Exercises after back surgery advice.

Hi,
I have had two lots of back surgery in the last 10 months. It was to fix a ruptured disc (same one both surgeries) between my L5/S1 vertebrae.
I used to run and do strength training pre back problems but have now been told to avoid running, free weights and anything HIIT. These forms of exercise were my favourite. Especially running. I've pretty much lost all my fitness and struggle doing 5 mins on a maxi Climber but am determined to get fit again. I'm just very mindful of my back as if my disc goes again it's more surgery and I don't want that. I've been doing stretches to try help keep my hamstrings and quads loose as they are very tight. I'm doing seated dumbbell exercises as my arms have gotten very chunky but I'm hoping they will slim down now that I'm keeping an eye on my calorie intake.
Any one else who's been in the same boat please get in touch or any suggestions on exercises will be greatfully received.

Replies

  • heybales
    heybales Posts: 18,842 Member
    You should ask to see a Sports PT, not just regular PT that will help you get back to normal daily things.
    1 consult on what you can start with should be enough to give you some suggestions.
  • Chieflrg
    Chieflrg Posts: 9,097 Member
    Hi,
    I have had two lots of back surgery in the last 10 months. It was to fix a ruptured disc (same one both surgeries) between my L5/S1 vertebrae.
    I used to run and do strength training pre back problems but have now been told to avoid running, free weights and anything HIIT. These forms of exercise were my favourite. Especially running. I've pretty much lost all my fitness and struggle doing 5 mins on a maxi Climber but am determined to get fit again. I'm just very mindful of my back as if my disc goes again it's more surgery and I don't want that. I've been doing stretches to try help keep my hamstrings and quads loose as they are very tight. I'm doing seated dumbbell exercises as my arms have gotten very chunky but I'm hoping they will slim down now that I'm keeping an eye on my calorie intake.
    Any one else who's been in the same boat please get in touch or any suggestions on exercises will be greatfully received.

    I would ask your doctor and/or surgeon at the very least why they prefer you not to use free weights along with any citations they use to advise that.

    It may or may not open the door to your question since they know exactly what yoyr dealing with.

    Of course there are ways to resistance train other than free weights, but without knowing your situation or more specific limits I'm not comfortable suggesting "what do".

  • nikolabird1978
    nikolabird1978 Posts: 9 Member
    Chieflrg wrote: »
    Hi,
    I have had two lots of back surgery in the last 10 months. It was to fix a ruptured disc (same one both surgeries) between my L5/S1 vertebrae.
    I used to run and do strength training pre back problems but have now been told to avoid running, free weights and anything HIIT. These forms of exercise were my favourite. Especially running. I've pretty much lost all my fitness and struggle doing 5 mins on a maxi Climber but am determined to get fit again. I'm just very mindful of my back as if my disc goes again it's more surgery and I don't want that. I've been doing stretches to try help keep my hamstrings and quads loose as they are very tight. I'm doing seated dumbbell exercises as my arms have gotten very chunky but I'm hoping they will slim down now that I'm keeping an eye on my calorie intake.
    Any one else who's been in the same boat please get in touch or any suggestions on exercises will be greatfully received.

    I would ask your doctor and/or surgeon at the very least why they prefer you not to use free weights along with any citations they use to advise that.

    It may or may not open the door to your question since they know exactly what yoyr dealing with.

    Of course there are ways to resistance train other than free weights, but without knowing your situation or more specific limits I'm not comfortable suggesting "what do".

    I was advised to only use weight machines, mainly to do with form and keeping my back in a neutral position I think.
    Thanks for your response, will ask my Doc what his reasoning was.
  • nikolabird1978
    nikolabird1978 Posts: 9 Member
    heybales wrote: »
    You should ask to see a Sports PT, not just regular PT that will help you get back to normal daily things.
    1 consult on what you can start with should be enough to give you some suggestions.

    Thanks for the suggestion, will have a look for sports PT near me.
  • chocolate_owl
    chocolate_owl Posts: 1,695 Member
    Hey! I feel you so much. I used to run and lift - I was training for a 10K and had finally gotten my big girl plates on my deadlift when my DDD progressed to the point that I had to give it up. I had back surgery in December - artificial disc replacement at L4/L5 and fusion at L5/S1. The ADR is more or less protecting my spine now, but I have to wait for the fusion to fully heal (estimated 6 months) before I can consider doing anything high impact.

