Thoracic spinal fusion

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Thoracic spinal fusion"

Transcription

1 Feedback We appreciate and encourage feedback. If you need advice or are concerned about any aspect of care or treatment please speak to a member of staff or contact the Patient Advice and Liaison Service (PALS): Freephone (City Hospital Campus): Freephone (QMC Campus): From a mobile or abroad: ext or Minicom: Letter: NUH NHS Trust, c/o PALS, Freepost NEA 14614, Nottingham NG7 1BR Thoracic spinal fusion Physiotherapy advice and exercise This document can be provided in different languages and formats. For more information please contact: The Trust endeavours to ensure that the information given here is accurate and impartial. Spinal In-Patient physiotherapy services Tel: ext Katie Steward, Physiotherapy Department August All rights reserved. Nottingham University Hospitals NHS Trust. Review August Ref: 1201/v1/0811/JA.

2 Following the operation It has been shown that it is better to get mobile as soon as possible after your operation to help maintain and improve function and muscle strength in your back and legs. It also helps reduce stiffness in the spine. It takes three to six weeks for the wound to heal up. It can take three to 12 months for the bone to fuse completely (dependent on the type of surgery and your medical background). During this time your back should slowly improve, but be extra careful regarding posture and positioning. Your physiotherapist will advise you on what you can do, and help you get active as soon as possible. It is important for you to get your back mobile after your operation to help prevent stiffness and continuing pain. Your physiotherapist will show you how to perform the exercises in this booklet which will help increase your back mobility and strength. It is important that you continue to take you pain medication in order for you to be active and perform your activities of daily living as well as your exercises. Do not let you pain get out of control. If you have any other particular concerns or need further advice please ask your consultant and their team prior to your discharge home or during your follow up clinic appointment. A quick reminder - Dos and don t at home Dos DO keep good posture DO perform your exercises regularly DO walk regularly and gradually increase the amount you do each day DO continue to log roll in and out of bed to avoid twisting your spine DO spend short periods of time regularly during the day lying down Don t DON T attempt to lift anything heavy DON T sit for more than 20 minutes without changing position, build up gradually DON T drive until your consultant advises you can do so DON T lie in bed all day. Success depends on functional activity If you require further information regarding your care or condition, or would like to give feedback, please contact: Physiotherapy Department Queens Medical Centre Derby Road Nottingham NG7 2UH Telephone ext or Pals: or NHS direct: (only eight numbers) If you have any queries on discharge and would like to speak to Michelle Cantrill, Senior Physiotherapist call ext

3 Things to be aware of Expect some discomfort. You have probably been stiff and sore for a while and it will take time. The outcome of the operation can depend on post operation activities. If your symptoms suddenly worsen or should you develop new symptoms especially leg pain, pins and needles, weakness or numbness or bladder and bowel problems, then alert your consultant immediately. Return to work The length of time you must be off work will depend upon both the type of surgery and the kind of job you have. It can vary anywhere from approximately four to six weeks for a single level fusion in a young, healthy patient with a sedentary job to as much as three months for more extensive surgery in an older patient with a more physically demanding occupation. This should be clarified by the consultant. Pacing It is important that you pace yourself when you get home after your operation. Pacing means building up the activities you do and the length of time you do them for in a gradual way. This will help you to control your pain. Still expect to have good days and bad days after your operation. Flare ups can happen it you are: Not pacing yourself Doing too much too soon Not doing the exercises correctly Not taking your pain medication Performing activities which increase your pain i.e. lifting, twisting, sitting, standing or walking too long Please use common sense and listen to your body when doing activities at home, work or leisure. Return to sporting activities Time frames for when patients can start exercise following thoracic fusion vary depending on the extent of the fusion and whether there is evidence of bone fusion on diagnostic imaging. Swimming as soon as the wound has fully healed (between four to six weeks) Walking is unrestricted but should be built up gradually Cycling can be commenced at weeks Golf - four to six months Light CV exercises (no/minimal resistance) two/three months Gym light weighted exercises after three months Gym heavier weights after six months These timescales are for guidance only. If you experience pain you should stop the exercise and seek further advice. The patient s surgeon can answer specific questions at your out patient follow up appointment. 14 3

4 Useful tips for different postures Lying down In the early stages it is important that you find positions of comfort to help control your pain and to be able to sleep and rest. Below are some examples to help you get comfortable when lying down. Lying on your back with a pillow under your knees. Lying on your side with your hips and knees bent. It is helpful to put a pillow between your legs. A small pillow may also be comfortable placed under your waistline. NB There is no restriction on the position you can lie in, you can lie on your front, back side, which ever position you are comfortable in. Try not to stay in one position too long to help prevent stiffness developing in your back. 9) Arm and shoulder exercises/stretches This exercise will help stretch out the muscles around your upper back and shoulders and prevent your shoulders tightening up. Sitting in a chair./over the edge of the bed, keeping your arms straight lift them out to the side and then lift above your head holding each position for 5 seconds. 10) Upper trunk/ back of shoulder stretch This exercise will help gently stretch out the muscles at the top of your back and shoulders and help reduce any tightness or stiffness after your operation. Sitting in a chair/over the edge of the bed, reach both arms forwards towards your knees and slowly lean forwards stretching your arms down your legs as far as you feel comfortable. Hold this position for 5 seconds and slowly comeback up. 4 13

