Rehabilitation after an operation to remove the intervertebral hernia

Recovery and rehabilitation after an operation to remove the intervertebral hernia

Removal of a hernia is an extreme measure used to treat a disrupted intervertebral disc.

After such an operation, the patient has significantly limited motor functions, which depend on the spine, and in order to return the ability to lead a relatively active life, it is necessary to pass a literate course rehabilitation.

Rehabilitation Objective

After the operation to remove the intervertebral hernia, the treatment process can not be considered finished.

Even in spite of the fact that surgical treatment is completed, the patient may have neurologic and pain symptoms for a long time, as well as a sensitivity disorder.

For this reason, it is necessary to carry out competent rehabilitation, which will have specific goals:

• stabilization of the patient's condition and subsequent elimination of domestic restrictions;
• restoration of the integrity of the body;
• elimination of restrictions on physical activity;
• neutralization of neurologic symptoms and pain syndromes.

When choosing specific rehabilitation methods, the doctor takes into account various factors. Depending on the complexity of the operation, the rehabilitation period can last up to 12 months.

Recovery after an operation to remove the intervertebral hernia, as a rule, involvesphysiotherapeutic procedures, medication, curative gymnastics and visits to the sanatorium.

Principles of Rehabilitation

If the recovery period is organized correctly, then the following principles should be implemented in it:

• procedures for a particular patient are selected competently, taking into account its individual characteristics;
• complex monitoring of the patient's condition should be carried out, implying the involvement of the surgeon who performed the operation, as well as the neurologist and rehabilitologist.

In fact, all rehabilitation measures pursue two main goals: restoring a person's ability to work after surgery and preventing the formation of new hernias.

Rehabilitation after removal of the intervertebral hernia should be carried out taking into account the following factors affecting the recovery efficiency:

• age and concomitant diseases of the patient;
• duration of development and severity of the disease;
• type of operation that was carried out.

Stages of rehabilitation

The whole complex of restoration measures can be conditionally divided into several key stages:

1. Early. Lasts up to 14 days. During this period, prevention and removal of pain, as well as psychotherapeutic support, are carried out.
2. Late. The duration of this stage can be 8 weeks. The key task of this part of rehabilitation is the professional adaptation of the patient to an independent life in conditions of everyday life.
3. The delayed stage. Rehabilitation after removal of the intervertebral hernia in this case can last for life. This period begins, usually in the third month after surgery.

The main limitations that are relevant for the recovery period

The early recovery phase will be successful if the following actions and measures are observed:

• Exercise without corset;
• lifting weights;
• conducting manual therapy and massage;
• cycling and participation in game sports;
• being in any sitting position;
• deep and twisting movements in the spine, as well as sharp movements to and from the sides.

There are prohibitions that are relevant for the late rehabilitation period:

• long trips in any vehicle;
• physical loads (any) without a qualitative preliminary warm-up;
• supercooling of the operated back area;
• long wearing of the corset;
• lifting items weighing more than 8 kg;
• long-term presence in any forced posture.

The main principle in the case of limitations after surgery is to protect the spine and especially the place where the hernia was removed, from any loads and hypothermia.

Necessary actions immediately after the operation to remove the intervertebral hernia

Rehabilitation in the postoperative period should contain the following items:

• inclusion in the program of the Russian Federation (referring to therapeutic physical training);
• recommendation for sanitation;
• use of electrophoresis, ultrasound or laser therapy for anesthesia and improvement of blood circulation;

• hydroprocedures (necessary for mechanical unloading of the spine) and kinesitherapy;
• neutralization of the inflammatory process, restoration of bone tissue and anesthesia through the use of drug treatment techniques.

Physiotherapeutic treatment measures

Rehabilitation after an operation to remove the intervertebral hernia must necessarily include certain physiotherapeutic procedures:

• Mud packs. They have analgesic, resolving and anti-inflammatory effects.
• Electrostimulation (interstitial). Helps restore nerves that have been injured, and significantly improves nutrition of bone and cartilaginous tissue.
• Ultrasonic procedures. Their use contributes to the restoration, growth and stimulation of fast supply of tissue cells.
• Magnetotherapy. With its help mobility is restored, the risk of edema, pain and inflammation is significantly reduced. This method of treatment also helps to activate metabolic processes.

