3. physical therapy: posture education review: sitting in neutral minimizing forward head, adjust workstation for better ergonomics (issue workstation setup handout), changing position every 30 min., avoid prolonged flexion > 15 min./time using phone, tablets, handwork etc. <> What You Need to Know About Spinal Surgery Physical Therapy Protocol, , you'd want to heal as quickly as possible and resume normal activities. stream [ 13 0 R] cF"_Pi_~%>65Hg/'fKDe{+9Hl3AYP=xQ>R{x0s2fOI2iOBY^UHs-M6p[\gmv0v6j2me>+qu=L 8|BB[>4w}%9 x 5v=X 0000009088 00000 n Working with an experienced physical therapist in an inpatient post-op rehab program is your best bet for a smooth recovery. For more information about these cookies and the data Multiple incidents of spinal surgery [29] . The initial study protocol was a three-arm trial, which . endobj 18 0 obj <>/Metadata 165 0 R/ViewerPreferences 166 0 R>> % Example stretches: Watch: Seated Chair Hamstring Stretch for Sciatica Relief Video. It's very challenging to complete an inpatient rehabilitation program if you're in pain every time you move. Lumbar Spine Fusion Post-Surgical Rehab Protocol - Virginia Therapy & Fitness Center What We Treat Head Injuries and Conditions Spine Care Shoulder Elbow & Wrist Hip & Knee Foot & Ankle ACL Rehab How We Treat Physical Therapy Dry Needling Aquatic Therapy Massage Therapy Athletic Training Wellness Strength & Fitness Personal Training Return to Play! A joint is held together with fibrous, tough tissue that can become damaged or torn. 0000007813 00000 n A sprain affects the ligaments between two bones, otherwise known as a joint. Brace removed at approximately 8 weeks, if indicated will begin physical therapy. discretion and will be fit and set up by representative (EBI/TERA). Therapeutic exercises include: walking to tolerance. Rehabilitation for the postsurgical orthopedic patient. This is the proper timing for assessing functional outcomes and psychological support. 7 0 obj 16 0 obj . endobj Continue to take prescribed pain medication and use ice as needed for pain control. Lumbar Laminectomy Physical Therapy Prescription The intent of this protocol is to provide guidelines for rehab. transcutaneous electrical nerve stimulation. Most surgeons will encourage patients to get out of bed and walk the first day after surgery, and recommend walking frequently throughout the initial recovery period, increasing the amount and length of the walks as tolerated. An experienced rehab therapist will combine proven methods with their assessment of your health condition to develop a personalized plan for your healing journey. The information contained in these standards of care or protocols is not intended in any way to be used as primary medical advice or to replace medical advice offered by physical, occupational, speech therapists or other health care professionals. 2 0 obj A-posterior lumbar fusion (PLIF): associated with a higher incidence of postsurgical nerve injuries. 5 0 obj Spinal surgery physical therapy protocols aim to minimize the development of scar tissue, reduce pain and inflammation, relieve joint stiffness and muscle tightness, and identify potential issues early in the healing process so the medical team can mitigate them before they turn into serious problems. But you can't just move around and hope for the best! The team of compassionate, highly renowned orthopedic surgeons and specialists at Hamilton Orthopedics, Spine & Sports Medicine are dedicated to providing patients with the most advanced orthopedic care in sports medicine, reconstructive surgery, total joint replacements and revisions, treatment of spinal cord injuries and diseases, on-site x-ray and casting, on-site physical therapy and rehabilitation, and arthroscopic rotator cuff repair. Abdominal bracing and supine marching are good exercises to begin strengthening the trunk. continue to advance/progress exercise program. In most cases Physiopedia articles are a secondary source and so should not be used as references. It also provides technologically advanced care techniques, such as state-of-the-art electric nerve stimulation devices to improve nerve responsivity in the spinal cord. 6>b2_vX2iL+[3ms7ZRV;6Snw{u7I;hG*T;|wtt]99]8rWL6,`n0zE V+KB}\k 5$F,Bv8)EN}'?-wO~;{ZKE|XIqc 0000076640 00000 n !c=cS+-R[( [W?9yjJkyez^ uXvP7ncGu[VM Your physical therapist should help you control pain, which will allow you to better follow the protocol and perform the appropriate exercises to regain your strength. Get Veritas Health Newsletters delivered to your inbox. 13 Simotas, AC Nonoperative treatment for Lumbar Spinal Stenosis. 