[Hackers Have Figured Out How Easy It Is To Take Down A Hospital | Fusion

[Tilo Chopin]

When it comes to exercising after a spinal fusion there are some things you need to do and NOT do in order to stay healthy and on the right track to building strength safely. There are plenty of reasearch articles proving that the RIGHT amount and type of exercise can do wonders for those after a spinal surgery.

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You have to understand exactly what your situation is before diving into anything. What I want to teach you today are some key points you need to keep in mind if you are looking to get back into the gym after a spinal fusion.

I was browsing a popular post-surgery forum and I came across this gentleman who had 10 vertebrae fused using a metal rod in an attempt to correct scoliosis. Like most post-fusion warriors he was looking for exercise suggestions that were safe for those who have been fused specifically core exercises safe for fusions.

My rule of thumb (which I will break down how to implement with exercise) is to favor building a strong, stable neutral spine with most activities while allowing reasonable/sensible spinal flexion when needed.

Spinal fusions are normally done on people who have some kind of degenerative disc issue or a severe case of spinal deformity. For example, If I were to push the envelope with my doctor, I would probably be a good candidate for an L5-S1 Spinal Fusion due to me rupturing the disc 8+ years ago and being diagnosed with degenerative discs above the site.

The disc in between the two vertebrae can no longer give the support it needs to so I would just fuse the two vertebrae together. In some cases this procedure brings relief but most of the time there are usually complications.

To be honest, the recovery time can vary. For most, the first few months are the hardest but once you overcome this first obstacle, the movement gets much easier. Most providers want you to be strict about your therapy and the general recovery strategy that they give you for the first 3 months.

After this time has passed and you start to get cleared from your therapists they will actually encourage you to gently challenge certain movements because this will help make the fusion site even stronger (insert the importance of SMART exercise!)

The important thing to remember with a spinal fusion is the fact that you just had your vertebra fused together. This means you took two hard boney structures that used to have a spongy disc between them and screwed them together (not always the exact procedure but pretty common).

Besides constantly working to maintain a healthy range of motion after the procedure, you want to be very cautious when doing something that directly affects the fused area. For example, someone who has had any range of cervical fusion should stay clear of doing exercises that require repeated flexion or extension of the neck.

Exercises like sit-ups with their hands pulling on the back of their head or repeated squats with the neck in a hyperextended position. Over time these movements are going to wear on the discs above and below the fused area.

Research shows that if people keep their pain level at or below a 4/10 they have a better chance of maintaining a positive recovery pattern and minimizing the chance of flair-ups or increase in pain 24-48 hours after their workout.

This is a great sweet spot to be in and if you can remember to follow the pain scale rule with everything you do, your post-fusion exercise will not only be less painful but it will be more productive and working towards a stronger more resilient version of yourself.

While we are on the topic of core training I want to touch on something that I see way too often in the fitness space and it breaks my heart to hear that post-fusion warriors just like you are being told this by their trusted fitness professional.

See how your body responds to even the simplest of exercises and adjust from there. You are looking for both a physical response to the exercise such as how it feels, limitations, and pain as well as a psychological response as in is your body responding or holding back out of fear? Is your tension or pain due to fear around a specific exercise?

B) Be mindful of the position of your spine while exercising. Fusing your vertebra takes the mobility out of that specific joint. If you treat your spine the same way you did before the fusion the discs above and below that fused joint will now take all the pressure.

Fairbank Jeremy, Frost Helen, Wilson-MacDonald James, Yu Ly-Mee, Barker Karen, Collins Rory et al. Randomised controlled trial to compare surgical stabilisation of the lumbar spine with an intensive rehabilitation programme for patients with chronic low back pain: the MRC spine stabilisation trial BMJ 2005; 330 :1233

I have been doing the main compound exercises and am not sure I should be squatting with heavy loads. Is it ok to do? If I go down so my quads are parallel to the floor I am ok (although the load is quite uncomfortable). If I go down lower I hear a slight clicking noise. Should I continue with doing the exercise without full motion or change the exercise? Maybe a split squat or get a hex bar? My aim is to strengthen and build considerably.

