Our Summary

This study looked at when it is best to start physical therapy after a patient has had spinal surgery. They compared two groups of patients; those who started physical therapy on the same day as their surgery and those who started the day after. The study found that patients who started physical therapy on the day of their surgery tended to leave the hospital sooner than those who started the day after. This suggests that starting physical therapy immediately after surgery could help patients recover more quickly.

FAQs

  1. What was the main focus of the study on spinal surgery recovery?
  2. When according to the study, is the best time to start physical therapy after spinal surgery?
  3. What are the benefits of starting physical therapy on the same day of the spinal surgery as per the study?

Doctor’s Tip

Additionally, the doctor might advise the patient to follow a prescribed exercise program to strengthen the muscles surrounding the fused vertebrae and to improve flexibility and range of motion. It is important for the patient to follow all post-operative instructions provided by their healthcare team to ensure a successful recovery and to minimize the risk of complications. Regular follow-up appointments with the doctor will also be necessary to monitor progress and address any concerns.

Suitable For

Patients who are typically recommended for spinal fusion surgery include those with:

  1. Degenerative disc disease
  2. Scoliosis
  3. Spinal stenosis
  4. Herniated discs
  5. Spondylolisthesis
  6. Spinal fractures
  7. Spinal tumors

These patients may be experiencing symptoms such as chronic back pain, numbness or weakness in the legs, difficulty walking, or loss of bowel or bladder control. Spinal fusion surgery is often recommended when conservative treatments such as medication, physical therapy, or injections have not provided adequate relief.

Timeline

Before spinal fusion:

  1. Patient consults with a doctor to discuss symptoms and potential treatment options.
  2. Diagnostic tests, such as X-rays or MRIs, are done to determine the extent of the spinal issues.
  3. Patient and doctor decide on spinal fusion as the best course of action.
  4. Pre-operative tests and evaluations are done to ensure the patient is healthy enough for surgery.
  5. Patient receives pre-operative instructions, including fasting and medication guidelines.

After spinal fusion:

  1. Patient undergoes spinal fusion surgery, which typically lasts several hours.
  2. Patient wakes up in the recovery room and is monitored closely for any complications.
  3. Patient is given pain medication to manage post-operative pain.
  4. Patient may stay in the hospital for a few days for monitoring and rehabilitation.
  5. Physical therapy and rehabilitation exercises are started to help the patient regain strength and mobility.
  6. Patient is discharged from the hospital and continues with physical therapy and follow-up appointments.
  7. Over the following weeks and months, the patient gradually resumes normal activities and monitors their progress with their doctor.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with spinal fusion surgery?
  2. How long is the recovery period after spinal fusion surgery?
  3. Will I need physical therapy after the surgery? If so, when can I start?
  4. What restrictions or limitations will I have after the surgery?
  5. How long will I need to take pain medication after the surgery?
  6. How successful is spinal fusion surgery in relieving pain and improving mobility?
  7. What type of follow-up care will be needed after the surgery?
  8. Are there any alternative treatments or procedures that could be considered instead of spinal fusion?
  9. What is the long-term prognosis for patients who undergo spinal fusion surgery?
  10. How experienced are you in performing spinal fusion surgeries, and what is your success rate?

Reference

Authors: Lierz MP, Ablah E, Dean J, Okut H, Whitaker C. Journal: Spine J. 2024 Jan;24(1):101-106. doi: 10.1016/j.spinee.2023.08.007. Epub 2023 Aug 21. PMID: 37611874