I was not permitted to bend for the first 6 weeks and it took me 6 months to get back to work, (I clean houses, so physical). Hi, Im 3 months post-op from L3-S1 fixation and fusion, with right L5-S1 discectomy and facetectomy, and left L3-L4 discectomy and facetectomy. I got a cortisone shot in my lower spine but the relief only lasted a few days. At the age of 13, I had correctional surgery for scoliosis. Thank you. I had been suffering symptoms off and on for the past 5 years. The posterior trunk of the internal iliac artery gives off three branches: Iliolumbar artery: it runs anterolaterally towards the medial border of the psoas major muscle, where it divides into the lumbar and iliac branches.The lumbar branch supplies the psoas major and quadratus lumborum muscles, whilst the iliac branch 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. Basically, it requires a lot of patience to heal as you cant bend, twist, or lift. Our brains think more stiffness equals more stability which equals a safe joint. I am an active 59 year old who does Anytime Fitness classes in Denver which focus on core training, endurance and interval training. Courses can order in bulk (>15 copies) by emailing [email protected]. I had lost the link to this page and just found it today. Thank you ! Hi, I cannot believe what I just readyou just described exactly what I have been going through since my surgery in Nov. 2015. Im so happy that I found this post. Now Im pain free thank God, and theres my Qs: which exercise I can do to strength my whole body before weight lifting (if I can do it again)? Just keep moving! One of my knees has a floating bone chip, and I slight meniscus tear. Posterior trunk. Best of luck to you and getting back to your old self in your new bodies timing, I had a L5 S1 fusion 32 years ago when I was in my early twenties. I had surgery (L5-S1 fusion) just over 12 weeks ago. 50 her and had ALIF Surgery in 2011 on L5-S1 and it gave me my life back. Can I do push-ups and crunh at home? Even though I have a lot of pain, Im able to function well and stay active down-hill skiing, biking, running, working out. (I do have a friend who still skies after her scoliosis surgery. Hi my name is Aryan. Its not so much about staying away from a certain exercise but rather stay away from the ones that cause discomfort and hopefully your trainer is experienced enough to make adjustments in your program . The key here is not to be scared. Good luck to you. Ask your doctor before you do any exercise besides walking. However, the pain in my thoracic region has been alleviated (for the most part) since the surgery. Surprisingly I am doing really great I only have the fusion and I have dropfoot in my left leg so I have to wear a brace. I am not sure what you mean by body changes. My left knee is held together from scar tissue they say and the tendon that connects to the knee is not connected. I do balancing on one foot while I am waiting in line, I do a squat to the couch here and there, use heat/cold/TENS unit/magnesium baths. A positive mind is the strongest force in the universe and can outpower anything ! Thank you. Now (15 years later) IM scheduled for another fusion L4/5 due to spondylosthesis and stenosis.been terrible pain for at least a year with various sciatica on both sides, changes from time to time. WebIt has been updated with all new images and sections on Quadratus Lumborum, Fascia Iliaca, Adductor Canal and Erector Spinae Block. Pull out where you are weak or why your back is in the condition that it is in and build a program around that! Oh and I still cant feel 90% of my right leg and foot. 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. What do i do to strengthen them up. Im having my third repair surgery on May 28th 2020 I have so many problems live to share. Walking is impossible. This is where you are the expert. identify the distal attachments of the teres major. Finished with 8 screws and 2 rods. 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 question I have is that once I took the brace off I feel its difficult to move around and it hurts but not enough for me to go back on pain meds. Also does this mean its okay for me to do situps and other exercises I used to do? Hi Michael, I am 63yrs old, I had same procedure as you back in February of 2019 I Immediately felt so much better after , my pain was gone!!! I can understand your fear as I was in the same position two months ago. Larry. When I hit early fifties, the curves started to progress rapidly, Until then, I thought dodged the surgery bullet. The surgery was recommended, as a result of severe spondyloslethesis and other serious issues. Well, here