Fused EP 2: Physical Therapy after a Spinal Fusion

In this latest episode of "Fused", Dr. Cyr discusses when to start physical therapy after spinal fusion surgery, when it's most appropriate to begin and the most important things to do before you starting PT, the top things to do right away to help your recovery after surgery, and much more!
Facebook:
SASpine
IG:
surgical.associates.in.spine

[@jimaffinito1809]

Walking walking walking was my key to healing well from spinal fusion.

[@furballbear]

Sadly, many doctors have patients believing they can return to unrestricted activity 6 weeks after spine surgery. Glad that Dr. Cyr is much more honest and explains why recovery from spine surgery actually takes MUCH longer.

[@shanton31]

Exactly. Thankfully my surgeon was realistic in his approach to my recovery. Did not start physical therapy until after 12 weeks.

[@londahamrick4634]

My 12 year old had a bilateral single fusion L5 to s1 due to pars defect. She walked everyday everywhere then bad days she did treadmill. She is an athlete and at 3 months began low impact pt. Now at 4 month mark she is slowly starting back to volleyball at 50% - no serving or diving. Also beginning back to softball slowly. She’s doing amazing. Maybe youth is on her side. I agree Dr does great job explaining.

[@eddiemiranda469]

How long just 1month ago operated my surgeon told me 2 months to go back work.

[@londahamrick4634]

@@eddiemiranda469 depending on what was exactly done. For my daughter PT didn’t begin until 2 months out. She could not bend or twist for 6 weeks. I’d definitely say 2 months if fusion for sure. Good luck!!

[@londahamrick4634]

I know depends of type of procedure will depend on protocol. So far our daughter is 7 months post opp and doing amazing. She’s smiling and lining her best life! So grateful.

[@karolinakv]

A week from my lumbar fusion in 🇫🇮. Naturally I have also got my rehabilitation info, but still so happy to listen to this advice! Remembered this video from before, and found the info I needed: I can and should walk as much it feels good. I am doing 15-minute-walks, resting, sitting, doing very light house work with a straight back, walking, resting.. It is nice to have in a simple life cycle. 😁

[@Chuck.S.]

First and foremost, it is extremely important to get a second opinion before you EVER agree to surgery. This is permanent, there is no going back. With that said, I learned the hard way. My PCP at the time and the surgeon he sent me to didn't give me a single alternative. I walked in to the office and was immediately told I needed surgery. It was scheduled and the Dr. did not see me again until the day of. The only other "consultation" I was given was from an assistant at his office, but it was left up to me to ask questions. Currently, I may be one of the worse case scenarios of what can happen if things are not done properly. I had a "true" 360 deg fusion at L5-S1. True meaning that I had it done anterior ( going in through the front ) and posterior ( flipping over and through the back ). 6 months after the initial surgery, I had to have an additional surgery because two screws were too long ( one was 5mm beyond the vertebra ) and one was loose. During those 6 months I was treated horribly by the doctors office. When I would go in and he would ask how I was, I said horrible. I felt decent for about the first 6 weeks, but then started to have radiating pain through my low back and legs. He insisted everything was "fine" and it couldn't be anything that he had done. I was scoffed at several times and when I got another MRI and it was reported about the screws being too long, he was pretty pissed at me. He said he would fix it "if he had too"! After that I vowed to get a different Dr. I spent 4 years looking for someone who wanted to, actually, make me feel better. It is surprising at how many doctors will not even touch you once they see the mess. I had to find not only a good surgeon, but goo pain management. It was essential to me even being able to walk. I have had 5 surgeries. I honestly thought I was headed for a wheelchair. The last one, they had to relieve the nerved at L4 because the stenosis was so bad. I doubt I am done with surgeries, but I can at least have some confidence in my medical team that I will be guided along well. I regret not doing my homework in the beginning so please, please, please ask a lot of questions and get multiple opinions.

[@allenwinters8103]

I had the L-4,L-5 S-1 surgery two weeks ago. My doctor and physical therapist told me this is a 12-18 month recovery. U are fully recovered to do basic housework and normal activities but u cannot do anything excessive running and just heavy activities

[@Chuck.S.]

@@allenwinters8103 I hope you recover well. As far as 12 to 18 months. Every person can be different. But don't be afraid to say something if you feel something isn't quite right. Early warning signs for me was just intense pain through my lower back and sacrum. Remember that the your body's waly of telling you something isn't right is through pain.

[@ahwell9984]

Thank you for sharing this experience, as awful as it was, in the hope of keeping others from going through everything you did.

[@eddiemiranda2343]

C4-c7 ACDF. Just 6 weeks jago hope you doing well my dr. is like yours same case I just star walking a mile almost daily since my 1st week nothing else.