5 Turning in bed When turning in bed, bend your knees then roll your head, shoulders and knees to the same side at the same time. This helps to prevent twisting of the spine. 7) Upper trunk and side stretch. This will help reduce tightness around your back and rib cage. Getting on/off the bed Move to the edge of the bed, roll onto your side, then bending both knees, swing your legs over the edge, push up onto your elbow and then using your upper arm push up into sitting position. Sitting in a chair/over the edge of the bed keeping upright reach one arm to your opposite knee and turn slowly to that side. Hold for 5 seconds return to the centre then repeat to the other side. 8) Arm and shoulder exercises/stretches. After your operation your arms and shoulders may feel tight and heavy when you move them. It is important that you get the muscles and to move and stretch, they may pull but you will not do any damage. Sitting in a chair/over the edge of the bed lift your arms up and put your hands behind your head, hold this position for 5 seconds. Then move your hands down and put them behind your back, again hold for 5 seconds. 12 5

6 Sitting Sit in a firm, upright chair with your back supported and relaxed, and your feet touching the ground. Avoid low, soft chairs and sofas. Sitting is hard work for your back so don t sit longer than minutes for the first few weeks, then gradually increase the length of time that you sit for. However, it is still important that you regularly change your position to help prevent back stiffness or soreness. Also try and sit evenly not leaning to one side. A good choice of chair is as vital as your position in the chair. The correct way to sit is with your bottom pushed back in the chair with your lumbar curve supported. If the chair does not curve to support the lumbar region then fill the space with a rolled towel or cushion. 5) Side trunk bend This exercise will help stretch out the sides of your trunk where the muscles are tight. In sitting, lean to one side as comfort allows. Hold this position for 5 seconds then come back up to the centre. Repeat to the other side. Bad posture Good posture 6) Double knee rolls. Your back and sides will feel tight and stiff, especially on the side opposite your curve. This exercise will help you gently stretch out your back and sides. Lying down on your back, bend both your knees up and roll them together to one side hold for a few seconds, bring them back up to the centre and repeat to the opposite side

7 1) Deep breathing exercises It is important that you keep your lungs fully open and clear. To help you do this your physiotherapist will teach you breathing exercises. 2) Spinal strengthening The muscles around your stomach that support your spine will be weak, this exercise will help to switch them back on. Lying on your back with your knees bent/or in sitting, take a slow deep breath in and as you breath out slowly pull your tummy in making if flat. Do not hold your breath. Standing Stand with your feet slightly apart, shoulders and hips over your feet. Keep your head up and check that your chin is not poking forwards. Relax your shoulders and back muscles. Make sure your weight is distributed evenly between both feet. Below are some typical standing postures, to aid in your recovery you should try and maintain an upright posture. As sitting you build up the time that you stand for gradually as not to cause any increase in pain or stiffness. 3) Strengthening your bottom muscles. To help make you feel more balanced when standing and walking you need to strengthen your bottom muscles. Lying on your front / standing squeeze your buttocks together and hold for 10 seconds. 4) Scapular setting/shoulder strengthening. This exercise helps to strengthen the muscles around your shoulder blade which would have become weak due to your curve. In sitting tilt your shoulder blades down and back so they are flat to your chest, Hold for 5 seconds. 10 7

8 Bending and lifting During the first weeks avoid excessive bending and lifting of heavy objects as much as possible. Even if carried out correctly, lifting is hard work for the spine and could aggravate your back pain or previous symptoms. It is always advisable for you to avoid lifting anything that makes you strain in the future to help protect your back. Guidelines for correct lifting Place your feet hip-width apart, one foot slightly in front of other. Bend knees keeping your back straight. Hold the object close to your body. Tense your tummy muscles while lifting. Do not bend down to pick up light objects or put your shoes and socks on, this may cause you to strain your back in the early stages. NB: You should not be lifting anything more than 10lbs (5kgs) for the first two to three weeks and no more than 20lbs (10 kgs) for the following two to three months. In essence do not lift objects or do activities that make your back pull, strain or twinge. Exercises These exercises may feel uncomfortable to do initially but they should not hurt. If they do, you may be doing them incorrectly. If they are painful you may be: doing too many too soon pushing too far into pain going too fast using incorrect technique. Golden rules for exercises Never push into pain. Gradually increase the distance you move and the number of repetitions. It doesn t matter if you never reach the progress to number as long as you are exercising regularly and your pain is controlled. Always perform exercises slowly and rhythmically. Read the instructions with each exercise carefully. Following your spinal operation you will need to do the following exercises overleaf to help increase you back mobility and strengthen your back. Contact the ward physiotherapist if you have problems with your exercises on Tel: ext Initially you may not manage them three times per day, this is fine as long as you gradually build up to three times daily. 8 9

Post-natal Exercises

Post-natal Exercises Post-natal Exercises In the early stages it is natural that most of your attention will be focused on your baby but it is important to make time for yourself to aid recovery from the effects of pregnancy

More information

Total Hip Replacement Exercise Guide

Total Hip Replacement Exercise Guide Total Hip Replacement Exercise Guide This exercise booklet contains the approved exercise program for your hip joint replacement. This booklet is only a guide and does NOT replace any advice or instructions