I have had 2 spinal fusion surgeries for scoliosis from I think it is C6 to L4, I honestly can never remember how many, but it has been a few years and I have wanted to start exercising more other than physio work I still do because I get a lot of muscle tension and soreness throughout the day. I also have really tight hips now and find that exercising in general can make me really sore. I was wondering whether exercises such as sit ups and flutter kicks are ever a go or whether I should be avoiding them completely. Thanks for the exercises I will definitely be trying them!
Aisha.

I would not do any of those core exercises. You can watch the video linked in this article which will give you some good insight into what exercises I would prefer someone to do. If you want a more hands-on step by step approach. My course would take you step by step with doing the right exercises from the basics to more advanced!

im a month and half post surgery of a T10 to S1 fusion with rod and 18 screws. they also had to rebuild the L2 and L3 vertebraes completely. Right now getting on the floor is not an option. what cam i do in the meantime to work on my core? due to being in and out of the hospital over the last 4 months my arms and legs muscles are not ss strong as they once were. all of this was caused by a bacterial infection in my spine with abscesses.

I was told I should be back to golfing around the 6 month mark. I was told by the surgeon that I would be able to ski after 6 months to a year, but he also said it is a risk/reward thing. He would recommend against. I will likely ski again, but wont be running the Black/moguls.

I have heard so many horror stories about spinal fusion, and it seems so permanent. I think I could live for years with this level of pain and discomfort, but I am really hoping that this surgery will help me to walk again and live a relatively normal life as I get older. I hate this feeling of debilitation.

I am very worried about complications because I have terrible luck! I am also worried about reinjury and more surgeries later. I will keep reading more and hopefully will keep my courage up for the next couple of weeks.

I had my L4/5 discectomy and TLIF done on the 13th of November because I had been suffering from debilitating pain shooting down my leg as a result of a large posterior annular bulge, grade 2 spondylolisthesis, anterior osteophytes and disc dessication. I had been suffering symptoms off and on for the past 5 years. In the initial stages, therapy used to work wonders, but symptoms got progressively worse until I broke down in July becoming dependent on nsaids and strong doses of diclofenac to even do the most basic of daily tasks.

While I had a delay in securing my surgery date as there are only 2 neurosurgeons in my neck of the woods who also service 13 other countries, I could not have been happier at the results over the past 3 weeks so far.

My procedure was not minimally invasive as yours more than likely will be, and I now have a lovely 6 inch reminder of my hospital visit, but what I have been able to achieve post up so far has left my surgeon flabbergasted at my rate of recovery and that I was off the opioid medication 10 days post op.

All that being said, no need to freak out. You are undergoing this procedure for your long term health and well-being. Keep that in the back of your mind, it will help you to relax a bit and get over the nerves. Secondly, trust the surgeon and anesthesiologist have your best interests at heart. Thirdly, pray to God or whatever supreme being you believe in that He will not let anything happen to you on that table.

The first couple of weeks post will be rough, you will more than likely experience some aches and pains leaving you questioning your decision, but once you listen to your surgeon and your therapists you will begin feeling right as rain in no time at all.

I had a 4 operations on my back in 5 weeks. I ended with a L4/L5 fusion with severe nerve pain and left drop foot. I am in severe pain all the time. I take prescription meds prescribe by my doctor. Nothing was very effective. I know use medical Marijuana, I use oil and vap that allows me be at a acceptable level of pain in my back. However, I still had severe neuropathy in my left leg and foot with no relief in sight.

I recommend that if anyone who has severe neuropathy you should investigate this. They do not supply this as a nerve agent. I am a real person with no monetary gain by telling this. I hope it might help others with their neuropathy.

I had a lumbar fusion with a BAK L-4-L-6, 23 years ago and I would say it was pretty successful. Lifting over my head or twisting are the only limitations. I am an active 59 year old who does Anytime Fitness classes in Denver which focus on core training, endurance and interval training. Lately, I am having trouble with walking up a hill, dancing or stepping up on anything. My left lower hip joint gets irritated. Are there any recommendations for this issue? Any training books?

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