[@gabrieleschorb-machado9492]

I agree. I have had two fusions. I was never told by either surgeons or Pt's not to do flexion or extensios; neither to minimize my bending. The amount of damage physical therapists cause attempting to rehab people with spinal cord fusions is unbelievable. How hard can it be to train PTs to rehab patients with fusions. All back pain patients get the same exercises..

[@sbkir]

And the amount of damage they do to patients (me) when have an unstable spine before surgery trying to "heal" you. There is no healing a 51 degree and a 36 degree curve with stenosis and slipping of the disc and congenital birth defects. Now, I have to deal with this or have surgery (big reconstructive surgery).

[@oliverramirez459]

Thank you Doctor for a clear explanation after the surgery. And what you do and don’t, now I have a lot of knowledge about this surgery. Thanks once again Doctor❤🙏

[@sharonfields8443]

Walking and stretching. It’s been 7 years now and I’ve added weights. Neck and lower back . Best thing I ever did

[@gatauapaajalah]

can you still play sports like basketball, badminton, or volleyball?

[@christinadonat9110]

My husband just had an XLIF a week ago. I have worked in surgery as a scrub/circulator for years and as a bedside RN. Despite my advice, he still had the mentality that he was just getting a “part” changed like a car and that he was just going to drive out good as new. Thank you for explaining the value of treating recovery seriously and coming from an MD it carries much more weight. I am definitely going to pass this video on to his surgeon because I think is valuable information for any surgical patient.🙏🙏🙏

[@Katyklb]

Therapy never stops as a statement is very true.

[@philsteffen7876]

I'm 72. Had s1-L5 fusion in February. Started walking in the hospital. Was in five days. Continued walking a lot. At 7 weeks my doc said I could resume swimming laps which I did. I asked him when I could golf and he said I could hit a small bucket at the range, but I'd feel it afterwards. Finally at four months I felt really good, stable, pain was minimal. I felt great for a week so I played 18 holes of golf. Shot 77 and it felt pretty good. At home I started mowing the lawn, cutting branches, just getting back to normal. Golfed again. Started to feel more pain. Swam a couple of days in a row and wow pain kicked in. Good news is I can walk two flights of stairs without grabbing the railing. Bad news is I think I tried too much too soon, who knows? I got none of the kind of advice this video conveys. If I'd seen it I may not have tried golfing and lifting even the relatively small amount of weight I had to do when cleaning up the yard and basement. Now I'm just hoping I didn't screw up my surgery somehow, as I have that burning feeling in my legs again, which had gone away. Thanks for letting me vent. Feeling frustrated in Boston.

[@philsteffen7876]

My back felt much better today. Like really great. I just have to remember that on my off days.

[@tommarshall54]

who was your doctor? I live in Mass and just had a fusion

[@paulasteffen9854]

@@tommarshall54 I had Dr. Cronin and assisting was Head of Orthopedic surgery at NE Baptist, don't remember his name. Still two steps forward one backwards. Felt fantastic a week ago, slipped back this week. Most troubling is the buzzing in my feet and legs. Not painful but annoying. I did have my surgery checked and everything is intact, so I guess it's a matter of time

[@tommarshall54]

@@paulasteffen9854 thank you. I have been having severe uncontrollable sciatic pain since my surgery last Friday. I didnt have sciatic pain prior

[@07Convertable]

My doctor told me that I can "chip" balls after 4 months but absolutely no swinging until I start PT and get their opinion and at a minimum of 6 months. I have surgery coming up on 11/21/22 so we'll see how it goes. L5/S1. My DDD is so bad that I have double sciatica and lumbar radiculopathy in both legs. I hope that you continue your progression to normalcy. ~John

[@katiemartin3811]

Love this video. You have a great delivery, very understandable. My bf just had this surgery in Nov. He’s driving me nuts, thinking he can do things he is not yet ready for. I sent him this video, we appreciate it!

[@cindymaselli4664]

Excellent video. I wish my surgeon stressed no moving. Not one instruction on post op care

[@osborn5599]

Chronic disc disease is hell. I am a ex tree cutter logger. Wrecked my spine over years. My lumbar is fused . Just had three discs in my neck removed and fused. Also have herniated disc in upper back that need surgery. It’s living hell every day.

[@RipRoaringGarage]

Hang in there. Not sure what my words are worth, but I know the hell all too well. I accepted that high pain is for the rest of my life, and being treated like a junky just because I take my meds because I want to still be active somewhat.

[@johnmitchell8925]

Trust me your not suffering alone.Retired master mechanic

[@osborn5599]

@@johnmitchell8925 yes all that bending over working on cars is hard on u

[@bart2923]

EXCELLENT PRESENTATION….Straight and to the point. I’m informed and encouraged

[@lilinai2]

That was fabulous. I had my second fusion for the next part of my spine less than 3 weeks ago. You taught me sooooo much. 🤗💃🏼🎉😘

[@bethanyshrewsbury2257]

I am so glad I watched your video. I wish my doc had explained the recovery process and the do’s and dont’s the way you did. I am 2 weeks into my fusion recovery. I will follow your advice. Thank you!