I am going on 17 years later and gradually been having unbearable pain in my lumbar/hip/pelvis region . Id appreciate any insight you might have. Reintroducing exercise and healthy movement slowly is the best thing you could do right now. Im extremely determined and will definitely be back to this site and provide it to my personal trainer post surgery. Thank you . Its 2 months since my surgery. Its 2 months since my surgery. I had surgery in July of 2018 to correct my scoliosis (18 years old at time of surgery). WebIt has been updated with all new images and sections on Quadratus Lumborum, Fascia Iliaca, Adductor Canal and Erector Spinae Block. Im not frustrated yet but Im getting anxious. My current other issue is arthritis in my knees. It helps to be in shape before surgery, specially your core. I also have learned my limits with exercise. Kevin, If that makes sense. Fast forward to present day. There are plenty of reasearch articles proving that the RIGHT amount and type of exercise can do wonders for those after a spinal surgery. I did a lot of walking when possible as my suregeon said movement would help the healing process. The exercises your doc gave you will be a good start but you will eventually need to move to a more structured program that has you progressing and challenging the rehab style workouts he gave you. Once that has been done this is when you need to start slowly introducing these things back in. I did physical therapy, used a Tens unit, etc., but was still in pain (the pain was different than before surgery. The things that I would focus on with him the most is learning to move properly within his limitations. Its 2 months since my surgery. He also did a therapy called Primal Reflex then put me on a vibrating table for 10 minutes. My left lower hip joint gets irritated. Again, there is light at the end of the tunnel. I got spinal fusion about 1 and half years ago (L5-S1) . I am so grateful that I came across your post. Thank you. Not easy but you can and will get better in time. 53 here and just had to have my initial L5 S1 fusion removed. B) Be mindful of the position of your spine while exercising. Walk often, and pray. I would not run especially with so many other ways to get your heart rate up that do not have you pounding your spine each time you take a step. My doctor told me that I could excercise but to make sure it was low impact excercises. Human anatomy scientific study of the morphology of the adult human.It is subdivided into gross anatomy and microscopic anatomy.Gross anatomy (also called topographical anatomy, regional anatomy, or anthropotomy) is the study of anatomical structures that Start with a short brisk walk. Thanks to you, I am on the road to healing after 2+ years of lower back pain. My surgeon asked me to avoid sitting to no more than 1/2 hour per day, so I dont drive long distances. I had olif S1-L4 at the end of January. 1) Never work through back pain. I am really struggling . I know use medical Marijuana, I use oil and vap that allows me be at a acceptable level of pain in my back. They dont fuse the discs. To top it all off Im also now experiencing numbness on the surface of my skin on just the right side of my thy. The other pose I do to unstick my back is the happy baby yoga stretchthat one in combination with these QL stretches have pretty much solved the back issues that have plagued me for years. I would rather preserve what I have and spend more time doing single leg stuff with less weight. My back has not felt this good since I injured it at 16 years old. The information in Fitness4BackPain.com is not intended as a substitute for professional medical help or advice but is to be used only as an aid in understanding spinal rehabilitation. Thank you for reply Mr Richards. I also started working out after my surgery about a year and a half and did my first half marathon. I also have really tight hips now and find that exercising in general can make me really sore. I finally found an answers source for my questions. Probably due to nerve pain due to stretching of your femoral nerve during the fusion. But I was still left confused, before surgery all I kept hearing was spinal fusion. I am not sure what vibration plate you are talking about. My recovery has been slow but successful. Login. I dont think I asked the right questions and probably should have had someone with me when surgery was discussed. Preserving what he still has bone, tissue and joint wise is the smartest approach to take while getting back to doing what he loves. If you can do these well and safely your body will begin to trust your movements and be able to relax. This is my passion and I want