More information

Information and exercises following microdiscectomy

Information and exercises following microdiscectomy Information and exercises Information and exercises following microdiscectomy This information is designed to help you get back to full fitness as quickly as possible after your operation. Before you leave

More information

Returning to fitness after heart surgery

Returning to fitness after heart surgery Returning to fitness after heart surgery A patient s guide 1 Increasing activity After your operation, your heart function should be improved and so your ability to exercise will also be improved. However,

More information

HELPFUL HINTS FOR A HEALTHY BACK

HELPFUL HINTS FOR A HEALTHY BACK HELPFUL HINTS FOR A HEALTHY BACK 1. Standing and Walking For correct posture, balance your head above your shoulders, eyes straight ahead, everything else falls into place. Try to point toes straight ahead

More information

Lumbar Spine Fusion (1 of 5)

Lumbar Spine Fusion (1 of 5) Lumbar Spine Fusion (1 of 5) i If you need this information in another language or medium (audio, large print, etc) please contact the Customer Care Team on 0800 374 208 email: customercare@ salisbury.nhs.uk.

More information

Physiotherapy for Video Assisted Thoracic Surgery Patients

Physiotherapy for Video Assisted Thoracic Surgery Patients Physio for VATS patients Royal Devon and Exeter NHS Foundation Trust Physiotherapy for Video Assisted Thoracic Surgery Patients July 2008 (Review date: July 2011) Physiotherapy Department...01392 402438

More information

Info. from the nurses of the Medical Service. LOWER BACK PAIN Exercise guide

Info. from the nurses of the Medical Service. LOWER BACK PAIN Exercise guide Info. from the nurses of the Medical Service LOWER BACK PAIN Exercise guide GS/ME 03/2009 EXERCISE GUIDE One of the core messages for people suffering with lower back pain is to REMAIN ACTIVE. This leaflet

More information

Returning to everyday activities after abdominal surgery

Returning to everyday activities after abdominal surgery Physiotherapy Department Returning to everyday activities after abdominal surgery Leaving hospital is an important step in your recovery after having abdominal surgery. Everyone is different and recovers

More information

Coccydynia. (Coccyx Pain) Information for patients. Outpatients Physiotherapy Tel: 01473 703312

Coccydynia. (Coccyx Pain) Information for patients. Outpatients Physiotherapy Tel: 01473 703312 Information for patients Coccydynia (Coccyx Pain) Outpatients Physiotherapy Tel: 01473 703312 DPS ref: 4508-12(RP) Issue 1: February 2013 Review date: January 2016 The Ipswich Hospital NHS Trust, 2013.

More information

Acute Low Back Pain. What is low back pain? What are the risk factors? How does it occur?

Acute Low Back Pain. What is low back pain? What are the risk factors? How does it occur? What is low back pain? Almost everyone has back pain at one time or another. The pain may be in the center of the back or to one side, or even move down the leg. Symptoms may also include pain in the back

More information

HIP REPLACEMENT POST-OP EXERCISE BOOK

HIP REPLACEMENT POST-OP EXERCISE BOOK This booklet belongs to: HIP REPLACEMENT POST-OP EXERCISE BOOK YOU MUST BRING THIS BOOK WITH YOU TO ALL YOUR THERAPY APPOINTMENTS IN THE HOSPITAL AND TO ALL YOUR OUTPATIENT APPOINTMENTS You have an appointment

More information

Total Hip Replacement Exercise Booklet Restricted Weight-Bearing

Total Hip Replacement Exercise Booklet Restricted Weight-Bearing Total Hip Replacement Exercise Booklet Restricted Weight-Bearing Patient Name: Surgeon: Date of Surgery: Physiotherapist: Department of Rehabilitation (416) 967-8650 ext. PR 99505 (09-2007) Table of Contents

More information

Low Back Pain Exercise Guide

Low Back Pain Exercise Guide Low Back Pain Exercise Guide Active forms of back exercises are almost always necessary to help alleviate lower back pain and rehabilitate the spine for long-term health. Before starting any new exercise

More information

Knee Conditioning Program. Purpose of Program

Knee Conditioning Program. Purpose of Program Prepared for: Prepared by: OrthoInfo Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle.

More information

Fact sheet Exercises for older adults undergoing rehabilitation

Fact sheet Exercises for older adults undergoing rehabilitation Fact sheet Exercises for older adults undergoing rehabilitation Flexibility refers to the amount of movement possible around a joint and is necessary for normal activities of daily living such as stretching,

More information

SLAP Lesion Repair Operation

SLAP Lesion Repair Operation Feedback We appreciate and encourage feedback. If you need advice or are concerned about any aspect of care or treatment please speak to a member of staff or contact the Patient Advice and Liaison Service

More information

Do s and Don ts with Low Back Pain

Do s and Don ts with Low Back Pain Do s and Don ts with Low Back Pain Sitting Sit as little as possible and then only for short periods. Place a supportive towel roll at the belt line of the back especially when sitting in a car. When getting

More information

Preventing Falls. Strength and balance exercises for healthy ageing

Preventing Falls. Strength and balance exercises for healthy ageing Preventing Falls Strength and balance exercises for healthy ageing Exercise should be comfortable and fun. To get the most out of your home exercise book, join a class for older people to check your exercises

More information

We ve got your back. Physical Therapy After Lumbar Fusion Surgery

We ve got your back. Physical Therapy After Lumbar Fusion Surgery We ve got your back Physical Therapy After Lumbar Fusion Surgery Physical therapy is an extremely important part of you recovery after spinal surgery. This booklet, prepared by the therapists who specialize

More information

Low Back Pain: Exercises

Low Back Pain: Exercises Low Back Pain: Exercises Your Kaiser Permanente Care Instructions Here are some examples of typical rehabilitation exercises for your condition. Start each exercise slowly. Ease off the exercise if you

More information

What is Separation of the Abdominal Muscles after Childbirth (also known as Divarication of Rectus Abdominis)?