• Rehabilitation after an operation to remove the intervertebral hernia implies the use of extremely high-frequency therapy (EHF). This technique is used to restore the tone of ligaments and muscles, as well as improve blood circulation. EHF effectively removes inflammation and pain.
• Ionophoresis. It is actual, when it is necessary to ensure deep penetration of drugs through the skin. Effective to stimulate the restoration of the operated area and relieve pain.
• Phonophoresis. This is the process of introducing medications into the body with the help of ultrasound. To neutralize edema and inflammation, a mechanical effect is applied.

Use of heat and cold

Rehabilitation after an operation to remove the intervertebral hernia can include those methods, which are based on the impact on the operated part of the back by means of temperature.

Influence on the spine with the help of heat is carried out, as a rule, through paraffin applications.

Such procedures can significantly improve lymph circulation and blood flow, relieve inflammation, restore conduction of nerve impulses and relieve muscle spasms.

It is important to know that paraffin therapy is contraindicated in patients who have been diagnosed with liver cirrhosis, hypertension, tuberculosis and various neoplasms.

As for the cold, then with a competent approach (medical consultation is necessary) is used immediately after removal of the herniated intervertebral disc.

With the help of ice, you can reduce pain, remove muscle spasm and reduce the degree of inflammation (this is due to the narrowing of the blood vessels and, as a consequence, the reduction of blood flow).

Key exercises for recovery after surgery

Those patients who survived the removal of the intervertebral hernia, in the first days after transfer to the ward, it is recommended to perform simple exercises:

• flexion and extension of the legs in the knees;
• execution of circular movements with legs;
• raising and lowering the feet;
• pulling the knees to the stomach and then straightening the legs (you need to perform several times).

Such exercises after removal of the intervertebral hernia are very useful, but when performing them, it is worth to increase the load moderately (the spine should not be overloaded).

Exercises for every day

If we talk about the removal of a hernia in the lumbar region, it is worth noting that the recovery period after such an operation is extended for life. Therefore, it is extremely important that the patient learns to perform key daily exercises. We are talking about three main movements:

1. Push ups. This is a fairly simple exercise, but it must be done correctly (with a straight back). The number of repetitions is from 10 to 15. When doing push-ups, you need to breathe in the air while lowering the body and exhale, rising.
2. Rehabilitation after removal of the intervertebral hernia of the lumbar division involves the execution of the following exercise: in the supine position on the back, you need to raise your legs above the floor and make rotational movements, like on a bicycle. It starts with 10-15 repetitions, increasing their number over time to 100-150. You can also change the load level during exercise by adjusting the height of the feet above the floor surface.
3. Squats. To carry out this movement correctly, you need to imagine that you have to sit on a bench. Deep squats after surgery at the waist are categorically contraindicated. In this case, it is also necessary to perform 10-15 repetitions.

If you perform these exercises correctly and every day, the spine will be prepared for the stresses throughout the day. Do not forget about the prescription of the doctor.

Gymnastics after an operation to remove the intervertebral hernia

Exercises to restore the spine should be a doctor, using an individual approach, which will take into account such factors as the operated department of the spine and features disease. However, there are general guidelines for strengthening the spine after surgery and preparing it for household stress. This is a complex of tested exercises:

• Lying on his back, bend his knees and spread his hands on the floor to the sides. After that, it is necessary to raise the pelvis above the floor and hold it in this position for 10-15 seconds. Subsequently, the retention time of the pelvis should be brought to 1 minute.
• Lie on his back, arms cross over his chest, and his legs bend at the knees. The chin should be pressed to the chest. Using the tension of the muscles of the abdominal press, lift the torso forward and hold it in this position for 10 seconds. After you can take a starting position and relax the muscles. Perform the exercise need 10-15 times, gradually increasing the number of repetitions.
• Exercises after the operation to remove the intervertebral hernia include another motion in the prone position: you need to slowly bend the legs in the knees, pressing them to the chest. This should feel the tension of the gluteal muscles. After you need to relax the muscles of the buttocks and keep your legs bent for 40-45 seconds. Then you need to slowly straighten them.

