why don't spinal surgeons refer for postoperative physical therapy?

There are several reasons why spinal surgeons may not refer patients for postoperative physical therapy:

1. Lack of awareness: Some surgeons may not be aware of the benefits of physical therapy in promoting optimal recovery and reducing complications after spinal surgery.

2. Misconceptions: Some surgeons may believe that physical therapy will compromise the surgical repair or exacerbate the condition.

3. Fear of delayed healing: Surgeons may worry that physical therapy will delay healing or increase the risk of complications.

4. Patient non-compliance: Surgeons may assume that patients will not adhere to physical therapy protocols.

5. Reimbursement issues: Surgeons may be concerned about reimbursement for physical therapy services.

6. Lack of communication: Surgeons may not have established relationships with physical therapists or may not know how to refer patients.

7. Patient education: Surgeons may not adequately educate patients on the importance of physical therapy in the postoperative period.

8. Clinical pathways: Surgeons may follow clinical pathways that do not include physical therapy as a standard postoperative protocol.

9. Variability in practice patterns: Surgeons may have different practice patterns and beliefs about postoperative care.

It's important to note that physical therapy can play a crucial role in promoting optimal recovery, reducing complications, and improving patient outcomes after spinal surgery.

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Is physiotherapy required after spine surgery?

Physiotherapy is usually required after spine surgery to:

- Regain mobility and strength in the spine

- Retrain the body to move and function without pain

- Improve posture

- Prevent further injury

- Maximize the benefits of surgery

- Decrease pain and inflammation

- Decrease surgical complications

Physiotherapy after spine surgery can last anywhere from four weeks to 12 weeks, depending on the complexity of the surgery.

Does physical therapy work after surgery?

Yes, physical therapy is an integral part of post-surgery rehabilitation. It helps patients manage pain, regain strength and mobility, and prevent complications ¹. Physical therapy is especially useful after surgeries such as:

- Joint replacement

- Spinal surgery

- Rotator cuff surgery

- Cardiac surgery

- Lower back pain treatment

The benefits of physical therapy after surgery include:

- Pain management

- Restoring mobility and function

- Preventing complications

- Individualized care

- Enhancing emotional well-being

Physical therapy is a safe and effective way to improve strength, flexibility, and mobility. It can be performed in a clinical setting, hospital, or even at home.

Does back surgery require physical therapy?

Yes, physical therapy is usually required after back surgery to help the patient recover from the surgery and to prevent any future complications. Physical therapy after back surgery can help in:

- Aiding in recovery

- Increasing mobility

- Managing pain

- Preventing further injury

- Strengthening core and hip

- Improving flexibility and posture

- Decreasing swelling and tenderness

- Remodeling scar tissue

Physical therapy also depends on the type of surgery the patient had, so it's best to consult a physical therapist for a proper assessment and exercise plan.

When to start physical therapy after back surgery?

 Here are some general guidelines for when to start physical therapy after back surgery:

- Days 1-7: Start with short walks and gentle stretching, including hamstring, quad, and nerve stretches.

- Weeks 1-9: Incorporate static stabilization exercises.

- Weeks 5-9: Gradually introduce more exercises, such as walking and light daily tasks.

- Weeks 10-24: Focus on rest and building strength.

- After 6 months: Return to typical activities, including bending, twisting, and lifting

It's essential to consult with a physical therapist or to determine the best timeline for your specific situation. They will consider factors like your overall health, exercise ability, and healing progress to create a personalized plan.

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