[@tamaracarr922]

Oh my goodness, this is such good information. I had a four level cervical spinal fusion and never had an explanation like this!! This helps so much!! Thanks

[@Silentrainfallz]

How are you doing?! I'm set to have a 5 level cspine(spinal cord is impinged c3-c7) around April/May. Was set to go in November until heart attack. Had to set it back 6 months (might be a reason💜) Hunting for a great 2nd opinion. I'm in Ft Worth

[@TonyG-iu4td]

Just had L5/S1 fusion. This is the best advice I have found online! Already trying to do too much and undoing all the good of the surgery that has been implemented. No worries; realised this just at the right time and am backing off! Take this recovery slow. I realise this now as I started to unfortunately increase pain in my back unnecessarily!

[@TonyG-iu4td]

@Lucky 9 You are ahead of me regarding recovery period. I am exactly 4 weeks today out of my surgery. No vertigo but some occasional headaches. Though I think this might be the way I sleep which is putting stress on my neck. I have stopped all physio exercises and am increasing walking. The exercises were rapidly making my back much worse! Good luck with your recovery!

[@kcfiala8003]

Wow! Made me cry! Gives me hope that I will one day find a Surgeon who cares enough. Thank you!

[@samiam4846]

I’m so grateful to have had you as my surgeon. As ancy as I’m getting to wanting to drive or have things go back to normal ( surgery’s only been a month ago) I want this to be a Success so I’ll focus on being patient with myself and giving myself grace and time to properly heal. I know I’ll be able to start therapy and working on range of motion after I’ve healed more andi can’t wait for that day. For now, I’ll walk. Hopefully in time we can then start work on the rest of my spine but I can already feel a huge reduction in pain. Every single day of my life I was in debilitating pain in my cranial area and thoracic area, and it’s gone. It’s crazy. I’m glad my father was able to see for himself the surgery was a success. ❤❤ Hopefully in time we will attack the thoracic, lumber and sacral vertebrae but I’m 110% pleased thus far. You gave me my life back. If anyone is considering surgery, make the trip to Houston, he’s the best at what he does and I’m not the only one saying that.

[@BobSchecter]

Sobering. Not what a patient wants to hear and probably why surgeons gloss over it. Under the heading of "Better safe than sorry", I'm going into this surgery with your advice in mind. Thanks

[@donmiller4885]

That was the best clearest explanation that I've ever heard thank you so much sir!!

[@sharonhendrickson1731]

Dr. Cyr Thank you so much for explaining this to me! I'm a patient in Riverside California recovering from a spine surgery. It's amazing to find out how little most surgeons offices explain things to patients after surgery. I wish I lived in Texas I would have come to you! God Bless you and all you do. Lets us know what your recommendations are on when we need to be wearing our brace.

[@gina8763]

To Sharon Hendrickson..I had back replacement surgery on September 2020..I wish I could meet him as well .my surgeon and doctors in Los Angeles California act like they don't know anything! It's sad..all I was told is don't lift over 5 pounds or twist

[@tessmanuelsontag7878]

I have a spinal fusion surgery too and my orthopedic doctor did not explain like this. I learn a lot on your videos doc thank you

[@margaretsprinkle405]

My neuro explained nothing following surgery. It’s a shame.

[@Silentrainfallz]

I'm in Ft Worth and had a 7 level 360 34 months ago...chronic pain. Every day. Now need cspine surgery

[@almaherman_fit]

Incredible explanation! I have a hernia on my L5 and doing Pilates takes my pain away most of the time, strong pelvic muscles are SO important. Thank you dortor.🥰

[@Kayhrl]

wow.. i had my scoliosis surgery back in 2012 and i have never had this type of help with my recovery. i started physical therapy just a year ago when i was getting a lot of pain because of new problems, that easily could've been avoided with help from the beginning.

[@muditagrawal7467]

I also had scoliosis surgery 15 months ago please help me regarding future life

[@jeffreyrayner5235]

Hi, I'm 3 weeks now out from S1 to L2 fusion, my 4th operation, my last 20 yrs ago. I respond best by understanding the mechanics and principles of what I am doing. The most important message I got from this is BONE !st. Thanks Steve

[@sumitmalik9944]

Wow ! Beautifully explained.. An able doctor.. Wow ...........

[@millicentmusalia1237]

I resonate with you on this. It takes time to get back to thyself. Patience is key and literally listen to your body. Thanks Doc❤🎉🎉🎉

[@bepis1305]

If I’d known some of this during my recovery period, I think I’d have had an easier time. Thank you for the video. It’s still helpful, even six years post-op.

[@jeremycamacho2964]

I’m so glad I found this video. I have a schedule level one fusion in a couple of weeks.