• Take the starting position on the knees bent at the knees and hands. Then it is necessary to simultaneously extend the right arm and the left leg so that they occupy a horizontal position. Keep them in this position you need for 10-60 seconds. This same movement is repeated with the left hand and the right foot.
• LFK after the operation to remove the intervertebral hernia implies this movement: lying on his stomach, bending his hands in the elbows near the head. Then you need to straighten your arms and raise your upper body up, bending in the waist. But you do not need to tear your hips off the floor.
• You need to lie on your stomach and place your hands under your chin. After this, it is not necessary to raise the straight leg very slowly and slowly, and then slowly lower it (the motion is performed alternately). The pelvis must be immobile at the same time.

Healing baths

Another way to restore the spine after surgery is to use a variety of baths that have a curative effect:

• Radon baths. Are topical for improving blood circulation and neuromuscular conduction.

• Turpentine. They are used for resorption of scars and adhesions, as well as activation of the restoration process.
• Herbal baths can relieve tension in the muscles and reduce pain.
• Rehabilitation after an operation to remove the intervertebral hernia will be more effective if you use hydrogen sulphide and sulfide baths, which promote the resorption of inflammatory foci, improve blood circulation, normalize muscle contractions and stimulate recovery tissues.

Water procedures

This type of procedure is part of the recovery process after surgery. Staying in the water has a relaxing effect.

But it is important to consider the fact that after a hernia is removed, prolonged exposure to water is contraindicated.

The reception of the whirlpool, as well as the procedures in the pool, should not last more than 15-30 minutes.

As for douche with cold water, they are also useful, since they have a beneficial effect on the recovery of nerve endings and stimulate muscular activity. The shortest douches are the most effective.

As a result, it can be noted that the process of recovery after removal of the intervertebral hernia is a constant and persistent work primarily from the patient. If you consistently and correctly perform the elements of therapeutic gymnastics and follow the prescriptions of the doctor, then there are all chances for a full and active lifestyle.

A source: http://.ru/article/203454/vosstanovlenie-i-reabilitatsiya-posle-operatsii-po-udaleniyu-mejpozvonkovoy-gryiji

Rehabilitation after removal of the intervertebral hernia

According to statistics, most often a hernia of the lumbar spine, and least of all - thoracic. Despite the fact that for the treatment of this pathology, surgical intervention is not always required, yet there are many operations.

That is why it is necessary to know about the process of rehabilitation in the postoperative period.
Degenerative and dystrophic diseases of the spine are one of the main reasons for the onset of pain syndrome in patients.

The basis of osteochondrosis is a decrease in the fluid content in the intervertebral disc, a decrease in its thickness and involvement in the pathological process of bone, muscle and nerve tissues. When the disease progresses, the fibrous ring surrounding the pulpous nucleus of the disc breaks.

Then part of the nucleus comes out, forming the so-called herniation (knot) of the intervertebral disc. Operative intervention eliminates the cause of the patient's symptoms, leading him to the doctor. However, the eradication of these signs does not solve all the problems.

It is necessary to eliminate the consequences of the underlying disease. This is the focus of rehabilitation techniques. It is important to return the patient to an active domestic and work life.

The postoperative period is divided into the following stages:

• 1-14 day - early postoperative period.
• 14-32 weeks - late postoperative period.
• From 2 months after the operation and later - a delayed postoperative period.

After surgical intervention, it is necessary to perform complexes of therapeutic physical training that will help strengthen the muscle corset and avoid recurrence of the disease.

