Laminectomies are procedures performed, usually in the lumbar region, to remove a portion of the vertebral arch called the lamina. These are done to relieve compression on a spinal nerve due to disc herniations or narrowing of the spinal canal or stenosis. Primary goals of a rehabilitation program following a laminectomy are to maximize normal spinal stability, coordination, mobility, lower extremity strength, and endurance. Check with your physician before embarking on any exercise program, as every program is individually tailored
Start with Gentle Spinal Mobility and Lower Extremity Exercises
For the first one to two weeks following surgery, it is important to begin with spinal mobility exercises known as pelvic tilts. This is done lying on your back by gently tightening your abdominal and buttock muscles, then releasing them. This will move your pelvis, providing mobility to your spine. Perform to comfort level. While lying on your back, other initial exercises include tightening the front of your thigh, placing a small pillow under the knees and alternately straightening them, and alternately sliding your heels along the flat surface. All aforementioned exercises should be done with your spine in a fixed, comfortable position.
Progress Rehabilitation with Core Strengthening
Two weeks to one month later, you should continue with all of the exercises noted above but progress by adding these stabilization exercises for your spine. Lie on your stomach with a pillow under your abdomen, keep your spine in a fixed, comfortable position, then alternately lift your straightened arms toward the ceiling. You can also try this without the pillow. One month post-surgery, you may also progress this exercise by alternately lifting your straightened legs toward the ceiling. Also progress the difficulty of the pelvic tilts by performing these lying on your side.
Endurance Training and Lower Extremity Strengthening Compliments Program
Beginning one month post-surgery, it is also important for you to begin endurance training. This can take the form of treadmill training or a swimming program that emphasizes the backstroke. A home walking program should also be a regular part of your routine.
Additional exercises include stretches for your calves and thighs and alternately lifting your leg and arm while on all fours, maintaining a fixed position of your spine.
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Stretch your calf by facing a wall with one leg behind the other. Lunge forward toward the wall, keeping your back leg straight. Stretch your quadriceps while standing by bending your knee and stretch your hamstrings by placing your straightened leg on a chair, also while standing. Hold all stretches for 30 seconds and repeat three times.
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