[@laimaliau]

Very clear and good information 👌🏼💪🏼

[@judiconti6236]

I am 6 months post op. Lumbar fusion with graft and laminectomy. I feel great. Frustrated because I want to do more, get back to yoga ms Pilates. My surgeon has only released me for minimal stretches. Kinda happy to see this as it reinforces my surgeons opinion. Hopefully at my upcoming 6 month appointment he will allow a bit more.

[@gary8388]

What really good and helpful advice Thank you. God Bless you

[@ChynaVirus]

Not all PT is created equally. There are lots of leg and glute stretches that can and should be done post OP. Whether it’s in house PT or out patient PT. Of course the older you are or fatter, or out of shape you are, the longer it will take. I’m 45. Good shape. Im on my feet walking 4-5 miles a day at work for 4 years now. Just fused L5 S1 2.5 weeks ago by a highly rated back surgeon here in Pasadena California. I came into the surgery in really good shape and I think that’s what’s propelled coming out of the surgery advanced from what the typical patient is. For example, I was released from the hospital within 24 hours because I wowed the hospital PT folks with how well I was moving. Second, in-house PT showed up a week after surgery and he said they were having a problem putting together a plan because it’s not normal for them to see fusion patients as advanced as I am. Now, my back surgeon just released me to outpatient physical therapy. I’ve got leg pain and glute pain with extremely tight glutes and hamstrings. So the PT is limited to leg and glute stretches. No bending, lifting, flexion or twisting. Maybe I’m fortunate to live in a geographical area where good therapists are all over the place and know what they’re doing. I can imagine a PT in some middle of nowhere town may not be as skilled and could ruin the surgery.

[@trishaque4550]

Wish I saw this video after my fusion. I had so little information. I just didn’t move for the first six months I was afraid. Thank you for the wealth of information you have shared.

[@MiguelAlvarezAdams]

this is the doctor i needed

[@mohammedkhaleel4702]

Thank you for this video!

[@chichi2472001]

Thank you for this great advice.

[@mannys5037]

Thank you for the great tips

[@davidconley3610]

My doctor had me start PT 4 weeks after surgery. Really helped me get back to feeling normal In about a month.

[@margaretsprinkle405]

Thank you so much. I’m now 5 months post- op from my second spinal fusion. L3 thru S1. I have extreme muscle weakness and still have numbness in both legs if I walk very far. Cannot bend or immediate numbness. I am slowing trying to build my leg strength up. I stop when first sign of tingling down buttocks begins. I sit for approximately 10 minutes and try again. My neuro wanted me to start PT after 2 weeks. I knew this was not possible . You have given me some hope. I know from doing this from October 2019 too August 2022 my legs have atrophy. I’m physical and extremely mentally worn out. Thank you for your advice.

[@amywalker1330]

Thank you for your information

[@marjoriebrosseau1681]

Great info! thank you!!!

[@anhlangthang3881]

Thank you from Australia ❤

[@mataleon1010]

I wish you could do my surgery. You are amazing doc!

[@michellewood9646]

Very informative thank you

[@vortex21rainz26]

Very honest dr

[@rupindersidhu8717]

Great knowledge 🙏🏻

[@herrodo1726]

Having spine surgery is a serious surgery. 50% of it success depends on the patients doing their own research as much as possible and asking questions to a point of being label nuisance. Don't forget you are not the only patient your doctor is dealing with so, read about your issues and ask questions. Get your house in order before going, get your bone stimulator belt ready, the right food that promotes bones growth an lots of walking around when back from hospital. Don't leave everything to your physical therapy, help by letting them know your fears an take it slowly.

[@johnmitchell8925]

Like I said you are on your own after 4 or 5 months So if you don't have pain before your fusion you most likely will after it

[@sherrythornsberry4351]

Had L5-S1 laminectomy and fusion on 5/18/23. I am on day 16 p/o right now. Also fused C5-7 and T8-10 with Rheumatoid arthritis and osteoporosis (-3 tscore). Provider said walking only x 6 weeks and then release to full duty, no restrictions possible 7/13/23 (nurse). I'm afraid of reinsurance, as my L3 and 4 already have damage. I'm thankful to have found your videos.

[@sherrythornsberry4351]

Afraid of reinjury, not reinsurance.

[@adrihernandez6885]

My Dr recommended physical therapy at my 6 week on my 2 week in therapy my pain increased significantly so I’m stopping no more physical therapy for a while

[@jessicaobrien9352]

Had my third surgery on my L5S1 on 12/13/21. Full lumbar fusion. It was the third surgery on this disc. Initial injury was in Nov 2011, and finally had a discectomy 2 months later. L4L5 suddenly is messed up less than 2mo later, and I had an XLIF. 11mo later, my L5S1 is ruptured again. Took 6 years to find a doc who'd work on me. The most ridiculous was an Ortho at Tufts in Boston said he didn't think it was in need of surgery. Revision discectomy in April of 2018. Failed injections many times, with one being a screw up by the doc, leaving my left hip and thigh with painful neuropathy. Fell late 2021, and boom, I need another surgery on L5S1. That was the full fusion. Scheduled for PT eval 7 weeks out. I have a history of long, painful recoveries and have been disabled since the injury unfortunately. I've never gotten to a place in PT where I feel stronger. It's always a situation where I'm in more pain chronically. Depression adds in that wrench that limits my mobility. Not a fun situation.