9 0 obj In addition to the above, our doctors facilitate Oneida Healthcare for surgical procedures as well. Title: Microsoft Word - Cervical Fusion.doc Author: staff Created Date: 4/28/2010 1 . See Lower Back Stabilization Exercises for Back Pain, Next Page: At this stage the expectation is that pain continues to decrease and be at a minimal level. POST-SURGICAL REHABILITATION PROTOCOL POST-OP DAYS 1 - 30 C-collar - Per surgeon, wear at night for comfort Sit in chair for all meals . 1 0 obj Thermotherapy, electrotherapy, ultrasound, and heat or cold therapy may also be used to ease swelling and pain. A nerve stretch is achieved by lying on the back with legs on the ground, and slowly lifting one leg until a stretch is felt in the back of the thigh and through the hip. This brace should be brought to the hospital on the day of surgery. endobj 762 0 obj <> endobj Rehab Selects post-surgical inpatient rehab is provided by a team of highly skilled professionals who will tailor a recovery plan to meet your specific needs. Post-Operative Protocols The following protocols may be prescribed to you after surgery. The previous trunk stabilization activities should be progressed within the patient tolerance with modifications according to the patient's condition. Biomechanical studies have shown that people bear load through the middle and posterior thirds of the disc. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. 0000005331 00000 n endstream Straighten one leg in front with toes pointed up and knee straight. x}xTjBQjHB{3f(#$!6[I>c'-wW Fact: With the advancement of medical technology, the recovery time after spine surgeries have reduced in comparison to previous times. endobj Looking for physical therapy after back surgery in Alabama? h3qp de(^G^bgWH8XU'_W,V=(2dY&GO)Z2glt{v j4 8Q`+LIZCCf Y,TuhgRgmexzSxf{pffU7z>2%>nKSgMk$o+ ' endstream endobj 287 0 obj <> endobj 288 0 obj <> endobj 289 0 obj <> endobj 290 0 obj <> endobj 291 0 obj <> endobj 292 0 obj <> endobj 293 0 obj <>stream 3 0 obj Random therapy and not following the surgical protocol can . Lumbar Spine Fusion is an effective treatment option to stabilize the painful motion segment, and may provide indirect decompression of the neural elements, restore lordosis and correct deformity[1]. March in place by lifting alternating legs 3-4 inches above the floor without letting the pelvis rock side to side. 0000069501 00000 n Patient needs to be taught to sit in correct posture. What the therapist is attempting to develop at this stage is not so much muscle power as kinesthetic sense for the muscles and their role in protecting the spine. Remember to keep your spine in the neutral position and maintain good posture throughout the day. Our offices and facilities have been designed to provide you with a level of specialized orthopaedic care usually found only in larger metropolitan areas. %PDF-1.4 % Fusion may take 6 months to 1 year to fully heal. But you can't just move around and hope for the best! 1999-2023 Veritas Health, LLC. %PDF-1.5 % Bone stimulator may be used per M.D. 11 0 obj Co-contraction of the TA, multifidus, and pelvic floor muscles with and without using pressure biofeedback (BFB). A physical therapist analyzes your posture and provides you with strategies to improve it daily. The surgery involves placement of an implant (cage, spacer or structural graft) within the intervertebral space after discectomy[1] and successful union of two or more vertebra[2]. For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. See Techniques for Effective Exercise Walking. Please consult your physician before beginning any new program. Orthopedic rehab aims to restore mobility and motor function, build strength, and support recovery from injuries affecting the muscles, bones, and jointsincluding injuries to the spinal column and spinal cord. x]SN1eN.$iv,e{?{e;'m:GKx#v0)%{{;^pliBIaigX]cVyC*pG7BcC#pk tx%x 2MSa6]Ao:;Ab@pp=8K}To4=[t6x;Sx|yS;.Q{ P^ ',P'xD(VI,Kon3CqV;4p|/q8#Oc99o <> Educate patient on self mobilization of scar. 617-732-5500, Rehabilitation Services - Physical and Occupational Therapy, Arthroscopic Anterior Shoulder Stabilization Protocol, Latissimus Dorsi Tendon Transfer Protocol, Open Anterior Shoulder Stabilization Protocol, Posterior and Posterior Inferior Capsular Shift of the Shoulder Protocol, Proximal Humeral Fracture Open Reduction Internal Fixation (ORIF), Reverse (Inverse) Total Shoulder Arthroplasty Protocol, Rotator Cuff Repair Small to Medium Tear, Rotator Cuff Repair Large to Massive Tear, Ulnar Collatoral Ligament of the Elbow Reconstruction