General principles of rehabilitation process

• During the postoperative period, it is important to be under the complex supervision of a surgeon, neurologist, rehabilitologist, and other narrowly specialized experts on indications.
• A herniated disc causes a severe discomfort to the patient due to severe pain syndrome and mobility limitations. After surgery, a person feels helpless and driven into certain limits (compliance rules, a schedule of examinations of specialists, taking medications, etc.), so it is possible to develop a depressive state. In this situation, you can not do without the help of a psychotherapist.
• After surgery, you need to use a special corset. This will be an excellent prevention of the occurrence of a relapse of the disease.
• Appointment of physical therapy, massage and physiotherapy.
• Gymnastics is held from the first day after the operation. The complex of therapeutic exercises is selected individually and is performed under the guidance of an instructor or a doctor.
• The main principles of therapeutic physical education in the postoperative period are regularity and smooth increase in load.
• Contraindicated to raise the weight of more than 2-3 kg with one hand after surgery for 3 months.
• Limit prolonged sitting for 3 months after surgery.
• It is necessary to exclude moving games with sharp ballistic movements.
• It is recommended to give up alcohol and tobacco for the whole period of rehabilitation.

Herniated disc of cervical spine

After surgery, the main emphasis in gymnastics is breathing exercises. In the first stage of rehabilitation, it is necessary to limit the turns and inclinations of the head. After the permission of the attending physician, you can take the position of a half-sitting with the obligatory putting on of the collar of Shantz.

During this period, exercises for the upper humeral girdle are added to the respiratory gymnastics. Hands should not be raised above shoulder level. When performing the rotation of the shoulders, the palms should be lowered and pressed against the body.

In the next stage, the movements of the legs are attached to the complex of exercises.

Stop using the orthosis (the collar of Shantz) is possible only after a control X-ray study.

Herniated disc of thoracic spine

After surgery, gymnastics is aimed at preventing complications from the internal organs. The first stage introduces breathing exercises.

In the absence of contraindications, the patient is allowed to turn over on the abdomen almost immediately after the operation. Exercise in this position can be in a few days.

After obtaining permission from the attending physician, it is necessary to go up and walk, but always wear a fixing orthosis. A week after the operation, you can add static exercises to the complex of therapeutic gymnastics, i.e.,

Any exercises should be performed with a professional instructor and under the supervision of a physician, exercise physician or rehabilitation specialist.

Herniated disc of lumbar spine

It is necessary to abandon the position of sitting for a period of 3 to 6 months. Driving a car is contraindicated for the first 3 months after the operation. As a passenger in the car you can ride only in a semi-sitting or lying position. It is necessary to use a fixing orthosis.

Begin walking in the absence of contraindications from the first day after surgery. Rest in the prone position should be 20-30 minutes several times a day.

After the operation for 1-2 months absolutely high-amplitude movements, as well as twisting of the spine and inclinations are absolutely counter-indicative.

In the early days, it is necessary to perform gymnastics in a supine position, paying attention to the correct rhythm of breathing. All movements need to be done slowly.

The number of repetitions increases gradually. Gymnastics are performed daily. During the training, pain should not be caused, i.e.,

the amplitude of the movements should be up to the pain.

Completely excluded exercises on twisting the spine, as well as running and jumping.

Physiotherapy

Physiotherapy procedures contribute to the recovery processes after the operation.

Two weeks after the operation, electrotherapy (CMT, DDT, lidase electrophoresis), laser therapy and ultrasound therapy, as well as hydrocortisone ultraphonophoresis, are prescribed. A course effect consisting of daily sessions with a total of up to 15 is conducted.

Repeated courses of physiotherapy are recommended to be performed every six months to maintain tissues improving microcirculation and oxygenation, increasing trophism and accelerating reparative processes.

Massage

Gentle massage of the limb on the side of the lesion is carried out already in the first days after surgical treatment with presence of radicular syndrome, manifested by numbness, decreased reflexes and increased weakness extremities.

Acupuncture

In complex treatment it is quite possible to introduce reflexotherapy in a month after the operative treatment according to indications.

Complications of the operation

Like any other operation, the surgical treatment of a hernia is associated with a certain risk of complications. Let's consider some of them.

Anesthesia:

• Possible damage to the trachea or esophagus by a laryngoscope while intubating for narcosis.
• Allergic reactions to anesthetic solutions.