[@surenbhola107]

Thanks Doctor

[@mariovilleda1372]

Dr. Cyr, thanks for the information, I'm a patient in Guadalajara Mexico, one of the titanium fusion screws broke, another surgery was needed, now I know that rehab therapy needs to wait at least 6 months. Thank you for your detailed explanation. Blessings.

[@karmenska]

Por qué se rompió el tornillo? Hiciste mucho ejercicio? Tengo dos meses con cirugía. Gracias por compartir

[@mariovilleda1372]

@@karmenska Después de la primera cirugía, mi doctor recomendó rehabilitación física, después natación y más rehabilitación, lo cual seguí al pie de la letra, después me mandó a inscribirme en un gimnasio para que fortaleciera las piernas, la verdad no sé dónde ni en que momento se rompió el tornillo. Me acaban de operar otra vez el lunes 30 de agosto.

[@karmenska]

@@mariovilleda1372 a mi me la hicieron en julio de este año, una fusión den L4-L5 y me quitaron un cyst. Quieren ahora que empieza terapia, pero ya me dio miedo por todo lo que veo aquí. En qué mes vieron que se te rompió y que sentiste ? Muchas gracias

[@mariovilleda1372]

@@karmenska A mí me operaron en Noviembre 2020, el tornillo se rompió finales de Junio,

[@mariovilleda1372]

@@karmenska Creo que se rompió el tornillo porque hubo exceso de terapia, pero consulte a su experto en columna, no se quede con dudas, todo digaselo, en esta segunda cirugía creo sentirme mejor, no me duele la función

[@marcoriv9016]

This is a really good video. But is a lot of work. I just had ALIF/PLIF and I start PT next month. I have a lot of work ahead of me to get muscle.

[@mariejobredy7100]

Thank You for your recommendations. I wish i had seem this vidéo before m'ry surgery

[@TheNi477]

Thank you 💕

[@jaderosepty]

Thank u. One more month and I'll working out.

[@getovryourslf4444]

I had l4 l5 s1 fusion with disks l4 and l5 replaced. Im in month 5 of healing and about to try going back to a more normal life. I just went back to work. I took off 4 months to absolutely heal the best it possibly could because I wanted this to be my last back surgery. This was my 2nd back surgery and the first one I went back to activities after 50 days and it was too soon and I really messed up the healing. I'm not pain free but have more mobility. After 24 years of living with pain I was hoping this would solve my pain but it didn't. But I have lived with pain for so long it's normal but I'm excited to have more mobility and looking guard to getting out and living a little more freely!

[@born-in-Atlanta]

Thank you very much!! Nov 2016 I had S1 L5 L4 L3 fusion. Last year I had an SCS implanted. I walk, walk, walk. I began enjoying a 7 speed fat tire electric bike. Now I am selling that, and I’m riding a 21 speed Schwinn street/mtn bike! (Only on local hilly roads- north Georgia) No Ibuprofen since my stimulator implant! At age 65, I am so thankful for all the medical assistance I have received. Life changing- just in time!

[@mohanedamer5995]

Thank you so much

[@chucka911]

Presently, I am 77 years old. My wife and I have spent the past 11 years pedaling on recumbent tricycles in Europe (April through October) spending the cold months in our apartment in Albania. Due to increased pain, while walking, I know I need to return to the States and have disc fusion surgery as I am 10 years into my first stenosis surgery. I find your video very informative and have a question as to timing. I want to be able to get back on my trike by the first month of April in 2023. Assuming no after surgery complications, about when do you recommend having the surgery, to allow for proper healing of the fused bone?

[@vzeller]

I'm 14 weeks out of L5-S1 fusion. ALIF. I just started doing some very light weight training at the gym. No spine loading. All spine neutral. No bending or twisting. My surgeon said this was okay. I am a muscular athlete with a good foundation.

[@sharonbenedict1371]

Really informative, and overwhelming! I’ve been walking every day, usually once a day, up to 5-6 miles. When recommend walking 5x/day, how far each time do you recommend? I’m 2 months out and starting PT, swimming, easy riding on the bike trainer. What you’re saying about waiting until full fusion makes so much sense to me but I feel like I’d lose my mind just walking. Does this go for athletes, too? No cardio? No PT? (I had a fusion & disc implant L5/S1, 49 yo)

[@ritikachaudhuri4433]

Wish I knew about the pelvic and gluteal muscle strengthening after my surgery only thing I was asked to focus on core muscles...and 13 years later my pelvic girdle is displaced.

