| Note on research and authorship Rehabilitation for discectomy will vary significantly based on the location of the disc and the surgical procedure used. The primary focus of rehabilitation following discectomy is to promote independence in all functional activities.
Early ambulation should be encouraged, and assistive devices may be used as needed. Proper transfer techniques should be taught to maximize independence and minimize discomfort. These techniques may include log rolling for bed mobility and use of the upper extremities to assist with transfers. Gentle isometric exercises of the trunk stabilizing muscles may be initiated unless contraindicated.
When indicated by the treating physician, usually around 4 to 6 weeks postoperatively, patients may be progressed to a more aggressive exercise program (Danielsen, Ostelo). Rehabilitation should emphasize stretching, strengthening, stabilization and aerobic exercises as well as instruction of proper body mechanics. Stretching, strengthening and stabilization exercises should focus on the muscles around the trunk, hips, and thighs. Improved general aerobic conditioning has been shown to yield better postoperative outcome (Dolan). Low impact activities, such as walking and swimming, may be beneficial after discectomy to improve general fitness. |
FREQUENCY OF REHABILITATION VISITS | | Surgical | |
| Physical Therapist | | Inpatient: daily | | | | | | | | Physical Therapist | | Outpatient (lumbar spine): up to 6 visits within 6 weeks | | | | | | | | Physical Therapist | | Outpatient (cervical spine): up to 12 visits within 4 weeks | |
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| The table above represents a range of the usual acceptable number of visits for uncomplicated cases. It provides a framework based on the duration of tissue healing time and standard clinical practice. |
Source: Medical Disability Advisor