    My PT is a sports PT - he's worked with a Mr. Olympia, a bunch of pro athletes, Chuck Norris, etc. - and the spine doctors call him the back whisperer, so he's legit. In broad strokes, I've been given three major rules: 1) absolutely no loading my spine (there should never be a barbell across my back), 2) no twisting, (a lot of popular ab work like cross-body crunches are out), and 3) no high impact. This is my current workout based on what we've felt is safe for me to do:

    Day 1: PT + Cardio
    -Exercise ball deadbug, 1x15
    -Exercise ball glute bridges w/ sports cord, 3x12
    -Glute bridges + adduction, w/ band, 2x10
    -Bird dogs w/ band, 2x10
    -Front planks, 2 minutes total
    -Side planks, 2 minutes total each side
    -30 minutes elliptical
    -Stretches

    Day 2: Full-Body Lifting
    -Chest press, machine, 3x12
    -Seated row, cable machine, 3x12
    -Tricep extension, machine, 3x12
    -Bicep curl, machine, 3x12
    -Lat pulldown, cable machine, 3x12
    -Very light dumbbell squats (currently holding 10s), 3x12 (Note: body weight split squats would be a good alternative if you can't carry weight)
    -Body weight walking lunges, 3x12 (standing reverse lunges are a good alternative if you don't have the stability do walking lunges)
    -Exercise ball hamstring curls, 3x12
    -Exercise ball back extensions to neutral, no weight, 3x12
    -Modified crunches w/ 10 second holds, 2x10
    -Stretches

    My PT prefers to keep me on the machines for upper body right now so I'm not lugging plates and dumbbells around, loading up barbells, etc. He also doesn't want me carrying any load above my surgery site, so even little things like dumbbell tricep extensions are out.

    Longer-term, I'll be able to do more with free weights, and I'll check in with my PT once a month for clearance on those activities. Conventional deadlifts are permanently off the table, though we've discussed single-leg deadlifts or hex-bar deadlifts down the road. I will be allowed to run after the 6-month mark, but not on pavement.

    Please please please keep in mind that this is what my doctor and PT have said is ok FOR ME - you seem to have had a rougher go of it than me, so you probably need to be even more conservative. If you can find either a physical therapist or a personal trainer with a physical therapy background to help you build a plan, it would be a really good idea.
  • nikolabird1978
    nikolabird1978 Posts: 9 Member
    Thank you so much for your reply, spinal fusion is the next step if my disc goes again.
    I've been doing deadbugs daily lol (no weights though) to help with my core along with bridges and been told to focus mainly on stretching. I'm 4 months post surgery now but still feeling stiff but totally livable. It's the running I miss the most. Walking just doesn't cut it lol but trying to do plenty of it.
    Thank you for your input I am going to try and find a more sports based physio and see what they say.
    Good luck with your recovery and I hope you get out trail running.
  • nikolabird1978
    nikolabird1978 Posts: 9 Member
    Hey! I feel you so much. I used to run and lift - I was training for a 10K and had finally gotten my big girl plates on my deadlift when my DDD progressed to the point that I had to give it up. I had back surgery in December - artificial disc replacement at L4/L5 and fusion at L5/S1. The ADR is more or less protecting my spine now, but I have to wait for the fusion to fully heal (estimated 6 months) before I can consider doing anything high impact.

    My PT is a sports PT - he's worked with a Mr. Olympia, a bunch of pro athletes, Chuck Norris, etc. - and the spine doctors call him the back whisperer, so he's legit. In broad strokes, I've been given three major rules: 1) absolutely no loading my spine (there should never be a barbell across my back), 2) no twisting, (a lot of popular ab work like cross-body crunches are out), and 3) no high impact. This is my current workout based on what we've felt is safe for me to do:

    Day 1: PT + Cardio
    -Exercise ball deadbug, 1x15
    -Exercise ball glute bridges w/ sports cord, 3x12
    -Glute bridges + adduction, w/ band, 2x10
    -Bird dogs w/ band, 2x10
    -Front planks, 2 minutes total
    -Side planks, 2 minutes total each side
    -30 minutes elliptical
    -Stretches

    Day 2: Full-Body Lifting
    -Chest press, machine, 3x12
    -Seated row, cable machine, 3x12
    -Tricep extension, machine, 3x12
    -Bicep curl, machine, 3x12
    -Lat pulldown, cable machine, 3x12
    -Very light dumbbell squats (currently holding 10s), 3x12 (Note: body weight split squats would be a good alternative if you can't carry weight)
    -Body weight walking lunges, 3x12 (standing reverse lunges are a good alternative if you don't have the stability do walking lunges)
    -Exercise ball hamstring curls, 3x12
    -Exercise ball back extensions to neutral, no weight, 3x12
    -Modified crunches w/ 10 second holds, 2x10
    -Stretches

    My PT prefers to keep me on the machines for upper body right now so I'm not lugging plates and dumbbells around, loading up barbells, etc. He also doesn't want me carrying any load above my surgery site, so even little things like dumbbell tricep extensions are out.

