Practice News
Our Alexandria Office is Moving to a New Address Beginning November 1st:

1737 King Street, Suite 110
Alexandria VA, 22314

      Our Location

      601 Post Office Road,
      Suite 2A
      Waldorf, MD 20602

      Post Procedure Lumbar Spine Protocol

      POST PROCEDURE PROTOCOL FOR LUMBAR SPINE PROCEDURES

      • No NSAIDS such as Advil, Motrin, ibuprofen, Naprosyn, and Aleve x 2 weeks

      • Pain: Tylenol for mild pain and if needed use mild narcotic provided

      • Driving restrictions: No driving until able to safely move foot from gas to brake if right hip,
        and/or safely use a clutch if left hip.

      • Work restrictions: Depends on duration of weight bearing restrictions

      • Exercise restrictions: 2 weeks relative rest followed by 4 weeks progressive PT. No running, jumping, or deep squats until 8 weeks.

      • Use Lumbar support brace for __________ days constant, _____ days PRN with increased activity.

      • Use crutches (partial weight bearing) until able to walk normally without limp

      • Limit rotational movement of body/low and extension arching of the back for 4 days

      • Avoid overhead work or lifting/weight bearing overhead for 1 week

      • Avoid rotation motion with weight with for 1 week

      • Use SI belt for 3-4 days continuously and then for 4-6 weeks with ambulation

      • f/u for PT in 5-7 days

      Activities: In general, with strength and activities, keep pain level below 4/10.

      ​First 2 Weeks:​

      • Strengthening/Motion: Isometrics always good. Non weight bearing and passive range of motion is good too. Try to get full range of motion by 2 weeks.
      • Walking: No hiking. May walk on flat ground initially for 10-15 minutes. If this goes well, you may walk 5 minutes longer the next day.

      • Cycling: May gently ride a stationary bike for 15 minutes after week 1. Exertion level 1-3/10

      • Swimming: May use a pull buoy after week 1. No kicking.

      ​Weeks 2-4:

      • Strengthening/Motion: Start gentle low load closed chain concentric/eccentric.

      • Walking: May begin gentle hiking (no more than 30 minutes), watch hip angles.

      • Cycling: May ride 30 minutes. No getting out of the saddle till after week 3. Exertion 4-6/10

      • Swimming: May begin gentle kicking mixed with a pull buoy. No more than 1⁄2 -1 mile.

      Weeks 4-6:

      • Strengthening/Motion: Progress to moderate load, progressive strengthening.

      • Walking: May progress to longer hikes up to 60 minutes, still no big step-ups.

      • Cycling: May ride 60 minutes. May get out of the saddle. Exertion 7-9/10 during intervals

      • Swimming: May swim up to 1-2 miles now. Still encourage breaks with buoy.

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