Spinal surgery is a last resort for chronic back pain sufferers, because the procedure is risky and the prognosis is uncertain. Many patients worry about the lengthy recovery period and rehabilitation after major surgery. For months after a spinal fusion procedure such as L5 surgery, the back muscles are sensitive and weak. Assuming a successful surgery, you should be able to return to previous activity levels after an appropriate period of physical therapy and strengthening exercises.

Back Pain

Low back pain is among the most common causes of lost work time and disability in the United States. Back pain has numerous causes, from structural deformations in the vertebrae to acute injuries. Even the normal wear and tear of life can lead to back pain. For minor back pain, a combination of physical therapy, rest and painkilling medications typically eases the worst symptoms. Only the most severe cases of back pain require surgery. Your doctor will determine which type of surgery you need based on your specific condition.

Spinal Fusion Surgery

The vertebrae are a chain of interconnected bones running up your back. Small, watery sacs called discs provide cushioning between these vertebrae. When these discs flatten or rupture, vertebrae may grind together and pinch nearby nerves. Spinal fusion surgery involves joining two vertebra together with bone grafts. One specific kind of spinal fusion surgery, known as L5 surgery, involves joining the L5 vertebra with the S1 vertebra at the base of the lower back. Doctors typically place bone fragments between the vertebrae to act as spacers. The nerves are no longer pinched, and over time the fused bones become stronger.

Rehabilitation

Recovery from back surgery is a slow process. You won’t be fit to return to work for at least a month and maybe as long as six months.Your low back muscles are much weaker in the days and weeks following surgery. Complete rehabilitation is a team effort, with your doctor and physical therapist guiding you through the process. When you first come home, you may require help doing simple things like preparing meals and taking out the garbage.

Back Surgery Prognosis

The outcome of L5 surgery depends on many factors. Young, healthy patients have a better chance of eventually returning to normal activity, including vigorous exercise such as running. Spinal surgery rarely eliminates all pain, and neighboring vertebrae may undergo more stress as a result of the fusion. A combination of physical therapy, proper nutrition and rest usually enables you to resume previous exercise routines. Talk with your doctor before increasing your activity level or beginning an exercise program after spinal fusion.

Regaining Your Running Form

For the first few weeks after L5 surgery, you should avoid walking downstairs or picking up anything heavier than a loaf of bread. Physical therapy should focus on flexibility, strength and aerobic conditioning. Many post-operative patients naturally fear that they may reinjure their backs. However, the more committed and disciplined you are in terms of your physical therapy, the stronger the fused bones will become. Of course, you don’t want to rush straight into running; start with casual walking, then gradually increase your speed. With hard work, you may be running at full speed again in as little as six months.