Even after two Micro lumbar discectomy surgeries within a span of two years, Sam was still complaining of pain on his legs on movement and had a significant weakness of his right leg. Commonly documented as MLD in medical records, Micro lumbar discectomy is a minimally invasive surgical procedure done when the disc is compressing against the nerve.
On detailed physiotherapy examination and questioning, several factors were identified to be compounding to his present symptoms.
Guarding-movement avoidance to prevent the onset of pain
Muscle imbalance due to the weakness he had developed over time.
Inhibition -an inactive muscle which was not paralysed but would not participate at the appropriate time when it should.
Balance issues due to weakness
Changed walking patterns to avoid the pain and instability of the knee
All the above changes were creating a cycle of events creating more anxiety, limiting his quality of life and his career of being a marketing executive, requiring to travel extensively.
Educating him on his deficits and planning a customised exercises program was essential to increase his awareness over his body movements. It helped Sam to break the cycle of events and correct his movement patterns. Other than flexibility, strength and endurance activities, Facilitatory exercises to activate the appropriate muscles to achieve maximum stability and mobility. Balance exercises to sharpen his reactions, to loss of balance with eyes open and eyes closed, on level surfaces and on uneven ground were initiated. watching his own performances on video helped him to correct his wrong patterns as well.
Sam has started confidently venturing into activities which he avoided earlier. His pain has reduced significantly, still creeps up with certain activities. He requires occasional cues to correct his altered sitting down and walking patterns. He continues to work on his exercises. Looks forward to go back to his routines.
Physiotherapy follow up after a surgery is an absolute must, to get the most out of your surgery and getting back to doing what you enjoy, at the earliest possible.