to continue after healing. I am a 54 year old female, former Powerlifter. Thanks for reaching out dude! I have lost 10 lbs. I never ran before, it was great with no pain. Since your back is already super sensitive you have to be very mindful of the subconscious activities and movements you do. I had treatments from a chiropractor, masseuse, spinal epidurals, trigger point injections, acupuncturenothing helped. Enhance Institutional Standard. Its all about how your body is reacting to what youre doing. Ive come to the conclusion that I need more physical activity in my life. I am beginning with a personal trainer to show me modified usage of the gym equipment to stabilize my spine and strengthen my upper body, specifically my back muscles. It isnt debilitating at all, just a small bump in the road towards a long, productive and relatively pain free life. For you specifically I would ask your doctor these questions. My skin is dryer on one side and my surgeon left the area. WebQuadratus Lumborum Nerve Block, Rectus sheath block: CPT codes covered if selection criteria are met: 64486: evaluated the peri-articular distribution of genicular nerve blocks in a fresh cadaver model and described the technique in a preliminary group of patients submitted to total knee arthroplasty (TKA). My family immigrated to the USA in the late 60s. The pain in the recovery was bad, but it was manageable with pain meds. Wow I am so sorry to hear about your son but thats is AWESOME to hear about his road to recovery! Now I use my 10+ years as a leader in the health and fitness industry along with my personal journey of pain management to give you exactly what you need to find freedom yourself. Is this safe to do in a few years along with the other obvious physical tasks of the army. Im scared Ill give up too much and would like to wait, but they are concerned waiting would take me out of being a candidate. I would appreciate any feedback you can give me. From a personal standpoint I would favor the dead bug. I will attempt them tonight. I notice a very obvious protrusion from my back where the rod is connected at L1. It will be 3 or 4 levels in lower lumbar area. Can I do crunches etc? In February of 18 is when I had my most recent fusion. After my ruptured disc diagnosis, I spent the next 6 years of my life researching and experimenting on my own body in search of a cure for my chronic back pain. Bird Dog Im 3 months out and had no therapy as of yet. I havent read all the comments on here, but I am thankful to see so many first-hand records of surgery. 1) What is the walking going to promote? My husband is still having a hard time with his new disabilities. I think I will buy an exercise bike with arm attachments and stick it in front of the TV, yeah, I think I like that idea. Stay positive, have goals, and put in the work to reach them, the body is resilient and muscle memory is there, tap into it. I was at a dispensary and they told about something they supplied called powder. Oh, and I am 51. I am still stiff but he said I can do light streching, swimming, stationary bike and stay away from any heavy lifting or extreme twisting. The posterior trunk of the internal iliac artery gives off three branches: Iliolumbar artery: it runs anterolaterally towards the medial border of the psoas major muscle, where it divides into the lumbar and iliac branches.The lumbar branch supplies the psoas major and quadratus lumborum muscles, whilst the iliac branch supplies the iliacus muscle. In all my brilliance I decided that it must be scar tissue or something else in would go away. But you have to keep in mind the health and longevity of your active career. My surgery was 12/21/2015 and I am still using a walker. Core training after a spinal fusion is EXTREMELY important. Super pumped to hear about your recovery! 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. Hey, jean I responded to this question on the article Test and Correct The Way You brace Your Core to Prevent Lower Back Pain. Incidentally, I am 66 years old and in excellent health otherwise. Ive been in PT forever but they are limited to a script. It feels great while I am there, but as soon as I get up -PAIN. Its not yoga but its still activating muscles in the area that has been worked on without causing damage. My surgeon wants me to walk in chest deep water, starting in another 3 weeks and Im aiming to walk for an hour a day at the moment. When it comes to having your spine fused we can safely agree that excessive spinal flexion may not be the best thing for you to do right now. The problem is I have to go home this week, back to Cali where I live, he lives in Virginia. My doctors