longer play sports or engage in other vigorous activities after the surgery.
The only exercise I do is surfing, but it's the kind where I lie on the board rather than standing.
However, when paddling and surfing, I need to arch my back.
Could you please advise me on how much impact this arching motion (with my lower body in the water) might have on my back? Thank you.

BB, 30~39 year old female. Ask Date: 2006/11/29

Dr. Jian Jincheng reply Rehabilitation


It is uncertain whether the angle of elevation caused by your exercise can be assessed for its impact.
It is recommended to consult your surgeon for an evaluation.

Reply Date: 2006/11/29

More Info


Post-surgery recovery from a herniated disc is a critical phase that requires careful attention to exercise and physical activity. After undergoing surgery for a herniated disc, it is essential to follow a structured rehabilitation program to ensure optimal recovery and to prevent re-injury. Here are some guidelines and considerations for post-surgery exercise, particularly for someone like you who has been recovering for over a year and is engaging in activities like surfing.


Importance of Rehabilitation
Rehabilitation after disc surgery is crucial for restoring strength, flexibility, and function to the spine and surrounding muscles. The primary goals of rehabilitation include:
1. Pain Management: Reducing pain and discomfort through appropriate exercises and physical therapy.

2. Strengthening: Building strength in the core and back muscles to support the spine and reduce the risk of future injuries.

3. Flexibility: Improving flexibility in the spine and surrounding muscles to enhance mobility and function.

4. Posture Correction: Teaching proper body mechanics and posture to prevent undue stress on the spine.


Exercise Guidelines
1. Start Slow: If you have not been active for a while, it is essential to ease back into exercise. Begin with low-impact activities such as walking or swimming, which can help maintain cardiovascular fitness without stressing the spine.

2. Core Strengthening: Focus on exercises that strengthen the core muscles, as these muscles play a vital role in supporting the spine. Exercises such as pelvic tilts, bridges, and modified planks can be beneficial. Always ensure that you maintain proper form to avoid straining your back.

3. Flexibility Exercises: Incorporate stretching exercises to improve flexibility in the lower back and hamstrings. Gentle yoga or Pilates can be excellent options, but be cautious with poses that require deep bending or twisting.

4. Avoid High-Impact Activities: Activities that involve heavy lifting, twisting motions, or high-impact movements should be avoided, especially in the early stages of recovery. This includes sports like basketball, football, or any activity that requires sudden changes in direction.

5. Surfing Considerations: Since you mentioned that you surf while lying on the board, this is generally a low-impact activity. However, when you need to arch your back to paddle or maintain balance, be mindful of your posture. Ensure that you engage your core muscles to support your lower back and avoid excessive arching that could strain your spine. If you experience pain while paddling or surfing, it may be wise to limit these activities until you can do them without discomfort.

6. Listen to Your Body: Pay attention to any signs of pain or discomfort during or after exercise. If you experience increased pain, numbness, or tingling, it may indicate that you are overdoing it or that your body is not ready for that level of activity.

7. Consult a Physical Therapist: If you have not already done so, consider working with a physical therapist who specializes in post-surgical rehabilitation. They can provide personalized guidance and develop a tailored exercise program that suits your specific needs and recovery status.


Conclusion
In summary, post-surgery recovery from a herniated disc requires a balanced approach to exercise that emphasizes gradual progression, core strengthening, and flexibility. While activities like surfing can be enjoyable and beneficial, it is crucial to maintain proper posture and listen to your body to avoid re-injury. Always consult with your healthcare provider or physical therapist before starting any new exercise regimen, especially after surgery. They can help you navigate your recovery safely and effectively, ensuring that you can return to the activities you love without compromising your health.

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