[@gemelse2674]

Hi thank you for this informative video. I'm in the UK. No one has advised me at all as yet. I have researched pre therapy is good. So if I strengthen muscles before hand. Could I do this gently so that my recovery after op is better ? Thanks

[@terrilasby3996]

I wish I had seen this 2 weeks ago

[@nicoleaviles1245]

4/6 I had laminoplasty of cervical spine. Since , I have more numbness in my leg(when I walk) numbness in my arms and pain in my hands as well as very weak. (normal?)I also have pain in my lower back. It’s been almost 6 weeks and I still have trouble holding my head up to eat dinner. Surgeon says we will meet in another week and an X-ray will be done ( why not ct or mri?)I’m concerned if surgery worked and what determines surgery through the back or front?? I have met several people who all had surgery through the front and went back to work within one week.

[@jaycellemaeborbe8175]

Have a good day doc ,i have fractured in my spine almost 5 years its okay to have gym exercise? I happy to your reply

[@nadiablest7595]

I'm about to have s1L5 fusion and I'm on medicaid. I am terrified but I have no life right now, I've tried what I can afford and stand and nothing is working anymore. Swimming hurts. I'm scared because surgeons don't pow wow w Medicaid patients they don't do the inside scoop w us. I've heard him talking it up w his private pay patients and w me he's dry cut and quick. But he's a good surgeon so I'm trusting I will be ok. Thank you for sharing what I should know.

[@sheribardoel5702]

Omg I just had s1-5 but thought I could start therapy

[@okiebrown6035]

Wow, 3 times a week for 8 weeks. I can't afford that. I start my first pt on Monday after a lumbar fusion.

[@mariac.304]

Hi Dr. Cyr, my mom is 63 years old, and she has had Cervical Spinal Fusion going on three years now. She can walk now but still hasn't regained her strength in her legs and at times still feels weak and is experiencing dizziness and headaches. The Dr. who took over her case after the surgery says he could not do anything for her. My mom still is in pain; she is not the same Grandma who played basketball with her grandson's and no longer could drive herself places. She can not turn her neck completely without turning her entire body to see you talking to her. She cannot get any insurance, and living in NYC, that's ridiculous. Can you please let me know some types of exercise so I can help her? I would really appreciate it

[@pennyfitzmiller2810]

Very helpful video, thank you for making it and sharing it. I’m not quite a week out of surgery, laminectomy at L4, L5 without fusion. As a dancer many moons ago, naturally, I want to stretch, and also, correct my posture. I’ve gained a lot of weight prior to surgery, from being immobile and stress eating because I couldn’t do anything. My surgeon and I spoke briefly about physical therapy and decided on aquatic therapy beginning with core exercises, once he says I’m ready. What would you recommend for obtaining good posture and what specific stretching exercises would you recommend? Thanks so much for any help you would extend me. Follow up for after surgery is about about one week away, and I want to be prepared with some ideas. Thank you again!

[@steveanderson1058]

I had laminotomy 11 weeks ago. I'm back in the gym and stretch daily

[@Rebeccakisosondi]

I’ve had 3 fusions t9 to pelvis. First revision was done incorrectly and he did not align my spine correctly. Second revision was for two broken rods (I wonder what the TRUE hardware failure rate is but we will never know). The most important thing is to find a good surgeon. A degree doesn’t equate to skill, experience doesn’t equate to skill. Exercise is your best friend. The more you sit, the more it will hurt.

[@nancy-up7lb]

I have a dual pilates/barre machine, when can I start using doing mild stretch, ab and leg workouts? All workouts are laying on my back

[@dellparker7686]

I was almost 63 last year 2022 and will be 64 soon after my one year post opp date. I was instructed to discontinue Meloxicam prior to surgery. Does Meloxicam interfere with bone fusion? Currently I don’t have evidence of bone fusion six months after surgery. I am currently 10 months post opp. My arthritis in my hands and toes has become significantly inflamed since stopping the Meloxicam so naturally I’d like to resume taking Meloxicam however I’ve been told I shouldn’t until there is confirmation of bone fusion and maturation but again arthritis is taking a toll on my hands and toes. I was prescribed an Orthofix bone stimulator that I received at approximately the 7 month post opp time frame likely because there wasn’t evidence of bone maturation on a CT that was performed a couple weeks prior to my return Dr. Visit on March 3rd 2023. Thanks in advance for any input!