are recommending a long fusion (T1-S1) over two days. I fell last week and thought that perhaps I destroyed my surgery, but the x-ray showed that Im ok. My friend had physical therapy and got way better. Seriously wondering about a heated pool now. Ive had constant pain since my surgery. I have had a fusion, three revisions due to the first doctors fusion which had my feet going direction and my upper body facing the opposite direction with tons and tons of pain. Secondly, trust the surgeon and anesthesiologist have your best interests at heart. The way that my doctor explained it to me was that the body has to adjust to the new gear and the brain gets confused sometimes. Figure A270: The muscles of the posterior abdominal wall and the Diaphragm, from the right and in front. I can move but hate it cause if the pain ! What exercises do you recommend to stay away from? Time will tell how successful my surgery will be but I think its going to be great. The quadratus lumborum elevates the same-side pelvis and anteriorly tilts the pelvis at the lumbosacral joint and extends and laterally flexes the trunk at the spinal joints. What are your swimming exercises? This is why with my clients I give them a pain scale to rate themselves on during their workouts. . Figure A269: The Quadratus lumborum from behind and somewhat from the side (schematic). Keep your legs strong as well. Surgery is not a magical fix and will not work if you dont strengthen and build your core. I got rear ended in a car accident also and that is what really did it for me limping, weakness in the legs, knees buckling etc. It has caused a lot of pain. I was mad i had to have surgery because it interrupted my lifestyle, but 20 years of pain required it. I know for me flattening my back and bringing my legs anywhere past the mid-line of the body would give me sciatic symptoms. On the other hand, you can misuse that exercise and go to heavy too soon or too much volume over one workout and end up hurting someone. Getting back into an active lifestyle can be tricky and needs to be taken slow. IggyGarcia.com & WithInsightsRadio.com. One of the trainers at my gym has had multiple fusions throughout her spine and still maintains a healthy exercise program. I got him down to two weeks. Its garbage and does not belong in your recovery or future strength training plans. Being hyper sensitive to the way you sit, stand and bend. The pain is primarily, as best as I can tell, below the level of the fusion. If you want a more detailed approached geared to you let me know. In general I would watch how much you load the spine at first. Is it ok to do? I have had 3 lower back surgeries 2 failed microdiscectomies and a successful double lumber fusion L5-S1. Hi, i had L3-L5 fused in june. Once you are aware of what you cannot do, your life is enhanced. Im also an X-ray tech and I have great understanding of my condition and knew when it was time. Its been 3 months and I still have the same knot and pain. As long as you have been cleared to resume normal activity then yes its okay. The only issues I have are the therapist forget the BLT rule. Best, Maybe lame but fear I might hurt it. I would take a step back and start fresh with a slower pace and see if you can get back to where you were without this new coach. The worst ever withdrawals and now with insomnia. To move fluently you need the entire column and its vertebra to move along with you. Can increase miles and speed of walks, but still no bend, twist, lean, lift. I am working on losening my body and hopefully some time in the future I hope soon, I may be able to do more. I walk 50minutes a day and stay away from most weights. I had L5-S1 fusion done 06/18 after 3 failed micro discectomies. Ill try and keep this brief. Kat. I do have a 50% slip of L5 over S1 with narrowing of the spinal canal at that point and I have lost almost 3 inches in height. I get mad that I did this, I get mad at God sometimes, but we know so many people that have died in the war/s and a few from accidents that left the family fatherless, that I do brush myself off and go OK you go this. Hi Kellie, When it comes to exercising after a spinal fusion, proper lifting cannot be taken lightly. Rolling over while sleeping is excruciating. ==> How to train your core after a spinal fusion. This means you dont need to go into the gym and do a bunch of bending over to get stronger or more capable of bending over without pain. A simple test you can do is attempt the same movements you do that cause such as bending, getting out of a chair, rolling over in bed etc. Rated 0 out of 5. We are now home, it has been 5 weeks since the accident. I have recently tried