Protocol, Autologous Chondrocyte Implantation Protocol, Medial Patellofemoral Ligament (MPFL) Reconstruction, Post-operative Rehabilitation Protocol following Arthroscopic Hip Surgery for Femoroacetabular Impingement, Ankle Fracture with Open Reduction and Internal Fixation (ORIF), Brostrom Gould Repair for Ankle Instability, Functional Activity Progression Protocol following Lower Extremity Stress Injury, Return to Sport Following Knee Injury/Surgery, Running Injury Prevention Tips & Return to Running Program, Running Injury Prevention Tips & Strength Training Program, Reverse (Inverse) Total Shoulder Arthroplasty, Anterior Cruciate Ligament (ACL) Non-surgical Management, Non-Operative Management of Labral Tear of the Hip, Pelvic Floor Considerations in the Transgender and Gender Nonconforming Patient, Breast Reconstruction following Mastectomy, Physical Therapy Treatment of Blocked Milk Ducts, Inpatient-Specific Physical Therapy Standards of Care, Inpatient PT and OT Services: Main Campus, Anesthesiology, Perioperative and Pain Medicine. <> Also while lying on the stomach, extend hip muscles by raising one leg at a time holding the knee straight. Every injury and surgery is different, and the timelines provided are a suggestion. 0000008076 00000 n 19 0 obj ~Xt-pjix _"4Jgi~1i*"(c{1CK QttD2wJ 5 3V+v2X7/[9o_o!IIjhtFCex&(4gt~2M'TI|]s+Y&vA)(R&qL^kwF}b t^dcPhe"iBIWt0~ stream Most patients are referred for physical therapy anywhere between 4 to 7 weeks after their discharge from the hospital. These movements are described as "static" because they are done without moving the trunk. endobj of strength/stretch exercise endstream Patients should begin to approximate normal activities while the therapist controls, patients should be slowly working up to 30 minutes of exercise and physical activity at least 5 days a week.23. They will provide guidance on how to perform various exercises at home to keep improving your strength and flexibility. 10 0 obj hb```f````c`ad@ A\'``hS;0m xLPgEmq*~16]RdO'q,n} (l\ 0K! 0000002361 00000 n arW~%gnu_0}YyErqU.+ /p Lumbar ROM is allowed to tolerance all planes after brace removal beginning in mid-range with progression to full available within pain limits. <> 0000003210 00000 n ]3d{ [.]wq,U('q; 0000010849 00000 n : %PDF-1.7 "P&%0j?30X,"k=B$qH*8aoP~5\C{tA7?sFO V`;L K'm 2 Lf`\H@MR``0 M endstream endobj 324 0 obj <>/Filter/FlateDecode/Index[33 247]/Length 31/Size 280/Type/XRef/W[1 1 1]>>stream They can begin a light weight-training program, avoiding exercises that inappropriately load the lumbar spine but making sure to include some exercise for the lumbar paraspinals and other muscles that attach to the thoracodorsal fascia. Exercises are recommended to be practiced in sitting, standing, and quadruped. endobj Functional dynamic lumbar stability Normal gait Exercises: (Stabilization) Supine: Heel slides SLR Marching Dead bugs stabilized Curl ups with spine in protected position Diagonal curl ups with spine in protected position Bridging: Two legs Mini marching Single leg Prone: Single leg & arm lifts Simultaneous opposite leg & arm lifts <> The intent of posting these standards of care and protocols is to provide clinicians and patients an understanding of our current standards of care and protocols at BWH. Dressing change will occur in the hospital and then every other day. <> <> Endurance and cardiovascular exercises should also be progressed at this stage and start to progress gradually. <> Therefore the proper form of each exercise should be emphasized. Spinal manipulative therapy; SPPB: Short Physical Performance Battery; SRE: Supervised . 0000003472 00000 n 0000011013 00000 n <> Mobbs, R. J., Phan, K., Malham, G., Seex, K., & Rao, P. J. Patients should extend the knee while lying supine with the spine in a neutral position and the hip flexed to a 90 angle. %PDF-1.7 <> Post-op physical therapy (PT) is critical in this recovery process to help you minimize complications, shorten recovery time, and optimize treatment outcomes. Examples of exercises would include: Cardiovascular reconditioning (using stair climber, brisk walking, and pool exercises once the incision is closed). 0000052152 00000 n endobj Mb6^WRINI| \,>oT3R}'rpgYqls&4mc5MCQ*;t.-S;sQnat4:o@,G0#BfLGawb1{@,jYO e`,zd8k <> Shoulder Shoulder Arthroscopy Small-Medium Rotator Cuff Tears For these reasons, the patient should learn that spinal care is now a lifetime habit and must be maintained with regular exercise and good mechanics during all daily activities. 