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Back Surgery Rehab: Steps to a Stronger Spine

Back surgery, whether it’s for a herniated disc, spinal fusion, or another condition, requires a dedicated rehabilitation process for optimal recovery. Post-surgery rehab focuses on restoring mobility, strength, and function while minimising pain. This blog will provide an overview of what to expect during back surgery rehab and the steps to a stronger spine.


Types of Back Surgeries: Common back surgeries include:

  • Discectomy: Removal of a herniated disc to relieve pressure on spinal nerves.

  • Laminectomy: Removal of part of the vertebrae to create more space for the spinal cord or nerves.

  • Spinal Fusion: Joining two or more vertebrae to stabilise the spine.

  • Spinal Decompression: Removing bone or tissue to relieve pressure on spinal nerves.

Post-Surgery Care:

  • Hospital Stay: Depending on the type of surgery, you may stay in the hospital for a few days for monitoring and initial recovery.

  • Pain Management: Pain medications and anti-inflammatory drugs will be prescribed to manage postoperative pain.

  • Wound Care: Instructions on how to care for the surgical wound to prevent infection.

Initial Recovery:

  • Rest and Protection: Initially, rest and protect the surgical site while allowing the spine to heal.

  • Early Mobilisation: Gradual introduction of movement and light activities as recommended by your surgeon.

Physiotherapy Focus: Rehabilitation after back surgery focuses on reducing pain, restoring mobility, and strengthening the muscles that support the spine.

  1. Acute Phase:

  • Pain Management: Use of pain medications, ice, and gentle movements to reduce pain and inflammation.

  • Gentle Movements: Simple activities such as walking and gentle stretches to prevent stiffness and promote circulation.

  1. Subacute Phase:

  • Strengthening Exercises: Introduce exercises to strengthen the core and back muscles, such as pelvic tilts, leg raises, and bridging exercises.

  • Flexibility Exercises: Gentle stretches to improve flexibility and reduce muscle tension.

  1. Advanced Rehabilitation:

  • Functional Training: Progress to more functional activities that mimic daily tasks, such as bending, lifting, and twisting.

  • Aerobic Conditioning: Incorporate low-impact aerobic exercises such as walking, swimming, or cycling to improve cardiovascular fitness and overall endurance.

Rehabilitation Exercises:

  • Pelvic Tilts: Strengthen the lower back and abdominal muscles.

  • Bridging: Strengthen the gluteal muscles and lower back.

  • Leg Raises: Strengthen the lower back and hip muscles.

  • Cat-Cow Stretches: Improve flexibility and reduce tension in the spine.

  • Bird-Dog Exercise: Enhance core stability and balance.

Long-Term Recovery:

  • Follow-Up Visits: Regular appointments with your surgeon to monitor progress and address any concerns.

  • Continued Physiotherapy: Ongoing physiotherapy sessions to ensure continued improvement and address any residual issues.

  • Lifestyle Adjustments: Maintaining a healthy weight, engaging in regular low-impact exercise, and following ergonomic principles to support spinal health.

Preventing Future Issues:

  • Proper Body Mechanics: Use proper techniques when lifting, bending, and twisting to avoid straining your back.

  • Strength and Flexibility Training: Regularly perform exercises to strengthen the core and back muscles and improve flexibility.

  • Healthy Lifestyle: Maintain a healthy weight and engage in regular physical activity to support overall spine health.


Rehabilitation after back surgery is crucial for achieving a successful recovery and a stronger spine. By following a structured rehab program that includes gentle movements, strengthening exercises, and functional training, you can restore mobility, reduce pain, and prevent future issues. If you’ve undergone back surgery, working closely with a physiotherapist will help you achieve the best possible outcomes and return to your normal activities safely and effectively.




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