A laminectomy is a spinal operation that involves removing the portion of vertebral bone called the lamina. This surgery is usually performed as a result of a break in the spine or as a result of stenosis, which is an abnormal narrowing of the spinal column. There are various types of laminectomies, depending on which portion of the spine needs to be operated on. Regaining strength and flexibility in the muscles of the back is a key part of recovery from this type of surgery.
Pelvic Tilts
Following surgery, it is important to begin with low impact spinal mobility exercises, such as pelvic tilts. Lie on your back with your knees slightly bent and your heels on the floor. The natural curvature of your spine will create a space between your lower back and the floor, usually wide enough to fit the palm of your hand in. Next, flatten the lower part of your back and press it into the floor, eliminating this space. Tighten your abs and relax your glutes. Hold for five seconds, exhale, then relax. Repeat this motion for 10 to 12 repetitions.
Strait Leg Raises
This exercise works the muscles that stabilize the lumbar vertebrae. Lie flat on your back with your knees bent and your feet flat. Next, fully extend one leg, pointing your toes downwards and tightening the muscles of your upper thigh and lower abs. Keeping a strait leg, raise it up in the air over the height of your knee on the opposite leg. Slowly lower your leg back down without letting your heel touch the floor. Repeat for 12 to 15 repetitions with each leg.
Leg Slides
This exercise will help improve blood flow to the lower extremities while strengthening the small muscles that support your lumbar vertebrae. Lie on your back with your legs extended. Bend one leg so that your foot is flat on the floor. Contract the muscles around your hips and slide your foot on the floor until your leg is strait again. Slide your foot back so that your knee is bent again. Repeat on both legs for about 10 to 12 repetitions each.
Alternating Arm And Leg Lifts
This is considered a more advanced exercise following a laminectomy. Start by getting down on your hands and knees on the floor, keeping your back as strait as possible throughout the exercise. Your hands should be flat on the floor and directly underneath your shoulders. Your hips should be at a right angle to the floor. Next, extend one arm out strait over your head so that it creates a strait line with your back. At the same time, extend your opposite leg strait back. Try to keep your pelvis flat, and not at an angle with the floor. Hold this position for 15 to 20 seconds before switching sides.
References
- SunCoast Seminars; Post-Operative Spine Rehabilitation Following Lumbar Laminectomy; George Aaron
- "Rehabilitation for the Postsurgical Orthopedic Patient"; Lisa Maxey and Jim Magnusson; 2001