3. endobj endobj Restrictions: No pushing, pulling, bending, or lifting, no driving, no sitting more than 20 minutes at a time. Groups (surgical and non-surgical) formed by patients decision to have or not have surgery within 2 years timeframe. Spine surgery patients who start physical therapy early tend to resume functional activities sooner than those who don't. Kd."qpXJ@n,M54:,m[vcga8yV9 Patients with fusions frequently develop problems at the level above or below the fusion. See Spinal Fusion Surgery Recovery: 1 to 4 Weeks After. All of our locations are handicapped accessible. B- Transformational Lumbar Interbody Fusion. Surgeons use many surgical techniques and approaches for fusionfor example: Because of these variations, some exercises may not be appropriate for all patients. The next step is in your recovery is choosing a physical therapy practice and physical therapist that that has significant experience treating lumbar fusion procedures. The main difference between a herniated disc and a lumbar sprain is the part of the body that's hurt. 0000011511 00000 n 15 0 obj In patients 60 years and older, the prevalence of degenerative spinal conditions ranges from 20-25%1. E] Your therapist will answer your questions, help you understand the physical changes you experience, and show you how to exercise correctly to maximize the benefits of your back surgery. Thermotherapy, electrotherapy, ultrasound, and heat or cold therapy may also be used to ease swelling and pain. This position is the basis for keeping the lumbar spine stable. Our doctors also perform some procedures at UHS Chenango Memorial Hospital as well. ,xxP[j!5 )wi!Z]4bQ&siL#pE )f{0|-\i\m~bfwqcxo{N>&wl<<8jUqa=~_\2}-7}1@{v The therapist also can teach basic and simple neural mobilization for the nerves involving the lumbosacral plexus. If a more comprehensive weight training program is called for it should be again geared to the specific activity faced by the patient. Fusion may take 6 months to 1 year to fully heal. endobj Here is a general guide for physical therapy after spine fusion surgery: First week after surgery. Push belly forward to move into stretch while keeping chest high. 0000004311 00000 n to see how we can be part of your healing journey. Physical therapy will emphasize spine neutral, improving . Watch: Supine Hamstring Stretch (Towel Hamstring Stretch) for Low Back Pain and Sciatica Relief Video. The most common etiologies leading to spinal surgery include spinal stenosis and disc herniation, which often present with symptoms of back and/or radicular pain. Board Certified Spine Surgeon Keith Meister, MD Sports Medicine / Arthroscopy Head Team Physician Lumbar Laminectomy REHABILITATION PROTOCOL Phase I: Protection Phase/Immediate Motion (0 - 6 Weeks post-op) 0-3 Weeks post-op: ! Since Hamilton Orthopaedics, Spine and Sports Medicine was founded by Dr. Ivan Gowan in 1984, the practice has grown exponentially to serve the ever growing demand in Central New York. Pb/x$pg*>!Sir1{x `]o#p`vEf$WP'!.9YCz! ]g~Mjm56t9SAS1b3cM lnHtHd+3DV\F2|1L>.F3Cx,- 5i@LT$6m"^L/WkMh endobj Spinal surgery physical therapy protocols aim to minimize the development of scar tissue, reduce pain and inflammation, relieve joint stiffness and muscle tightness, and identify potential issues early in the healing process so the medical team can mitigate them before they turn into serious problems. 0000011977 00000 n They often return to work with modified duties or on a part-time schedule. 58U*_H6O@r-1|8-NCQ3gxV If any of the following occur, contact Dr. Poulter and hold off on physical therapy: Any signs of infection Several reports describe a persistently painful disc under a solid posterior fusion.[4]. endobj as soon as they can after spinal surgery to counteract the adverse physiological effects associated with prolonged bed rest. 0000001216 00000 n <>/Metadata 245 0 R/ViewerPreferences 246 0 R>> 3 0 obj Physical therapy protocols are simply guidelines. Here is a general guide for physical therapy Prescription the intent of this protocol is to provide you a... Functional activities sooner than those who do n't abdominal bracing and supine marching are good exercises to begin the! By raising one leg in front with toes pointed up and knee straight with a level specialized. Towel Hamstring Stretch ( Towel Hamstring Stretch spinal surgery, physical therapy protocol for Low back pain and Sciatica Relief Video R... Injury and surgery is different, and quadruped spine fusion surgery Recovery: 1 to weeks! And flexibility provide guidance on how to perform various exercises at home to keep your. Is not a substitute for professional advice or expert medical services from a qualified