Operation:

1. Stop breathing and heart, uncontrolled drop in blood pressure.
2. The rupture of the spinal cord dural sheath with cerebrospinal fluid (the cause of chronic headaches), the infection of cerebrospinal fluid with the development of meningitis, as well as (with purulent meningitis) the formation of fistula dural sac with a constant outflow of purulent masses with the appearance of abscesses in the surrounding tissues. Sepsis and death.
3. Damage to the esophagus, trachea or vascular bundle in the cervical region.
4. Violation of the recurrent nerve. Its function is restored independently 2-3 months after the operation.
5. Risk of nerve root damage.
6. Infection of cerebrospinal fluid (less than 1%).
7. Transverse myelitis is the result of unintentional operating injury or infection of the spinal cord. Manifestations depend on the height of the lesion, so there may be paresis, paralysis, gross neurological disorders.
8. Damage to the artery of Adamkiewicz in the case of anatomical features of its location in the patient during surgery in the area of ​​L4-S1, where the hernia is formed most often. The consequence is lower paralysis and incontinence.
9. Epidural hematoma is formed due to damage to the vessel during the operation and the accumulation of blood in the epidural fatty tissue. With untimely taken measures for diagnosis and treatment, purulent periduritis arises. After he can go to the cicatricidal epidurit, which, depending on the localization of the process manifests a different neurological symptomatology: paresis, paralysis, pain syndrome, impaired sensory and motor function, incontinence, disorders of the genitourinary sphere and others.

Postoperative period:

• Toxic damage to the brain, kidneys, liver and heart.
• Osteomyelitis of vertebral bodies is a purulent lesion of spongy tissue after surgery, spreading to nearby tissues with loss of vertebrae of the supporting function. As a consequence - the destruction (fracture) of the spine. Weakened patients may generalize the process with the development of sepsis.
• Postoperative stenosis of the spinal canal due to active growth of connective tissue in the area of ​​operation. The connective tissue compresses the dural sac and slows the flow of cerebrospinal fluid. Subsequently, this translates into a complete cessation of its circulation, i.e., a condition requiring immediate re-operative intervention. In addition, connective tissue squeezes directly the spinal cord and its roots, which is also an indication for repeated surgical intervention.
• Recurrence of disc herniation is a distant complication of surgery. Repeated formation of a hernia in the area of ​​surgery performed more than 1 year ago.
• The instability of the vertebra with the formation of spondylolisthesis. During the operation, it is necessary to remove the bones of the vertebrae, which reduces the support function of the spine. After the operation, it is possible to shift such a vertebra back or forward relative to other vertebrae with a traumatic intervertebral disc with the formation of protrusion and hernia.

It is important to understand that herniation of the intervertebral disc and surgical treatment of this disease do not make a person disabled.

With proper therapy and the implementation of all the recommendations of the multidisciplinary medical team, a return to the habitual way of life occurs in a fairly short period.

It is necessary, however, to know that surgical intervention is not the only way to eliminate a herniated disc. There are methods of non-surgical treatment.

So, it is only necessary to resort to surgical intervention when other types of therapy for some reason do not suit a particular patient.

A source: http://physiatrics.ru/1000224-reabilitaciya-posle-udaleniya-mezhpozvonochnoj-gryzhi/

Rehabilitation after an operation to remove the intervertebral hernia

Intervertebral hernias have recently been diagnosed more often. The main reason for this problem is that most people lead a sedentary and completely unsportsmanlike lifestyle. Because of this, even inessential loads of the spine are very painful.

Treatment can be conservative and surgical. After the operation to remove the intervertebral hernia, the patient needs rehabilitation.

But, unfortunately, many patients neglect rehabilitation procedures, believing that surgical intervention will be more than enough for a full recovery.

The main stages of recovery after an operation to remove the intervertebral hernia

The tremendous advantage of the hernia removal procedure is that after the discharge the patient does not feel pain.

Considering that the disease has receded, people are trying to return to their habitual way of life as soon as possible, thereby provoking relapses - hernias are formed again, and accordingly, repeated operation.

Specialists distinguish three main periods of rehabilitation after an operation to remove the intervertebral hernia:

1. The early one falls on the first two weeks and consists in eliminating the painful sensations and moral support of the patient.
2. During the late period, beginning two weeks after discharge and lasting up to a couple of months, a person adapts and gets used to self-service.
3. The delayed period of rehabilitation lasts a lifetime, and its main goal is to prevent relapses and strengthen the spine.