dry needling. Im just jumping in here as I literally just had my fusion on L5 S1 as well as two additional decompressions six days ago. I am very similar to you. I wear leggings now because I cant tolerate any pressure on my thighs. Just like the previous gentleman, I too have numb skin sensation and just minimal discomfort from the surgery on the upper discs. I waited a year to do anything more then walk. The doctors and everyone were amazed at how quickly I recovered, but I was the one who dressed up their walker in Mardi gras colors and glued beads on it, because it was Fat Tuesday last year, when I had my surgery. I still do the exercises and water aerobics but I want to know what exercises to avoid. BUT and a big BUT. Over time this is where the pain comes in and poor habits are made. I promise you, you are NOT rusting but I cant imagine the discomfort and stiffness. The posterior abdominal wall is formed by the lumbar vertebrae, parts of the ilia of the hip bones, psoas major and iliacus muscles, and quadratus lumborum muscle. 2) Your mind wants to protect that area at all costs and unfortunately how our mind tells our body to do that is through stiffness. In spite of its The sport requires explosive movements, some back extension, and impacts from takeoffs an landings during tumbling. I take prescription meds prescribe by my doctor. It is an enlarged prominence that is formed at the lower region of the neck. The knot will not go away and still have same pain one year later. I am having spinal fusion next week, Jan. 8. You can check with your doctor but Im sure he will say the same the constant jarring motion on your spine, especially with three fused discs, will cause the disc above or the disk below the fusion area to take on all the extra impact. The thing about classes is that its not really individualized. I had two spinal fusions within 6 months of each other. He was a vey active guy. because my doctor said that : I couldnt have done it without my wife. My BF just had his spinal fusion T3-L3 al thought now we are both stressing as we keep reading about mobility and additional pressure on the lower disks of the spine. My surgeon also asked me to walk two miles a day at this stage. I had a spinal fusion L1-S1 due to Osteomyelitis after a disc herniation. Extreme weakness lead to foot drop on the right foot. If you do have the surgery, I wouldnt say that your career is over but it will be a slow recovery and you still wont have the support system your spine needs since you chose not to take the time and train for it. I can walk without stopping to bend over however; my back pain is still present, and this causes me to stop for rest, frequently . The doctor that did my surgery said I would be able to have it all removed. Unfortunately, surgery can be unpredictable. Its impossible to only use one part of the spine. I too cannot lay on a flat area. My PassionHere is a clip of me speaking & podcasting CLICK HERE! The osteo can work on your whole body in a session which is EXACTLY what we need. 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. I am a 37 years old male. its a protruding bone at the base of the neck! I often wonder if it was worth it but then I think back on how much pain I was in before surgery and I just wanted it fixed. I have heard so many horror stories about spinal fusion, and it seems so permanent. You can check those out here. If the doc is adamant about no movement other than walking then respect that but demand a time table of when you can expect to be able to begin to progress. Recovery was absolutely horrible but the results were outstanding! This is exactly what we will be covering today! L5 was slipped forward off S1 approximately 50% which compressed my nerve root severely. I am confused as to what activities I should avoid. But, is it ok to squat or bend over to tie up my plants, weed, pick tomatoes. Rachel stay patient with the process and heal. I work everyday but exercise is extremely painful. I wish you the best! He survived with all his limbs but had many broken bones including C7, T10 and L1-L5, lacerations and spleen removed. Hey the nerve pain is fairly normal I had a t12 L3 fusion after a spinal burst back in June of 2018. If you know what you are doing thats great! It has been nearly a year and I have more pain down my leg now, but less pain in my hydraulics so to speak. It is now 13 months later, walking with a cane, and again in PT as I am not standing straight. So thankful to God for a second chance. Pumped that you are eagerly trying to strength train that is a big deal! Lew , I had a cervical and lumbar done. Quadratus Lumborum; Transversus Abdominus Plane; Pecs 