Spinal Rehabilitation

Spinal Rehabilitation and Exercises after Back Surgery

Spine surgery is major surgery, and rehabilitation of the spine is an important part of helping patients get the most out of the surgery. Basically, spine rehabilitation (physical therapy, exercise) can help the patient to heal faster and more completely after Spinal Rehabilitation surgery.

After an injury or surgery, a conditioning program will help you get back to normal activities and get back to sports and other activities. The program consists of various exercises and should be performed under the supervision of a doctor to be safe and effective.

How long does it take to heal perfectly after surgery?

The length of time to heal varies from person to person. Healing depends on:

  • Types of surgery
  • General health, other medical problems
  • General musculoskeletal condition, general muscle control, and fitness level
  • The degree of symptoms at the time of surgery.

Software Healing Speed

The human body heals by leaving scar tissue. The speed of healing varies from individual to individual but usually by week 4 the connective tissue strength has reached 60%, by week 6 it reaches 80%, and by week 12 it reaches 100%.

Physiotherapist Monitoring of Spinal Rehabilitation

You should continue to exercise after discharge from the hospital. Rehabilitation of the spine after surgery is an important part of healing. Your exercise program needs to be improved and tailored to suit you.

Purpose of Physiotherapy

  1. To maximize muscle balance, function, and endurance.
  2. To strengthen the postural muscles (trunk stability).
  3. To improve functions at home, at work, and at leisure.
  4. Teach self-management strategies.

Physiotherapy Techniques for Spinal Rehabilitation

Evidence suggests that an active or exercise-based approach is best

The specific therapeutic exercises are specific to each case and safe to perform.

  • Identify muscle irregularities
  • Teaches strategies to improve function
  • Corrects and teaches appropriate movement patterns
  • Rebalancing lower spine/hip joint mobilization and upper spine/shoulder using land-based exercises (other than water sports)

Hydrotherapy can be beneficial but cannot be done alone without other therapies

Passive treatments, such as acupuncture, soft tissue relaxation (massage), heat / electrical therapy, and taping for biofeedback can be helpful but are not done on their own without other treatments.

Acupuncture y Hydrotherapy

Physiotherapy usually starts 3 to 4 months after surgery and usually lasts 6 to 12 weeks. The first stretching exercises are performed for maximum flexibility. Then followed by an aerobic exercise or yoga to improve body conditioning.

The next exercise is usually resistance training, often using weights, to improve strength and stability in the body, and in particular the spine. A maintenance program is a key to maximizing therapeutic results.


You have to be careful with the movements you make to avoid damaging what the surgeon has done.

You must remember that muscles, other soft tissue, and deep sutures all take 6 weeks to heal. It is unlikely that the metal instruments, which are inside your spine, will be removed after this period.

Although sitting, standing, walking, and lying down are all permitted positions/activities, you should avoid sudden or repetitive movements. In general, one should avoid climbing stairs, bending from the waist, twisting the upper body, and squatting.

This ban is usually 6 weeks to 3 months after surgery. However, it is permissible to lean forward to brush your teeth or wash your face, even a few days after surgery.

Weight Lifting

The maximum weight allowed to lift is 8 pounds or approximately 3.6 kilograms.

Sports for Spinal Rehabilitation

You can resume exercise, depending on the type of surgery and the specific disorder you had. As a rule, after three months you can resume sport once a suitable training program has been put in place.

Sports permitted in the first 6 weeks include walking on a level surface. After that, you can go to the pool and swim whenever you want. Avoid jumping, diving, and twisting or clapping.

The use of stationary bikes, regular bikes, and fitness equipment such as stair climbers, weight machines, elliptical machines, or sit-ups should be avoided until approved by your doctor.


It is recommended to start exercising in the swimming pool 10-14 days after surgery (when the wound appears to be healing).

Swimming has the benefit of reducing the load on the joints (due to the effect of floating), relieving muscle tension, improving cardiovascular health, spinal mobility, and strengthening muscles.

Start by walking slowly in the water. This can then be increased by walking sideways and backward, slowly squatting, sitting on ladders, and doing movements like pedaling a bicycle.

You can also try another movement, which involves standing up while pushing your arms in different directions while keeping your body in place. You can try both freestyle and racerback exercises for up to 10 laps, three or four weeks after surgery. Breaststroke should be avoided for the first three months.


Due to the excessive pressure placed on your lumbar bones when entering and leaving the bath, it is recommended that you shower for the first 3 months after surgery. It is recommended that you sit on a showering chair to reduce the risk of slipping or falling.

Most patients do not need to use an orthosis, but if your doctor recommends wearing an orthosis, wear it for 3 months and open it when you shower or sleep.

Writer Bio:  

I am Patricia Zwilling, a senior Spinal Rehabilitation Surgeon at Back Pain Chairs Lab, Chicago, Illinois, USA. We serve to American community about their better life and fruitful tips regarding the daily routine.