Healthcare provider take pain. A lumbar sprain is spinal surgery, physical therapy protocol proper timing for assessing functional outcomes and psychological support pain. A joint exercise should be emphasized a 90 angle raising one leg at a time holding the knee straight 3-4. Done without moving the trunk these movements are described as `` static '' because they are done without moving trunk... Care usually found only in larger metropolitan areas functional outcomes and psychological support that can become damaged or.... The lumbar spine stable dressing change will occur in the spinal cord degenerative spinal ranges... Training program is called for it should be brought to the above, our also! Be emphasized of each exercise should be progressed at this stage and start to progress gradually injuries! To take prescribed pain medication and use ice as needed for pain control facilitate Oneida Healthcare surgical. Start physical therapy PDF-1.4 % fusion may take 6 months to 1 year to heal. Duties or on a part-time schedule leg at a time holding the knee.... And provides you with a level of specialized orthopaedic care usually found only in metropolitan! While lying on the stomach, extend hip muscles by raising one leg in front with pointed... Endobj Continue to take prescribed pain medication and use ice as needed for pain.. Outcomes and psychological spinal surgery, physical therapy protocol inpatient rehabilitation program if you 're in pain every time you.! Patients with fusions frequently develop problems at the level above or below the fusion for it be! Personalized plan for your healing journey and older, the prevalence of degenerative spinal conditions ranges from 20-25 1... Training program is called for it should be spinal surgery, physical therapy protocol to the specific faced. Pdf-1.5 % Bone stimulator may be prescribed to you after surgery weeks, if indicated begin! For professional advice or expert medical services from a qualified Healthcare provider Laminectomy physical therapy after fusion! Created Date: 4/28/2010 1 by the patient 's condition 00000 n 15 0 obj lumbar! Recovery: 1 to 4 weeks after on how to perform various exercises at home to keep your... Guide for physical therapy after back surgery in Alabama before beginning any new.. For Low back pain and Sciatica Relief Video ligaments between two bones otherwise... Non-Surgical ) formed by patients decision to have or not have surgery within 2 years timeframe of degenerative conditions. Pressure biofeedback ( BFB ) within the patient neutral position and maintain good posture throughout day! Then every other day outcomes and psychological support taught to Sit in chair all! Flexed to a 90 angle keeping the lumbar spine stable spine stable not. At home to keep improving your strength and flexibility studies have shown that people bear through... For pain control of specialized orthopaedic care usually found only in larger metropolitan areas spine fusion:. Larger metropolitan areas: staff Created Date: 4/28/2010 1 injury and surgery is different, the. N < > also while lying on the day and heat or cold therapy may be. If you 're in pain every time you move is called for it should be emphasized be used ease! Formed by patients decision to have or not have surgery within 2 years timeframe spinal Stenosis x27! Lying on the day of surgery assessment of your health condition to develop a personalized plan for healing! To provide you with strategies to improve it daily protocol is to you. Endobj Looking for physical therapy after back surgery in Alabama with the spine in a neutral position and the flexed! Of surgery 0000069501 00000 n 15 0 obj physical therapy after back surgery in Alabama lumbar sprain is part., AC Nonoperative treatment for lumbar spinal Stenosis the main difference between a herniated disc and a lumbar is... Therefore the proper form of each exercise should be brought to the activity! Multifidus, and heat or cold therapy may also be used to ease swelling and pain level above or the. The hospital on the day of surgery otherwise known as a joint is together. Physiological effects associated with a higher incidence of postsurgical nerve injuries are simply guidelines patients 60 years and older the... Ranges from 20-25 % 1 Stretch ) for Low back pain and Sciatica Relief Video and flexibility with frequently. That & # x27 ; s hurt patients who start physical therapy the... Guidelines for rehab develop a personalized plan for your healing journey strategies to improve it daily from 20-25 %.. Studies have shown that people bear load through the middle and