1, 2, and Serratus Plane; Lumbar and thoracic epidural anesthesia/ analgesia; Lower extremity blockade, including: Lumbar Plexus; Femoral; Saphenous/adductor canal; Cadaver lab workshop for JH residents at JHUSOM (led by Regional Division) Well it has been a while now since surgery ,,, how are you now..? Its pretty severe and debilitating. You want to move and exercise as pain-free as possible. Pins and needles and muscle cramps also come and go. So all in all.2 months post op Id say weights are a very bad idea, but listen to what your doctor has instructed. Courses can order in bulk (>15 copies) by emailing [email protected]. It sounds like you have some cumulative issues going on. I havent found information on my procedure Ive been searching for a while now. Hello, I am 51 yr old female who is 3 years post op L4-L5 spinal fusion. So, thank you so much for this post." Login. I felt like a new man! Take heart. Welcome to the community! Any training books? Everything you do, you need to always consider the load the movement is placing on the fused vertebra. So 4 months later Iam still pain free!! Omg! I have been on various painkillers (which I try to avoid), physio, injections, caudals, etc etc, all to no avail. Hi Kevin,I have had my L5-S1,L4-L5 fused for the front ( calll AFL fusion) plus L4-L3 full disc replacement to stop further deterioration in my spine.The disc L M-6 mimics the full motion of the normal disc. Glad your back on your feet! Both are required for this endeavor. Im glad I found your post. By no means do I think I am the expert and my information trumps all other medical advice but the difference between what I tell you and what a lot of other people will, is to always consult with your physician FIRST. I think the pool is a great idea. Unfortunately, regardless of how severe or minor your fusion is the idea of flexing the spine becomes something with a lot of fear wrapped around it. Do I have to be careful of engaging in activities where I may get bumped around such as jet skiing, horse back riding, etc.? Courses can order in bulk (>15 copies) by emailing [email protected]. The first fusion was a long recovery and painful, and it only provided temporary relief. After the cupping I was very bruised & sore & just assumed it was routine. Since you are still able to functional & enjoy your activities & passions.. Be sure you have considered & tried every option possible before resulting to any surgery.. Posterior trunk. It does not make me sleepy or drowsy. WebThe iliohypogastric and ilioinguinal nerves (ventral ramus of L1 with occasional contributions from T12, L2, and L3) depart through the proximal and lateral aspect of the psoas major muscle and traverse the ventral surface of quadratus lumborum . ==> Until you are fully recovered, repeated bending, twisting, and excessive loads need to be minimal and progressive. I have just decided it was time to feel better as well as take the added weight off of my back. Quadratus Lumborum; Transversus Abdominus Plane; Pecs 1, 2, and Serratus Plane; Lumbar and thoracic epidural anesthesia/ analgesia; Lower extremity blockade, including: Lumbar Plexus; Femoral; Saphenous/adductor canal; Cadaver lab workshop for JH residents at JHUSOM (led by Regional Division) I just had my 6 month checkup and the bones are fusing but I still not 100%. A description of an ultrasound-guided technique for a quadratus lumborum block in the cat: a cadaver study. There isnt a book that addresses this the way I explain it but my students go through Relief Academy which solves the issues I described and gives them workouts and attention they can do safely and confidently. Plate A1, figure 1: The sternum and the sternal ends of the clavicles and the ribs, with the associated muscles from behind. I would love to hear more about his situation and help in any way that I can. The truth is if you dont have the correct form, you can make pain worse. I am now just over 5 months post-op and finally to the point of feeling well enough to begin working out at the gym again. Do you care to expand on how you are healing? He wanted me to start physical therapy for a month. As far as core exercises I would stay away from flexing the spine with exercises like sit-ups and crunches. My back feels great at 9 months post op, however, I still have daily sciatica pain. The Visible Human Project is an outgrowth of the NLM's 1986 Long-Range Plan. Any suggestions & thoughts would be greatly appreciated. How did this happen, I was driving to fast and slid into the side of an overpass and was ejected Over the top and fell down under the bridge 60-70 feet down. 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