Life After Laminectomy: Rehabilitation and Long-Term Success

August 9th, 2024 by Mohammed Faraz Khan, MD

A laminectomy is one of the most common back surgeries. It is a surgical procedure used to increase the space within the spinal canal by removing the lamina from the vertebral arch, also known as decompression surgery.

Laminectomies can be performed in the cervical, thoracic or lumbar regions of the spine and may also be performed concurrently with a spinal fusion, which permanently joins two or more vertebrae together.

This surgical procedure is done when more conservative treatments like medication or injections are unable to alleviate back pain symptoms.

Laminectomy Rehabilitation

Rehabilitation and therapy programs following a laminectomy will primarily focus on post-operative mobility, patient education and pain management. Your surgeon will recommend an individualized physical therapy treatment plan will be tailored to the patient’s needs, addressing strength, flexibility and mobility impairments.

As your rehabilitation begins, your physical therapist may focus on early mobilization (getting up and walking) and gentle exercise. Early mobility will reduce the risk of secondary complications such as blood clots, increased pain and infection.

With time, core stability exercises and spinal range of motion (ROM) exercises will help to restore movement. Range of motion exercises will also help regain flexibility in the spine to prevent joint stiffness and decrease pain. Tailored resistance exercises for back muscles will help to increase strength and restore muscle function.

Identifying proper movements and postures and avoiding strenuous activities will be critical during the recovery process. Working together with a therapist to properly progress all exercises will be essential to restore movement, safely return to daily activities of living and prevent future injury.

When to begin your rehabilitation

Generally, patients should expect to start physical therapy approximately 4 to 6 weeks following a lumbar laminectomy. If there were any post-operative complications like infection or excessive bleeding, then this time period may be delayed a bit longer. After your procedure, you should have a discussion with your doctor about when to start rehabilitation.

Recovery After Back Surgery

Recovery time from laminectomy surgery varies depending on the individual. Typically you will require some pain medications and relative rest for 1-2 weeks after surgery.

It is important to rest and move slowly the first week after the procedure. You should avoid any twisting or bending motions right after surgery. As each day passes post-surgery, you will be able to gradually take on more and more of your daily activities. Time to full recovery depends on how severe symptoms were before surgery, the complexity of the surgery and your overall medical condition, but is typically 6-8 weeks to resume full normal activity.

Life After Laminectomy

Everyone heals differently after a spine procedure. Your recovery time will depend on the extent of your surgery and your own personal health. The majority of patients who undergo a laminectomy will experience a reduction in their back pain symptoms.

To find out more information about whether or not you are a candidate for a laminectomy, contact our office today. Our innovative, compassionate and experienced team of surgeons have helped our patients greatly reduce or eliminate their back pain symptoms and return to a quality of life they enjoy.

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