7 Spine Rehab Exercises After Lumbar Fusion

PT-Approved Exercises After Lumbar Fusion

Recovering from lumbar fusion surgery takes time, patience, and the right movement plan. After your procedure, your spine needs proper care to heal and regain strength. Following a structured rehab program helps you move safely, build endurance, and return to normal life with greater comfort.

At Covenant Spine and Neurology, we support patients through every phase of healing. Whether you recently had surgery or are preparing for one, these PT-approved exercises and spine rehab tips can help you protect your new spine under the guidance of a lumbar fusion surgeon in Winston-Salem.

Why Post-Surgery Rehab Matters

Lumbar fusion surgery stabilizes your spine by joining two or more vertebrae. Although this reduces pain, it also changes the way your spine moves. Therefore, post-surgery rehab is crucial for helping your body adjust.

With consistent exercise, you can:

  • Strengthen muscles that protect your spine

  • Improve flexibility and posture

  • Prevent stiffness and scar tissue buildup

  • Lower the risk of future back problems

As a result, your recovery becomes smoother, and you regain confidence with every step.

When to Start Post-Surgery Exercises

Your lumbar fusion surgeon and physical therapist will determine when it’s safe to begin rehab. Typically, gentle movements start a few weeks after surgery. However, you must wait until your incision heals and your doctor gives approval.

Starting too early may strain your spine. On the other hand, waiting too long can make your muscles weak and stiff. For that reason, balance and timing are essential.

1. Diaphragmatic Breathing

Deep breathing supports relaxation and increases oxygen flow, which promotes healing.

  • Lie on your back with knees bent and one hand on your stomach.

  • Inhale through your nose as your belly rises.

  • Exhale through your mouth as your belly lowers.

  • Repeat 5–10 times, several times a day.

In addition, this exercise keeps your core engaged and helps reduce tension in your back.

2. Pelvic Tilts

Pelvic tilts are gentle but effective for strengthening your lower back and abdominal muscles.

  • Lie on your back with knees bent and feet flat.

  • Tighten your stomach muscles and press your lower back into the floor.

  • Hold for five seconds, then relax.

  • Repeat 10–15 times.

Over time, this movement helps you regain spinal control and stability.

3. Ankle Pumps

Even simple motions can make a big difference. Ankle pumps increase blood flow and reduce swelling.

  • While lying down, flex and point your toes slowly.

  • Perform 10–20 repetitions every hour while awake.

Moreover, this is an excellent exercise to do right after surgery when mobility is limited.

4. Gentle Marching

Once cleared by your therapist, gentle marching improves coordination and hip strength.

  • Sit upright in a sturdy chair.

  • Slowly lift one knee toward your chest and lower it back down.

  • Alternate legs for 10–15 repetitions.

As you get stronger, you can gradually increase your repetitions.

5. Glute Squeezes

Strong glutes help stabilize your spine and support better posture.

  • Lie on your back with your knees bent.

  • Squeeze your buttocks together for five seconds.

  • Relax and repeat 10–15 times.

Additionally, this move can ease pressure on your lower back during walking or standing.

6. Partial Bridges

Partial bridges strengthen your hips and back while improving stability.

  • Lie on your back with knees bent and feet shoulder-width apart.

  • Lift your hips until your body forms a straight line from shoulders to knees.

  • Hold for three seconds, then lower slowly.

  • Repeat 10 times.

Be careful not to arch your back. Instead, focus on slow, steady movement.

7. Supported Standing Balance

Balance exercises are important for preventing falls after surgery.

  • Stand near a countertop or sturdy surface for support.

  • Shift your weight slowly from one foot to the other.

  • Hold each position for five seconds.

  • Repeat 10 times.

Eventually, you can try balancing without holding on for extra challenge.

Additional Spine Rehab Tips

For best results:

  • Maintain good posture when sitting, standing, or walking.

  • Avoid twisting or heavy lifting during early recovery.

  • Take short, frequent walks to improve blood flow.

  • Choose chairs that support your lower back.

  • Follow your therapist’s plan carefully and progress gradually.

Remember, steady consistency works better than intensity. In other words, focus on form and control, not speed.

Trust Covenant Spine and Neurology for Post-Surgical Care

At Covenant Spine and Neurology, we combine advanced surgical expertise with personalized rehabilitation plans. Our lumbar fusion surgeon in Winston-Salem works closely with physical therapists and neurologists to ensure your spine heals safely and efficiently. If you’ve recently undergone lumbar fusion or are considering the procedure, our team can guide you through every phase of recovery with expert support and proven results. Contact Covenant Spine and Neurology today to schedule a consultation and start your journey toward long-term spinal health. Schedule your consultation today or click here to find one of our four locations near you! To learn more about our Lumbar Spine Care services, please click here.

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