Lumbar Spinal Surgery

[akhilstar]

Hi all

I have some clients that have had lumbar spinal surgery such as fusions, discectomies & laminectomies in the past for stenosis, degen disc disease etc . Although the surgery was generally successful they still have some pain & discomfort in the lower back, glutes & legs & have sought massage for relief. I've found them to have a lot of scar tissue, limited ROM & generally very inflexible which makes prescribing exercises/stretching difficult.
If anyone has had any success treating post lumbar surgery clients such as mentioned above I'd appreciate some advice or input on your approach, techniques used or outcome.

Thanks
Oz

 

[Chinlak]

Lumbar Spin

OZ,
i've treated lots of surgery patients in the last few years. Few of them actually feel better after the surgery. Adhesions, nerve impingement, and pain are still problematic. Massage is helpful for the muscle tension and trigger points but if they have structural issues, loss of nerve function or poor flexibilty the clients may have to stay in maintenance for a long time. Stenosis will return, DDD won't heal itself and poor ROM isn't helped by surgery.
The best outcomes that I've seen are with those who had micro-surgery. The worst are the fusion/laminectomy ones. Sometimes reduction of pain is the best outcome after surgery. I work closely with the PT and client to keep side effects low.
Depending on the client's comfort level I use NMT, MFR, and specific techniques to keep their muscles supple. If they have nerve trouble it may take one year after surgery for the client to be "settled" and know what they're in for.
Cheers,
Rubmyster