[@renardsacco3144]

Dr Cyr, what are your thoughts on playing golf and bowling post L4-5 fusion. My CT scan at 14 months showed healed fusion but the L3-4 foraminal opening shows signs that L3 is ‘settling’ (surgeons words) on L4. I have sporadic anterior quad pain(feels like a ‘charlie horse’). My hobbies are hunting/fishing, biking, golfing( 2x/wk), bowling (1x/wk) and hiking. I’m 59 and if golfing and bowling will increase my risks for future

[@shantiprakashuniyal5316]

How can waitlifting

[@vr4966]

Will this apply to double Discectomy as well?

[@jenniferv9510]

I have mixed feelings about my fusion. Worse after surgery for sure. So many more issues after the surgery but I did have extensive nerve damage. Still have a lot of issues 8 yrs later

[@jasminedawkins8383]

What about the Sciatic nerve pain does it ever stop

[@charlottehayward5943]

I'm an 80 year old out of shape woman and went for a second opinion. L4 l5 bulged disc's. I was recommended for spinal fusion surgery and my reality is I'll never be able to do the physical therapy of a young person.

[@DaleSchiro]

I wish I had seen this before starting PT and stretching only 6 weeks after L4-L5 fusion. I got a major nerve and muscle pain spasm in my back that made me yell like I was dying and now my right leg and foot nerve pain feel they were run over by a truck, numb, tingling toes, painful ball of foot, shin and calf also feel very sore and traumatized. Had an x-ray and it looks fine. It's all nerve pain I'm told I may have to live with the rest of my life. I was not forewarned about anything like this.

[@lindalowe337]

Having healed from lumbar and cervical fusion, I suggest you talk to your doctor about Topiramate (Topimax) or Lyrica. They are oral nerve blocks and non addictive. I used the first one mentioned and followed Physio stretches and strengthening exercises. My pain is gone. I realize we are all different and results may differ.

[@TripleCCC]

Have you tried Gabapentin for nerve pain? I take it (max dose of 300 MG 4x a day). I am a c3-7 incomplete spinal cord injury with a fusion from c1-c7,so I also deal with paralysis issues (I am fortunate; my recovery was unheard of from that--I walk with hiking sticks and have paralysis in all of me--hands haven't come back yet. I had a L4-5 fusion 10 days ago, and I was having more nerve pain than usual. My doc upped my Gabapentin to 2 pills during the day, and it helped.

[@DaleSchiro]

@@lindalowe337 Thank you for the tip. I'll look into that.

[@DaleSchiro]

@@TripleCCC yes, it took about two weeks but I think the gabapentin has really quieted that nerve down. I still have numbness in right foot and big toes though. But it feels like I've turned the corner. I just hope the pain doesn't return if/when I stop the gabapentin. Thank you for your reply!

[@tessmanuelsontag7878]

I have L4, L5, and S1 spinal fusion surgery also it’s been 9 months and still in so much pain, nerve pain and muscle spasm and burning pain. I’m taking Flexeril and gabepentin but it make me drowsy .

[@kensilverstein2910]

my surgeon had me doing pt and no collar six weeks after neck surgery c4-c6 acdf. never regained my right tricep. spinal never fused completely. surgeon i think knows it was a wreck of a neck. every movement still hurts and the cracking is annoying and non stop

[@carolinekrugel8535]

Hi iv had a Lumbar spinal fusion and decompression. Its almost 7 weeks now have pain in my legs only like sciatic what can can i do they say the nerves are growing again any advice

[@rainyulina]

How long does it take for spinal fusion to heal???

[@rosiethurman7900]

2 years ago I had a laminectomy from L2-S and 6 months and 1 day later I had them all fused and since then I've done 5 different PT's over the last 2 years and PT on my own and still to this day I can not take yet a few steps before I start falling over from pain that is in my muscles. If I lay down flat it is so painful in my muscles to get them to finally relax and the same thing when I stand up. I honestly do not know if something with the fusion is effecting my muscles or is it the plain fact my muscles are weak. If you can guide me on what I should do bc I'm totally at my witts end with this and I just want my life back. I walked fine before my surgeries except the pain, but was able to walk upright. Thank you for any feedback!

[@steveanderson1058]

Why did you get a fusion 6 months after the laminectomy

[@rosiethurman7900]

@@steveanderson1058 doctor was worried about it being unstable at the time but didn’t want to fuse it right away. He should have. My life’s not been the same since. Wish I would have talked to several doctors before I done it.