After the operation to remove the intervertebral hernia, restrictions on physical activity are gradually removed. This is done to restore muscle tone, mobility and basic functions of the musculoskeletal system.

Rehabilitation complex usually consists of:

• drug treatment;
• sanatorium treatment;
• therapeutic and physical exercises;
• physiotherapeutic procedures.

The most effective medicines are considered to be anti-inflammatory drugs. They relieve swelling and relieve the unpleasant sensations that arise after surgery.

It is very useful after the operation to remove the intervertebral hernia massage. The benefits will be even greater if you combine it with such physiotherapeutic procedures as:

• electrophoresis;
• iontophoresis;
• EHF-therapy;
• treatment with mud;
• magnetotherapy;
• phonophoresis;
• ultrasound.

They help speed up the recovery process and promote the activation of metabolic processes. Thanks to the procedures, inflammations usually come down, blood circulation improves, the restrained nerves are restored.

Exercises exercise after surgery for removal of intervertebral hernia

Before starting classes, it is important to remember that all exercises should be done carefully. Sharp movements are unacceptable:

1. Lying on your back, stretch your arms along the trunk. At the expense of the need to clench fists, pull up the feet to the trunk and slightly raise the head.
2. Gymnastics after the operation to remove the intervertebral hernia also includes such a simple exercise as pulling the knees to the chest.
3. Hands spread out in different directions, and press the feet firmly to the floor. Now slowly raise the pelvis.
4. Bring your knees to your stomach, breathing out, and relax by inhaling.
5. Stand on all fours, straighten and pull back both your left leg and your right arm, and then vice versa.

Contraindications after the operation of removal of the intervertebral hernia

Immediately after an extract from some actions it is necessary to refuse. So, for example, you can not:

• to lift weights;
• to go sitting in transport;
• walk for more than three hours in the postoperative corset;
• smoking;
• drink alcohol;
• supercool.

A source: http://WomanAdvice.ru/reabilitaciya-posle-operacii-po-udaleniyu-mezhpozvonkovoy-gryzhi

Intervertebral hernia: how is rehabilitation after its removal

There is an opinion that the disease ends after a successful one. In reality, everything is not so simple.

Painful sensations are felt for another period, and recovery after removal of the intervertebral hernia takes a certain time.

During this period, neurological symptoms are disturbed, sensitivity is upset. The doctor removed the hernia, and her pressure on the nerve endings stopped. However, there was still a tumor formation, and the irritation did not disappear.

Steps of rehabilitation process

Recovery after an operation to remove the intervertebral hernia is three stages:

• getting rid of pain;
• bringing health back to normal, lifting restrictions in the home;
• the final restoration of the motor apparatus, the elimination of the limitations of physical activity.

More specific methods are conducted taking into account the course of the disease, the individual characteristics of the body, the form.

The imprint on the restoration after hernia repair is also imposed by the surgical intervention itself, the nature of its course. In any case, the recovery period after the operation lasts at least three months.

Stages of rehabilitation and recovery

The recovery period does not have a single program. The choice of the most suitable one depends on many nuances:

• type of surgery on the spine;
• individual characteristics (meaning age, attendant ailments);
• the course of the illness itself, the period of its prescription.

Considering all this, the rehabilitation time can be divided into the following stages:

1. Early. The length of it will take 7-14 days after the completion of the operation.
2. Late. It will last 2-8 weeks.
3. Deferred. It takes about 2 months, can also last all the remaining years of life.

Certain differences in the recovery period are available. They depend on the form of the operation. However, there are activities that apply to all patients.

First of all, it concerns joint actions of a rehabilitation specialist, a neurosurgeon, a neurologist. They must lead the operated person together, monitor the process of his recovery.

The patient may experience painful sensations even after 3 years, when the hernia has been successfully operated and the pelvic disorders have completely recovered.

An important point is also rational psychotherapy. Surgical intervention occurs when drug treatment of the disease does not lead to a successful result.

Suddenly it is not carried out, it requires. Consequently, even before surgical intervention the patient had some limitations in his activity.

After the operation, you will have to follow the doctor's instructions. For some time the patient remains helpless and needs the help of others.

