Return to Exercise After Microdiscectomy Surgery

Exercise can play a key role in recovering from腰椎显微手术surgery. While it is important to follow the surgeon’s directions regarding activity restrictions, research suggests that an early return to specific exercises after microdiscectomy under guidance from a licensed therapist may benefit the recovery process.¹Starting a muscle-strengthening program within 6 weeks of microdiscectomy surgery may help people reduce pain and return to work sooner.²

A microdiscectomy procedure uses minimally invasive techniques to provide relief from pain caused by a lumbar herniated disc. Watch:Lumbar Microdiscectomy Surgery Video

步行锻炼显微手术后

Walking is encouraged as a way to get moving as soon as possible after microdiscectomy surgery. This type of exercise is gentle on the back, helps improve overall fitness, and keeps the muscles flexible.

通常情况下，患者应开始短距离散步，然后逐渐达到几英里。当手术后不久走路，它留在平坦的表面，而不是倾斜或不平整的地面是很重要的。有些患者可能更愿意使用助行器或拐杖，如果平衡是一个问题。

See步行锻炼为更好的背部健康

应用ice therapyand/or takingnonsteroidal anti-inflammatory drugs (NSAIDs),如布洛芬或naproxen, after walking may help alleviate the discomfort sometimes associated with an increase in activity after back surgery.

Gradually Adding Exercises After Microdiscectomy

步行和浅拉伸是以下显微手术的手术前2周期间通常所建议的主要练习。当外科医生启动还原活性的限制，一般为2和6周后手术之间，更练习和伸展可以逐渐增加，由患者作为耐受。

An early focus may be onstretching the hamstrings，它可以成为一个显微手术后紧。后来，更多的练习可以合并，以帮助加强该稳定脊柱，包括在后面（竖脊）长肌肉核心肌肉。

WatchHamstring Exercises for Low Back Pain Relief Video

Exercise Goals After Microdiscectomy

Depending on the person’s recovery goals, a back-strengthening or physical therapy program can be tailored to meet individual needs. The recommended exercises and stretches may depend on whether a person plans to return to a desk job or something more active, such as physical labor or competitive sports.

The goals typically include:

• To use ergonomically correct postures while sitting and lifting objects
• To stretch and strengthen the lower back and leg muscles
• To improve the range of motion in the lower back and legs

Recommended exercises and modifications to exercises may also depend on the patient’s overall health, rate of recovery, and pain levels.

Activity Restrictions to Remember

Many surgeons still recommend following activity restrictions for at least the first 2 weeks after microdiscectomy:

• No bendingat the waist
• 任何起重items that weigh more than 8 pounds (a gallon of milk)
• No twistingthe spine

尽管想方设法进行伸展和显微手术后不久就恢复正常活动，必须牢记这些限制是非常重要的，而不是恶化的痛苦。此外，还建议患者得到充足的休息，而不是推自己太辛苦。试图执行活动而疲劳或强大的药物可能会增加跌倒或其他类型的伤害的风险。

Read more aboutPostoperative Care for Lumbar Microdiscectomy Surgery

每个患者的情况不同，所以建议有关推荐的活动限制外科医生咨询。

参考

• 1.Bono CM, Leonard DA, Cha TD et al. The effect of short (2-weeks) versus long (6-weeks) post-operative restrictions following lumbar discectomy: a prospective randomized control trial. Eur Spine J. 2017;26(3):905-12. doi:10.1007/s00586-016-4821-9.
• 2.Choi G, Raiturker PP, Kim MJ, Chung DJ, Chae YS, Lee SH. The effect of early isolated lumbar extension exercise program for patients with herniated disc undergoing lumbar discectomy. Neurosurgery. 2005; 57(4):764-72.