What is Separation of the Abdominal Muscles after Childbirth (also known as Divarication of Rectus Abdominis)? What is Separation of the Abdominal Muscles after Childbirth (also known as Divarication of Rectus Abdominis)? Following your pregnancy and the birth of your baby your abdominal (tummy) muscles may have

More information

Do you sit at a desk all day? Does your 9 to 5 leave no time for structured exercise..?

Do you sit at a desk all day? Does your 9 to 5 leave no time for structured exercise..? Do you sit at a desk all day? Does your 9 to 5 leave no time for structured exercise..? Staying healthy at work is easier than you might think: Try building the following desk based exercises into your

More information

Rehabilitation after lumbar discectomy, microdiscectomy and decompressive laminectomy. Information for patients

Rehabilitation after lumbar discectomy, microdiscectomy and decompressive laminectomy. Information for patients Rehabilitation after lumbar discectomy, microdiscectomy and decompressive laminectomy Information for patients You have just had surgery on your lumbar spine. Below are some common questions with answers,

More information

Premier Orthopaedic Pathway. Physiotherapy after dynamic hip screw (DHS)

Premier Orthopaedic Pathway. Physiotherapy after dynamic hip screw (DHS) Premier Orthopaedic Pathway Physiotherapy after dynamic hip screw (DHS) The surgery After a fractured hip a dynamic hip screw (DHS) is used to hold the bones in place while the fracture heals. It allows

More information

TIPS and EXERCISES for your knee stiffness. and pain

TIPS and EXERCISES for your knee stiffness. and pain TIPS and EXERCISES for your knee stiffness and pain KNEE EXERCISES Range of motion exercise 3 Knee bending exercises 3 Knee straightening exercises 5 STRENGTHENING EXERCISES 6 AEROBIC EXERCISE 10 ADDITIONAL

More information

Post-Operative Breathing and Leg Exercises

Post-Operative Breathing and Leg Exercises Post-Operative Breathing and Leg Exercises Following surgery, especially abdominal surgery, there is a tendency for your lungs to produce more mucous than usual and not to expand fully. This is partly

More information

Basic Stretch Programme 3. Exercise Circuit 4

Basic Stretch Programme 3. Exercise Circuit 4 Basic Stretch Programme 3 Exercise Circuit 4 2 1 Calves Stand approximately 1 metre away from wall with legs straight and heels on floor. Step and lean forward and slowly push hips towards wall. Should

More information

following surgery for Scoliosis

following surgery for Scoliosis Contact Details Spinal Team Spinal Team Nuffield Orthopaedic Centre Windmill Road Headington Oxford OX3 7LD Phone: 01865 738051 Fax: 01865 738027 Web Site www.noc.nhs.uk Information and exercises Scoliosis

More information

Pelvic Girdle Pain (PGP) Fact Sheet

Pelvic Girdle Pain (PGP) Fact Sheet Pelvic Girdle Pain (PGP) Fact Sheet Physiotherapy PGP describes pain that is experienced in the front (symphysis pubis joint) and/or back (sacroiliac joints) of your pelvis. This is a common problem, affecting

More information

Exercises for older people

Exercises for older people Exercise for older people Exercises for older people Sitting Getting started If you ve not done much physical activity for a while, you may want to get the all-clear from a GP before starting. For the

More information

Weight lifting exercises

Weight lifting exercises Weight lifting exercises An important part of being healthy is exercising regularly and staying active. PAL (Physical Activity Line) is a phone line, website and physical activity resource designed to

More information

Routine For: OT - General Guidelines/Energy Conservation (Caregiver)

Routine For: OT - General Guidelines/Energy Conservation (Caregiver) GENERAL GUIDELINES - 9 Tips for Exercise: Body Mechanics for Helper - To protect back, stay as upright as possible and keep head in line with trunk. - Always position yourself as close as possible to the

More information

Cardiac Rehab Program: Stretching Exercises

Cardiac Rehab Program: Stretching Exercises Cardiac Rehab Program: Stretching Exercises Walk around the room, step side to side, ride a bike or walk on a treadmill for at least 5 minutes to warm up before doing these stretches. Stretch warm muscles

More information

Exercise Ball Workout for Stronger. Spine. What is the Ball Workout?