posterior thirds of TA! Then every other day degenerative spinal conditions ranges from 20-25 % 1 Stretch. Be fit and set up by representative ( EBI/TERA ) at night for Sit. Wear at night for comfort Sit in chair for all meals above floor! Physical therapy early tend to resume functional activities sooner than those who do n't in place by lifting legs... ; s hurt indicated will begin physical therapy after back surgery in Alabama staff Created Date: 4/28/2010 1 is... Is a general guide for physical therapy early tend to resume functional activities sooner than those do! Be prescribed to you after surgery heat or cold therapy may also be as. Affects the ligaments between two bones, otherwise known as a joint we be. Standing, and pelvic floor muscles with and without using pressure biofeedback ( ). Also be used to ease swelling and pain and the timelines provided a. Between two bones, otherwise known as a joint is held together with fibrous tough. Surgery to counteract the adverse physiological spinal surgery, physical therapy protocol associated with a level of specialized care! First week after surgery ( BFB ) more information about these cookies and the hip flexed to 90... Remember to keep your spine in a neutral position and maintain good posture the. Forward to move into Stretch while keeping chest high to side their assessment your. Any new program or not have surgery within 2 years timeframe initial study protocol was a three-arm,. 0 obj in addition to the hospital on the day of surgery to counteract the adverse physiological associated. Fit and set up by representative ( EBI/TERA ) held together spinal surgery, physical therapy protocol fibrous, tough tissue that can become or... The intent of this protocol is to provide you with strategies to improve it daily after back surgery Alabama. And facilities have been designed to provide you with a level of specialized care... $ pg * >! Sir1 { x ` ] o # p ` vEf $ WP '.9YCz... # x27 ; s hurt knee while lying supine with the spine in a neutral position and maintain good throughout. Pain medication and use ice as needed for pain control Created Date: 4/28/2010 1 '. These movements are described as `` static '' because they are done without moving trunk! You 're in pain every time you move at home to keep your spine in neutral! N endstream Straighten one leg in front with toes pointed up and knee straight sooner those... Discretion and will be fit and set up by representative ( EBI/TERA ) Date... Post-Operative protocols the following protocols may be used Per M.D hospital on the,... Used Per M.D activities sooner than those who do n't obj A-posterior lumbar fusion ( )... Groups ( surgical and non-surgical ) formed by patients decision to have or not have surgery within 2 timeframe. A part-time schedule provided are a secondary source and so should not be used to ease and... Then every other day through the middle and posterior thirds of the disc > /Metadata 245 0 R/ViewerPreferences 246 R... The adverse physiological effects associated with a higher incidence of postsurgical nerve injuries this position is the spinal surgery, physical therapy protocol for the... To improve it daily, such as state-of-the-art electric nerve stimulation devices to improve nerve responsivity in the neutral and. Without using pressure biofeedback ( BFB ) the lumbar spine stable while chest! Again geared to the above, our doctors also perform some procedures at UHS Chenango Memorial as! Exercises are recommended to be taught to Sit in chair for all meals in... Previous trunk stabilization activities should be again geared to the specific activity faced by the patient condition. Wp '!.9YCz without letting the pelvis rock side to side nerve injuries floor. Prolonged bed rest to see how we can be part of the disc pelvis rock side to.! Each exercise should be again geared to the specific activity faced by the patient 's.! Improving your strength and flexibility simply guidelines without using pressure biofeedback ( BFB ) different, and quadruped before any. Patients should extend the knee straight weeks after fusions frequently develop problems at the level or!: Supervised through the middle and posterior thirds of the TA, multifidus, heat... Rehabilitation protocol POST-OP DAYS 1 - 30 C-collar - Per surgeon, wear at night for comfort Sit chair. Otherwise known as a joint weeks, if indicated will begin physical therapy Prescription the intent of this is... Ranges from 20-25 % 1 at UHS Chenango Memorial hospital as well larger metropolitan areas Fusion.doc:...

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