[@user-ig1iu3mx9k]

(66 years old - 3 level lumbar fusion) Any thoughts on stationary light-load bike/trainer inside at about 3-4 months? I want to play it safe, but this would be nice to be able to do. Thank you for any thoughts

[@antoniostripolitis6132]

I watched your and it makes sense what you're saying but I'm asking to see if you can help us my father is 78 and he had cancer to the spine which it had to be removed because he was in severe pain and he started having trouble walking then surgery took 4 to 6 hours had some setbacks infection losing blood also can't walk they treated all that but still can't walk did physical therapy in house for 3 weeks another setback the square one again he was in the hospital again and in the bed for a week pick them up today taken from the wheelchair in the car but still in pain so about his legs he has feeling from the knee down but from the thigh no response what can we do to get him strong again i need to know how to get him motivated please help

[@CharlieMichaud]

I have a question: I'd love for someone to answer. I had I spinal fusion from t8 to L1. Spent 2 weeks in hospital after surgery. It's been almost a year, and my back still hurts like someone is tightening it with a vicegrip they don't seem to know why I'm still hurting other than I still have herniated disc's at l4 l3 and some where in c my spine is trash and I just want my life back any advice

[@shortblogs1537]

I wish my doctors had told me all that before. I'm really stiff in my waist area (where I'm fused). 4 months post op today and still recovering from an unfortunate paraplegia after surgery. What exercises would you recommend for me?

[@ashleyjade6267]

I am so sorry love I understand. I'm going through the same thing. I wish I had gotten more than one opinion before I had gotten the surgery now I've had it three times and I am in the same boat you are. I wish I never would have had the surgery at all. I was told in the hospital that it was an emergency and it must be done. And ,yes, absolutely this video was extremely informative. I am jealous I wish I would have had him as my doctor.

[@shortblogs1537]

@@ashleyjade6267 I'm sorry you had to go through this. I hope things get better for both of us. Amen PS: Its going to be my third spinaversary this month.

[@seawater777]

I’m Eight weeks out from L4-L5 S1 fusion, and severe arthritis, thank you for your videos. Now my question, should I be stretching, can I right my mountain bike around the neighborhood?!

[@KonfusedDude]

Mountain bike is a huge risk. If you fall and break the hardware you will need surgery again. Bouncing will break the fusion in early stages

[@johnmitchell8925]

The pain never stops either

[@sutkos3288]

😂😂😂

[@valeriemorales792]

as i am seeing this i am crying. I had an L3-L5 fusion and 2 laminectomy. i just finished therapy but it was all aquatic. Now I'm just trying to figure out how to do workouts. Becuase I couldn't even do 1 pound weights on my ankles I'm the water. after they were removed I was walking like a pregnant woman with my stomach poking out and trying to breath... Help! suggestions... I'm desprate. I'm trying to loose weight too... surgery date was 9/6/23

[@michaelknight2721]

I have fractures in my spine that are causing agony in my high, mid and low back.I have tingling in my feet and weakness that comes and goes In my hands.I am also struggling to breathe.I can hardly walk,it's a real struggle to get to the toilet.My appetite is a shadow of its former self as well.My surgeon has said that for me to have an operation would be too dangerous as I would possibly end up paralysed,incontinent, with nerve damage,dead or have major complications from the anastasia with being under for so long.He also said I would be in extreme pain for the rest of my life due to the hardware.All I want is my old life back or close to it. What would you advise.

[@johnmitchell8925]

I'm so sorry your going through this

[@kayedeleon9935]

My daughter was in a car wreck. Fractured 2 vertebrae, fibula, tibia and humorous. She had a spinal fusion, surgeon removed hardware after 6 months. Didn’t take any scans after surgery, put her in PT after 2 months. She started having problems, scans showed vertebrae wasn’t healed, she needs surgery again. Surgeon is blaming my daughter. Another surgeon said first surgery was done incorrectly & hardware shouldn’t have been removed.

[@eddiemiranda2343]

Que triste espero que esté mejor yo no quisiera pasar por una segunda cirugia

[@johnmitchell8925]

Trust me spine fusion is dramatically different then a broken arm or leg or ankle. I should know ,Ive had them all

[@paulrevere4326]

I just had L5 S1 fusion (alif), but my left leg and butt cheek has an aggravated nerve feeling that makes me loose strength on that side. Is this normal for this type of surgery? I'm two weeks post op.

[@reignsvicky]

How are you now, Are you able to do walk do you have any other difficulty? My physician also recommended to do L5 S1 fussion, But im scared for doing that procedure. Please share your feedback that could help me❤️👍

[@johnmitchell8925]

If the nerve has been compressed for a long time it will take a long time for the nerve to repair itself if at all.Im going on 6 years L5 S1 and still suffer from nerve damage and sciatica and foot,hip pain.I just do the best I can and watch what I do.Had to give up a lot of activities I used to enjoy but at least I can still function

[@riverswhittle1367]

It's been 2 years since my t12-L2 tusion, I'm still in chronic pain every day. I feel like I've overdone it with workout and stretching and thats why i'm still in pain every day. do you have any suggestions for where to start with healthy therapy this long after surgery? Thank you!

[@johnmitchell8925]

I'm 6 years out neck and lower back fusion (GOOD TIMES) That was a joke!

[@Silentrainfallz]

Same t11-sacrum ...now need cpine 5 level fusion..spinal.cord impinged all 5. Scary..waiting on surgery now due to heart attack.