Exercise Ball Workout for Stronger. Spine. What is the Ball Workout? Exercise Ball Workout for Stronger What is the Ball Workout? Spine The ball workout uses a large air-filled ball to exercise at home. It is fun to use and suitable for all levels of fitness. The exercise

More information

GYM: CORE WORK & BODY CONDITIONING

GYM: CORE WORK & BODY CONDITIONING GYM: CORE WORK & BODY CONDITIONING By Mark Yeoman (Bsc) GYM: CORE WORK & BODY CONDITIONING Mark is a qualified Physical Education teacher and has represented Great Britain at the World Triathlon Championships

More information

microdiscectomy / laminectomy

microdiscectomy / laminectomy Contact the physiotherapy team by telephoning 0208 725 4619 or email: backontrack@stgeorges.nhs.uk Advice and exercises can be viewed online at: www.tiny.cc/backontrack St George s Healthcare NHS Trust

More information

Stretching in the Office

Stretching in the Office Stretching in the Office Legs: Quads, Hamstrings, IT band, Hip flexors, Gluts, Calves Quads: Standing @ desk maintaining upright posture, grab one leg @ a time by foot or ankle and bring it towards backside

More information

Ensure that the chair you use is sturdy and stable. Wear comfortable clothes and supportive footwear.

Ensure that the chair you use is sturdy and stable. Wear comfortable clothes and supportive footwear. Page 1 Safety Ensure that the chair you use is sturdy and stable. Wear comfortable clothes and supportive footwear. Prepare a space and have your exercise band and a glass of water (for afterwards) ready

More information

INTRODUCTION TO POSITIONING. MODULE 3: Positioning and Carrying

INTRODUCTION TO POSITIONING. MODULE 3: Positioning and Carrying MODULE 3: Positioning and Carrying Blankets, pillows and towels, sandbags, carpet on the floor, a doll with floppy limbs that can be positioned i.e. not a hard plastic doll, display materials. Icebreaker

More information

total hip replacement

total hip replacement total hip replacement EXCERCISE BOOKLET patient s name: date of surgery: physical therapist: www.jointpain.md Get Up and Go Joint Program Philosophy: With the development of newer and more sophisticated

More information

Jumping Jacks CIRCUIT TRAINING C ARDIO #1. CHOOSE YOUR LEVEL. Level 1 Low Intensity

Jumping Jacks CIRCUIT TRAINING C ARDIO #1.  CHOOSE YOUR LEVEL. Level 1 Low Intensity INCREASES BLOOD CIRCULATION THROUGH YOUR BODY! Jumping Jacks C ARDIO #1 DESCRIPTION: ½ JUMPING JACK WITH STEP SIDE TO SIDE Stand with feet together, arms down at your sides Step your right foot out to

More information

KNEE EXERCISE PROGRAM

KNEE EXERCISE PROGRAM KNEE PROGRAM INTRODUCT ION Welcome to your knee exercise program. The exercises in the program are designed to improve your knee stability and strength of the muscles around your knee and hip. The strength

More information

Running Fitness & Kit Advice

Running Fitness & Kit Advice Running Fitness & Kit Advice Helping to prepare you for your 5k or 10k challenge It s important to remember that there is no such thing as a training plan to suit everybody but we are going to start with

More information

Functional ability chair exercises

Functional ability chair exercises An important part of being healthy is exercising regularly and staying active. PAL (Physical Activity Line) is a phone line, website and physical activity resource designed to help you make wise choices

More information

Exercise 1: Knee to Chest. Exercise 2: Pelvic Tilt. Exercise 3: Hip Rolling. Starting Position: Lie on your back on a table or firm surface.

Exercise 1: Knee to Chest. Exercise 2: Pelvic Tilt. Exercise 3: Hip Rolling. Starting Position: Lie on your back on a table or firm surface. Exercise 1: Knee to Chest Starting Position: Lie on your back on a table or firm surface. Action: Clasp your hands behind the thigh and pull it towards your chest. Keep the opposite leg flat on the surface

More information

Strengthening Exercises - Below Knee Amputation

Strengthening Exercises - Below Knee Amputation Strengthening Exercises - Below Knee Amputation These exercises will help you strengthen your muscles to best use your prosthetic leg. Do these exercises as directed by your therapist or doctor. Do the

More information

Wall Push Ups. Chest (Pectoralis major)

Wall Push Ups. Chest (Pectoralis major) Chest (Pectoralis major) Wall Push Ups 1 Do not drop body towards wall fast or bounce in movements Do not lock the elbows at any time stop exercise if there is any sharp pain in joints or muscles 2 Wall

More information

Exercises for the Hip

Exercises for the Hip Exercises for the Hip Gluteal Sets: Lie on your back, tighten buttocks and hold for 3-5 seconds. Repeat 20 times. Supine Hip ER/IR: Lie on your back with legs straight. Gently rotate knees out and in limited

More information

Schiffert Health Center www.healthcenter.vt.edu. Neck Pain (Cervical Strain) COMMON CAUSES: QUICK TREATMENT : NECK PAIN TREATING NECK PAIN:

Schiffert Health Center www.healthcenter.vt.edu. Neck Pain (Cervical Strain) COMMON CAUSES: QUICK TREATMENT : NECK PAIN TREATING NECK PAIN: Schiffert Health Center www.healthcenter.vt.edu Patient Information: Neck Pain (Cervical Strain) COMMON CAUSES: Neck pain may be triggered by a specific event, such a sport injury or motor vehicle accident.