    Longer-term, I'll be able to do more with free weights, and I'll check in with my PT once a month for clearance on those activities. Conventional deadlifts are permanently off the table, though we've discussed single-leg deadlifts or hex-bar deadlifts down the road. I will be allowed to run after the 6-month mark, but not on pavement.

    Please please please keep in mind that this is what my doctor and PT have said is ok FOR ME - you seem to have had a rougher go of it than me, so you probably need to be even more conservative. If you can find either a physical therapist or a personal trainer with a physical therapy background to help you build a plan, it would be a really good idea.

    Thank you so much for your reply, spinal fusion is the next step if my disc goes again.
    I've been doing deadbugs daily lol (no weights though) to help with my core along with bridges and been told to focus mainly on stretching. I'm 4 months post surgery now but still feeling stiff but totally livable. It's the running I miss the most. Walking just doesn't cut it lol but trying to do plenty of it.
    Thank you for your input I am going to try and find a more sports based physio and see what they say.
    Good luck with your recovery and I hope you get out trail running.
  • fittocycle
    fittocycle Posts: 827 Member
    Can you ask your surgeon if it's okay to ride a bike or spin bike? Biking would be a great way to get in your cardio. I've heard several runners say that spin classes are a great alternative to running when injured.

    Also, has your surgeon okayed you for yoga or Pilates? Pilates would strengthen your core and help prevent further injuries. Yoga is fantastic for keeping your muscles limber and a great stress reliever too!
  • Analog_Kid
    Analog_Kid Posts: 976 Member
    Ask your doctor to refer you to a professional physical therapist.
  • Speakeasy76
    Speakeasy76 Posts: 961 Member
    Thank you so much for your reply, spinal fusion is the next step if my disc goes again.
    I've been doing deadbugs daily lol (no weights though) to help with my core along with bridges and been told to focus mainly on stretching. I'm 4 months post surgery now but still feeling stiff but totally livable. It's the running I miss the most. Walking just doesn't cut it lol but trying to do plenty of it.
    Thank you for your input I am going to try and find a more sports based physio and see what they say.
    Good luck with your recovery and I hope you get out trail running.

    I concur with all the others to seek out a sports/fitness rehab PT who also knows how to help with back issues. I have never had back surgery but do have degenerative disc disease with almost no "cushion" left between L5 and S1, so I've been to PT a few times. From what I've been instructed to do and from what I've read, I always thought the strengthening was just as important (if not more so) than the stretching, but I could be wrong as I've never had your exact condition.
  • nikolabird1978
    nikolabird1978 Posts: 9 Member
    fittocycle wrote: »
    Can you ask your surgeon if it's okay to ride a bike or spin bike? Biking would be a great way to get in your cardio. I've heard several runners say that spin classes are a great alternative to running when injured.

    Also, has your surgeon okayed you for yoga or Pilates? Pilates would strengthen your core and help prevent further injuries. Yoga is fantastic for keeping your muscles limber and a great stress reliever too!

    Hi thanks for responding,
    Yep cycling, swimming and Pilates/yoga all good. I'm not a fan of biking, but am going to start spin classes. Our gyms are hopefully going to be opened fully from Monday so can sign up. The same with Pilates, come Monday the studio near me is reopening Monday so can book in to that too.
    I just miss the runners high lol and also love being outdoors.
  • nikolabird1978
    nikolabird1978 Posts: 9 Member
    Thank you so much for your reply, spinal fusion is the next step if my disc goes again.
    I've been doing deadbugs daily lol (no weights though) to help with my core along with bridges and been told to focus mainly on stretching. I'm 4 months post surgery now but still feeling stiff but totally livable. It's the running I miss the most. Walking just doesn't cut it lol but trying to do plenty of it.
    Thank you for your input I am going to try and find a more sports based physio and see what they say.
    Good luck with your recovery and I hope you get out trail running.

    I concur with all the others to seek out a sports/fitness rehab PT who also knows how to help with back issues. I have never had back surgery but do have degenerative disc disease with almost no "cushion" left between L5 and S1, so I've been to PT a few times. From what I've been instructed to do and from what I've read, I always thought the strengthening was just as important (if not more so) than the stretching, but I could be wrong as I've never had your exact condition.

    Yes my doc has emphasised strengthening via Pilates/yoga and my physio is saying stretching is also very important. I also now have very little cushioning and if it ruptures again I will need spinal fusion which doesn't sound much fun. Will sign up for Pilates now classes can resume again (I'm UK based). Thanks for your input.