For some, this condition causes a tangible blow to the psyche, depression begins. To overcome it help:

• attention given by close people;
• soothing drugs that have a beneficial effect on patient recovery, when the hernia of the spine did not respond to treatment without surgery;
• fast discharge and rehabilitation at home.

In many cases, early activation of the patient is recommended. According to doctors, it must pass.

Wearing it also serves as a preventive measure against the early manifestation of hernias. How much time to stay in the corset, determines the doctor.

Physiotherapy

These measures are also recommended during the recovery period after the removal of the intervertebral hernia. The complex of exercises is selected separately for each period. When you can start classes - the doctor will say.

However, just one day after the operation, it is allowed to knead the feet, joints, knees. Doing the prescribed gymnastics, it is important to remember the load. Increase it should be gradual.

1. To strengthen the abdominal muscles and back, it is recommended. They are able to tone the whole organism.
2. Another exercise, having the same purpose, is shallow. To go down it is necessary slowly, as though squatting on a small bench.
3. The third exercise of this cycle will be. Do it in a prone position. It is necessary to avoid sudden movements.

All manipulations should be done slowly.

Forget about bad habits - during the rehabilitation period they will have to be completely abandoned, but better, if you do not return to them at all.

The doctor will tell you how to behave correctly during the recovery from an operation of the intervertebral hernia, prescribe the complex, and, if necessary, prescribe the tablets.

Depending on the complexity of the surgical procedure, rehabilitation can last up to a year. The average period is 6 months. By this time, the bone callus has already appeared on the operated site.

Denial of responsibility

The information in the articles is intended only for general reading and should not be used for self-diagnosis of health problems or for therapeutic purposes.

This article is not a substitute for medical advice from a doctor (neurologist, therapist).

Please consult your doctor first to know the exact cause of your health problem.

A source: http://osteohondrosy.net/mezhpozvonochnaya-gryzha-kak-prokhodit-reabilitaciya-posle-ee-udaleniya.html

Rehabilitation after removal of the intervertebral hernia

According to the conclusion of specialists to date, only 4% of patients with intervertebral hernia, performed an operation on the spine. Absolute indications for the operation are:

• Intensive pains that are not removed by anything other than narcotic analgesics;
• atrophy of the muscles of the limbs;
• not passing paralysis (paresis);
• persistent violations of defecation, urination, disorders in the sexual sphere.

There are several methods of surgical treatment of hernia of the spine. All of them are conducted only on absolute individual medical indications. They have certain advantages and disadvantages. It can be:

• laser vaporization;
• Dysectomy:
• Laminectomy;
• endoscopic operation;
• radical method for replacing the disc with a prosthesis.

In this case, rehabilitation after surgery is one of the most important stages in treatment.

The main goals of rehabilitation

To achieve the desired positive results, a long rehabilitation period is needed. Depending on the type of surgical treatment and the condition of the patient, its duration can range from several months to a year. The purpose of rehabilitation is:

1. elimination of neurological manifestations and pain;
2. normalization of the state with the restoration of self-service functions;
3. restoration of the locomotor function of the spine of its biomechanics and mobility;
4. restoration of optimal muscle tone;
5. gradual removal of the restriction to physical exertion.

Correctly organized and correctly selected rehabilitation course is the basis for the success of the operation. It relies on:

• complex monitoring and monitoring of the patient by the surgeon who performed the operation, as well as the neurologist and rehabilitation specialist;
• competent, individually selected procedures.

Restorative measures are preventive and curative in nature, aimed at preventing the appearance of new hernias and restoring the patient's ability to work. The program should consider:

• severity and duration of the disease;
• type of operation performed;
• individual characteristics of the patient (concomitant diseases, age, etc.).

Stages of the rehabilitation period

All restoration measures are conditionally divided into three stages:

1. The early stage lasts up to two weeks. Includes psychotherapeutic support, elimination and prevention of pain.
2. The late stage is up to eight weeks. The main task is aimed at adapting the patient to an independent life in everyday life.
3. The delayed stage - lasts all life, beginning on the third month of the postoperative period.

