Whenever possible, nonsurgical treatment of lumbar degenerative disc disease is preferred. The first goal of nonsurgical treatment is to ease pain and other symptoms so the patient can resume normal activities as soon as possible.
We rarely prescribe bed rest for patients with degenerative disc problems. Instead, patients are encouraged to do their normal activities using pain as a gauge for how much is too much. If symptoms are severe, a maximum of typically two days of bed rest may be prescribed.
After evaluating your condition, your Physical Therapist at Advanced Sports Therapy can assign positions and exercises to ease symptoms. Our Physical Therapist can design a personalized exercise program to improve flexibility of tight muscles, to strengthen the back and abdominal muscles, and to help you move safely and with less pain. Although recovery time varies among patients, as a guideline you may expect to work with our Physical Therapist a few times each week for four to six weeks. In some cases, patients may need a few additional weeks of care.
Our first goal of treatment is to control symptoms. Your Physical Therapist will work with you to find positions and movements that ease pain. We may use heat, cold, ultrasound, and electrical stimulation to calm pain and muscle spasm.
Our Physical Therapist may perform hands-on treatments such as massage and specialized forms of soft-tissue mobilization. These can help a patient begin moving with less pain and greater ease. Traction is also a common treatment for degenerative disc problems. Traction gently stretches the low back joints and muscles. Our Physical Therapist will instruct you on stretches that will help you move easier and with less pain.
As you recover, we will gradually advance you in a series of strengthening exercises for the abdominal and low back muscles. Working these core muscles helps patients move more easily and lessens the chances of future pain and problems.
A primary purpose of Physical Therapy is to help you learn how to take care of your symptoms and prevent future problems. We’ll give you a home program of exercises to continue improve flexibility, posture, endurance, and low back and abdominal strength. Our Physical Therapist will also discuss strategies you can use if your symptoms flare up.
Rehabilitation after surgery is more complex. Some patients leave the hospital shortly after surgery. However, some surgeries require patients to stay in the hospital for a few days.
During recovery from surgery, patients should follow their surgeon's instructions about wearing a back brace or support belt. You should be cautious about overdoing activities in the first few weeks after surgery.
Many surgical patients need Physical Therapy outside of the hospital. Patients who've had lumbar fusion surgery normally need to wait up to three months before beginning a rehabilitation program. Our treatment sessions help patients build strength and learn to move and do routine activities without putting extra strain on their backs.
Although the length of Advanced Sports Therapy rehabilitation programs vary based on an individual patient’s rate of recovery, as a guideline you can expect to attend Physical Therapy sessions for eight to 12 weeks and should expect full recovery to take up to six months.
As your Physical Therapy sessions come to an end, our Physical Therapist will help you get back to the activities you enjoy. You may need guidance on which activities are safe or how to change the way you go about your activities. Ideally, patients are able to resume normal activities.
When recovery is well under way, regular visits to Advanced Sports Therapy will end. Although we will continue to be a resource, you will be are in charge of doing your exercises as part of an ongoing home program.
Advanced Sports Therapy provides services for Physical Therapy in Wellesley.