More information

Range of Motion. A guide for you after spinal cord injury. Spinal Cord Injury Rehabilitation Program

Range of Motion. A guide for you after spinal cord injury. Spinal Cord Injury Rehabilitation Program Range of Motion A guide for you after spinal cord injury Spinal Cord Injury Rehabilitation Program This booklet has been written by the health care providers who provide care to people who have a spinal

More information

Above Knee Amputee Exercise Program

Above Knee Amputee Exercise Program Above Knee Amputee Exercise Program It is important that you take an active role in your rehabilitation. The following exercises must be done every day to prevent any complications. After an above the

More information

Safety and Injury Prevention

Safety and Injury Prevention Knowledge Article: Physical Education Safety and Injury Prevention Overview Warming up before sports and exercise can prevent injuries and help you get the best workout possible. Most athletes perform

More information

Back Protection. Training Guide

Back Protection. Training Guide Back Protection Training Guide Use a Back Support Belt to Prevent Back Injuries Because of the incidious progression of back problems, it is always difficult to determine how a back problem began. If you

More information

Rehabilitation following your hip fracture

Rehabilitation following your hip fracture Page 1 of 8 Rehabilitation following your hip fracture Introduction The following information is intended as a general guide to help with your recovery following your hip fracture. If you have any questions

More information

PHYSIOTHERAPY EXERCISES FOLLOWING TOTAL HIP REPLACEMENT

PHYSIOTHERAPY EXERCISES FOLLOWING TOTAL HIP REPLACEMENT PHYSIOTHERAPY EXERCISES FOLLOWING TOTAL HIP REPLACEMENT Should you have any queries or concerns regarding any aspect of the program please contact Body Logic Physiotherapy Ground Floor, Bethesda Hospital

More information

Operating Instructions

Operating Instructions Operating Instructions Table of Contents IMPORTANT INFORMATION 1-2 1 The backrack TM 3-6 Introduction 3 What does it do? 4 How do I use it? 5 How often should I use it? 6 2 Getting On 7-10 3 Basic Exercises

More information

Functional rehab after breast reconstruction surgery

Functional rehab after breast reconstruction surgery Functional rehab after breast reconstruction surgery UHN A guide for women who had DIEP, latissimus dorsi with a tissue expander or implant, or two-stage implant based breast reconstruction surgery Read

More information

ISOMETRIC EXERCISE HELPS REVERSE JOINT STIFFNESS, BUILDS MUSCLE, AND BOOSTS OVERALL FITNESS.

ISOMETRIC EXERCISE HELPS REVERSE JOINT STIFFNESS, BUILDS MUSCLE, AND BOOSTS OVERALL FITNESS. ISOMETRIC EXERCISE HELPS REVERSE JOINT STIFFNESS, BUILDS MUSCLE, AND BOOSTS OVERALL FITNESS. By Askari A. Kazmi KazmisBioscienceLabs exercise helps reverse joint stiffness, builds muscle, and boosts overall

More information

Low Back Pain Exercises Interactive Video Series Transcript July 2013

Low Back Pain Exercises Interactive Video Series Transcript July 2013 Introduction Low Back Pain Exercises Interactive Video Series Transcript July 2013 ** Note: If an exercise causes an increase in your pain, stop the exercise.** [Music introduction; Dr. John Sheehan onscreen]

More information

Injury Prevention for the Back and Neck

Injury Prevention for the Back and Neck Injury Prevention for the Back and Neck www.csmr.org We have created this brochure to provide you with information regarding: Common Causes of Back and Neck Injuries and Pain Tips for Avoiding Neck and

More information

Spine Conditioning Program Purpose of Program

Spine Conditioning Program Purpose of Program Prepared for: Prepared by: OrthoInfo Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle.

More information

Starting position: Lying with knees bent up and feet flat on floor/bed about 12" (30cms) apart

Starting position: Lying with knees bent up and feet flat on floor/bed about 12 (30cms) apart Exercise 3 Bridging Starting position: Lying with knees bent up and feet flat on floor/bed about 12" (30cms) apart Tighten your buttocks, then raise them off the floor to form a bridge, then hold. Then

More information

STRENGTHENING and STABILITY exercises for your hips, knees, and ankles

STRENGTHENING and STABILITY exercises for your hips, knees, and ankles STRENGTHENING and STABILITY exercises for your hips, knees, and ankles in STANDING HIP STRENGTHENING EXERCISES 3 HIP EXERCISES WITH BAND OR WEIGHT 4 SQUATS 6 STEP EXERCISES 8 LUNGES 9 BALANCE: STABLE SURFACE

More information

A Stretch-Break Program for Your Workplace! www.healthyworkplaceweek.ca

A Stretch-Break Program for Your Workplace! www.healthyworkplaceweek.ca www.healthyworkplaceweek.ca A Stretch-Break Program for Your Workplace! Why is stretching at work important? Sitting at a desk or computer; or standing at your work station for extended periods of time

More information

Exercise Module. A New Leaf. Choices for Healthy Living

Exercise Module. A New Leaf. Choices for Healthy Living Exercise Module A New Leaf Choices for Healthy Living University of North Carolina at Chapel Hill 2007 Center for Health Promotion and Disease Prevention Physical Activity Exercises for Keeping Active

More information

Exercise: The Backbone of Spine Treatment. North American Spine Society Public Education Series