Main Restriction Period Restrictions

During the early rehabilitation phase, the patient is prohibited:

• sit (any sitting position is contraindicated);
• weight lifting;
• sharp movements forward and sideways, twisting and deep movements in the spine;
• wearing a postoperative corset for more than three hours a day;
• exercise without corset;
• play sports and cycling;
• to carry out massage or manual therapy.

During the late rehabilitation stage, the patient is prohibited from:

1. long-term presence in a forced posture;
2. any physical exertion without a preliminary warm-up of the muscles;
3. long trips in transport;
4. lift the weight over 8 kg and jump from the height;
5. supercool the operation area;
6. prolonged wearing of the corset, which can lead to the atrophy of the long back muscles.

Rehabilitation after surgery also includes:

• elimination of the inflammatory process, anesthesia and restoration of bone tissue with the help of drug treatment;
• for improvement of blood circulation and anesthesia - ultrasound, electrophoresis or laser therapy;
• mandatory inclusion in the LF program (therapeutic exercise);
• kinesitherapy and hydroprocedures (for mechanical unloading of the spine);
• recommendations for sanatorium treatment.

Medication Therapy

The pain in the postoperative period is due to inflammation of the spinal nerve due to prolonged compression of the hernia. And also because of injuries of ligaments and soft tissues during the operation. Therefore, for the elimination of pain, analgesic and anti-inflammatory drugs are prescribed.

Physiotherapeutic treatment

Rehabilitation necessarily involves a number of physiotherapy procedures:

1. ionophoresis - is used to relieve pain, promotes early recovery, provides deep penetration of medicinal preparations through the skin.
2. mud packs - have analgesic, anti-inflammatory and resorptive action;
3. ultrasound procedures - promote the stimulation of fast food, growth and recovery of tissue cells;
4. EHF (extremely high-frequency therapy) - used to improve blood circulation, restores muscle tone and ligaments. Excellent painkiller and anti-inflammatory agent;
5. electrostimulation (interstitial) - restores the strangulated nerves, improves the nutrition of the cartilaginous and bone tissue;
6. phonophoresis - introduction into the body of drugs by ultrasound. With the help of mechanical influence it has anti-edematous and anti-inflammatory effect;
7. magnetotherapy - restores mobility activates metabolic processes, reduces the risk of inflammation, edema, pain.

Physiotherapy

LFK plays a huge role in the recovery of the body after the operation. All exercises of physiotherapy exercises are aimed at:

• restoration of the muscle tone of the neck, back and extremities;
• prevention of stagnant phenomena, the result of which may be swelling and adhesions;
• restoration of the elasticity of ligaments directly supporting the spine.

The complex of exercises is made individually for each patient by the attending physician and rehabilitologist.

Kinesitherapy

Kinesitherapy is a treatment with the help of special orthopedic trainers, acting on the spine through dosed stretching. Eliminating, thus, excessive pressure on the nerve endings, the pain syndrome is removed.

Smooth, balanced, dosed stretching promotes the formation of a natural muscular frame around the spine. Stretching the spine helps restore the power of the disk and its proper location.

Healing baths

• Turpentine baths - are used to improve blood circulation, enhance the recovery process, resorption of adhesions and scars. Prevent inflammatory processes.
• Baths sulfide and hydrogen sulphide - used to accelerate the metabolism, improve blood circulation, resorption of inflammatory foci, stimulation of tissue repair and normalization of muscle abbreviations.
• Radon baths - used to improve neuromuscular conduction and circulation.
• Baths herbal - to reduce pain and relieve tension in the muscles.

Traction therapy

The method of dry and underwater, horizontal and vertical traction of the spine. The basis of the procedure is stretching the joints of the spine and elastic tissues under the weight of their own weight or additionally installed weight.

This method has a mechanical effect on the muscles of the body, relaxes them, increases the mobility of the spine.

Sanatorium treatment

At a late recovery stage, a sanatorium treatment is recommended. Due to the wide choice of physiotherapeutic procedures, the sanatorium can serve as an excellent alternative to home rehabilitation.

A source: http://www.infmedserv.ru/stati/reabilitaciya-posle-udaleniya-mezhpozvonochnoy-gryzhi