Exercise: The Backbone of Spine Treatment. North American Spine Society Public Education Series Exercise: The Backbone of Spine Treatment North American Spine Society Public Education Series The Importance of Exercise Spine experts agree that physical activity is important for people with low back

More information

Transferring Safety: Prevent Back Injuries

Transferring Safety: Prevent Back Injuries Transferring Safety: Prevent Back Injuries OBJECTIVES: At the end of this class you will be able to: 1. Describe the back and what it does. 2. List things that you can do everyday in your home and at work

More information

SPINE SURGERY - LUMBAR DECOMPRESSION

SPINE SURGERY - LUMBAR DECOMPRESSION SPINE SURGERY - LUMBAR DECOMPRESSION Information Leaflet Your Health. Our Priority. Page 2 of 7 Introduction This booklet has been compiled by the physiotherapy department to help you understand lumbar

More information

Strength and Stability Exercises for the

Strength and Stability Exercises for the Produced and Assemble by Members of the Human Performance Lab Spring 2008 Strength and Stability Exercises for the Back Row: (left to right): Eric Dale, Trevor Wittwer, Nick McCoy Front Row: Jenna Pederson,

More information

Caring for your body. Antenatal exercises

Caring for your body. Antenatal exercises Caring for your body Antenatal exercises Antenatal Exercises FROM EARLY PREGNANCY TO DELIVERY INTRODUCTION.................................................3 DEEP BREATHING & FOOT AND ANKLE EXERCISES..................4

More information

Stretch & Strengthen Guide Provided by Origins Wellness Tenerife

Stretch & Strengthen Guide Provided by Origins Wellness Tenerife Stretch & Strengthen Guide Provided by Origins Wellness Tenerife If you are using the handbook as a daily health and wellness routine, follow the instuctions within and hold the stretches for a mínimum

More information

The Process of Strength and Conditioning for Golfers

The Process of Strength and Conditioning for Golfers The Process of Strength and Conditioning for Golfers The use of different sporting activities and resistance work to develop a strength and conditioning program specific to golf. Many club golfers are

More information

Campus Recreation Fitness Assessment Team Core Exercises

Campus Recreation Fitness Assessment Team Core Exercises Campus Recreation Fitness Assessment Team Core Exercises Sit-ups with medicine ball and rebounder (feet under rebounder sit up and throw ball catch it while going back down to floor. Repeat 10 20 times)

More information

BACK TO BACKS. A Guide to Preventing Back Injury

BACK TO BACKS. A Guide to Preventing Back Injury BACK TO BACKS A Guide to Preventing Back Injury Bad Backs Are Bad Business Most Americans will have a back injury sometime during their lives. And many hours at work, home, and play are lost to bad backs.

More information

try Elise s toning exercise plan

try Elise s toning exercise plan try Elise s toning exercise plan Whether you want to start things off slow and gradually build up your fi tness, or begin with a challenge, Elise s toning exercise programme is designed for all levels.

More information

Weight-lifting 101. P.O. Box 142107 Salt Lake City, Utah 84114-2107 801-538-6261 888-222-2542

Weight-lifting 101. P.O. Box 142107 Salt Lake City, Utah 84114-2107 801-538-6261 888-222-2542 Weight-lifting 101 The Move It! listserv is an email discussion group that focuses on the latest in the fitness world. Join today by sending a blank email to joinmoveit@list.utah.gov. P.O. Box 142107 Salt

More information

Rehabilitation after shoulder dislocation

Rehabilitation after shoulder dislocation Physiotherapy Department Rehabilitation after shoulder dislocation Information for patients This information leaflet gives you advice on rehabilitation after your shoulder dislocation. It is not a substitute

More information

UPPER QUADRANT PAC. Do only those exercises that I have checked off for you to do independently. THINGS TO AVOID

UPPER QUADRANT PAC. Do only those exercises that I have checked off for you to do independently. THINGS TO AVOID UPPER QUADRANT PAC Most common pain / disfunction syndromes occur as a result of a combination of poor posture habit and imbalanced muscle groups. The following exercise protocols will address the most

More information

Guidelines For Knee Rehabilitation

Guidelines For Knee Rehabilitation Guidelines For Knee Rehabilitation Full recovery from your total knee replacement surgery is going to take months. The information in this section will help you understand your recovery and care at home.

More information

The advanced back rehabilitation programme

The advanced back rehabilitation programme Physiotherapy Department The advanced back rehabilitation programme This booklet explains what happens during the advanced back rehabilitation programme and how the exercises may help your condition. We

More information

a patient s guide Physiotherapy advice and exercises from four weeks after neck dissection surgery

a patient s guide Physiotherapy advice and exercises from four weeks after neck dissection surgery Physiotherapy advice and exercises from four weeks after neck dissection surgery Patient Information Series PI 47 East and North Hertfordshire NHS Trust 2 This leaflet has been produced by professionals,

More information

back care TIPS FOR DAILY ACTIVITIES

back care TIPS FOR DAILY ACTIVITIES back care TIPS FOR DAILY ACTIVITIES TIPS FOR DAILY ACTIVITIES INTRODUCTION When your back hurts, the way you hold and move your body is important. Your muscles can become more tense and painful depending

More information

Physical & Occupational Therapy

Physical & Occupational Therapy In this section you will find our recommendations for exercises and everyday activities around your home. We hope that by following our guidelines your healing process will go faster and there will be

More information

Low Back Exercise Guide

Low Back Exercise Guide Low Back Exercise Guide Regular exercises to restore the strength of your back and a gradual return to everyday activities are important for your full recovery. Your orthopaedic surgeon and physical therapist

More information

This booklet can also be provided in large print on request. Please call 01865 738126. Spinal Stenosis. The Oxford Spine Unit

This booklet can also be provided in large print on request. Please call 01865 738126. Spinal Stenosis. The Oxford Spine Unit This booklet can also be provided in large print on request. Please call 01865 738126 Nuffield Orthopaedic Centre NHS Trust NHS Spinal Team Nuffield Orthopaedic Centre Windmill Road Headington Oxford OX3

More information

Prevention of complications whilst a patient in hospital. Patient information

Prevention of complications whilst a patient in hospital. Patient information Prevention of complications whilst a patient in hospital Patient information Prevention of complications whilst a patient in hospital During your time in hospital the nursing staff will be assessing your

More information

Cervical Exercise: How important is it? What can be done? The Backbone of Spine Treatment. North American Spine Society Public Education Series

Cervical Exercise: How important is it? What can be done? The Backbone of Spine Treatment. North American Spine Society Public Education Series Cervical Exercise: The Backbone of Spine Treatment How important is it? What can be done? North American Spine Society Public Education Series Important: If you have had an accident that started your neck

More information

Otago strength and balance training exercise programme

Otago strength and balance training exercise programme Otago strength and balance training exercise programme An information guide for patients Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please

More information

Lower Back Pain An Educational Guide

Lower Back Pain An Educational Guide Lower Back Pain An Educational Guide A publication from the Center of Pain Medicine and Physiatric Rehabilitation 2002 Medical Parkway Ste 150 1630 Main St Ste 215 Annapolis, MD 21401 Chester, MD 21619

More information

A B. Week 4. Abdominal Control. Double leg and arm stretch with gym ball

A B. Week 4. Abdominal Control. Double leg and arm stretch with gym ball Week 4 Abdominal Control Double leg and arm stretch with gym ball Perform 2 sets 15 on each leg. Find neutral spine and contract LAbs. Assume a position as in the picture A Breathe in-out stretch both

More information

Information and exercises following dynamic hip screw

Information and exercises following dynamic hip screw Physiotherapy Department Information and exercises following dynamic hip screw Introduction A dynamic hip screw is performed where the neck of femur has been fractured and where there is a good chance

More information

Pelvic Girdle Pain. Queen Mary s Hospital Outpatient Physiotherapy Department. Our phone number 020 8487 6022 9am 4pm. Do you need further help?

Pelvic Girdle Pain. Queen Mary s Hospital Outpatient Physiotherapy Department. Our phone number 020 8487 6022 9am 4pm. Do you need further help? Do you need further help? If you have any concerns or would like to ask further questions then please do contact your women s health physiotherapist for further advice and treatment: Queen Mary s Hospital

More information

Passive Range of Motion Exercises

Passive Range of Motion Exercises Exercise and ALS The physical or occupational therapist will make recommendations for exercise based upon each patient s specific needs and abilities. Strengthening exercises are not generally recommended

More information

EGOSCUE CLINIC PAIN/POSTURE STRETCHES 1. Standing Arm Circles: Helps Restore Upper Body Strength

EGOSCUE CLINIC PAIN/POSTURE STRETCHES 1. Standing Arm Circles: Helps Restore Upper Body Strength EGOSCUE CLINIC PAIN/POSTURE STRETCHES 1. Standing Arm Circles: Helps Restore Upper Body Strength Two sets of 40 repetitions each. Stand with your feet pointed straight and hip-width apart. Place your fingertips

More information

are you reaching your full potential...

are you reaching your full potential... T h e r e s n o s u c h t h i n g a s b a d e x e r c i s e - j u s t e x e r c i s e d o n e b a d l y FIT for sport are you reaching your full potential... These tests are a series of exercises designed

More information

Knowing about your Low Back Pain

Knowing about your Low Back Pain Knowing about your Low Back Pain Knowing about low back pain Low back pain is very common with around 80-90% of adults having some sort of back pain in their lifetime. detail vertebra disc Although a specific

More information

ADVICE FOR PATIENTS WITH NECK PAIN

ADVICE FOR PATIENTS WITH NECK PAIN ADVICE FOR PATIENTS WITH NECK PAIN Patient Information Leaflet Physiotherapy Department (Information sheet code SHOT/SHOA) A SMOKING FREE ENVIRONMENT WAHT-TH-007-1 - Version 1.2 Dear Patient This advice

More information

Exercises after breast or upper body lymph node surgery

Exercises after breast or upper body lymph node surgery Exercises after breast or upper body lymph node surgery Surgery may limit the strength and movement of your arm. These exercises are helpful if you have had: breast surgery with or without lymph node removal

More information

Back Safety and Lifting

Back Safety and Lifting Back Safety and Lifting Structure of the Back: Spine The spine is the part of the back that supports the trunk and head. It protects the spinal cord as well as giving flexibility to the body. Vertebrae

More information