Contributor: Carrie A. Diulus, MD, Orthopaedic Spine Surgeon
Contrary to what people fear, back surgery does not have to mean the end to a promising sports career. In fact, studies show that Olympic and professional level athletes have returned to their same level of competition following many common types of back surgery. The athlete’s level of competition, overall fitness, the sport, as well as the type of surgery all impact how soon an athlete can get back in the game.
Most spinal conditions do not require surgical treatment. If an athlete fails to improve after non-operative treatments such as physical therapy, rest, medications and possibly injections, removal of the disc herniations may be recommended. The lumbar microdiscectomy surgery is usually performed through a small incision.
Walking as exercise can be started almost immediately following surgery. Physical therapy is very important in getting an athlete back to sports, and many surgeons will start it around three weeks after surgery. Studies show that an athlete’s dedication to the post-operative rehab program has a significant impact on returning to pre-injury level of competition.
Recreational athletes in non-collision sports may be able to return to competition as early as six to eight weeks. Professional collision athletes can anticipate a return to play as early as three months, although there are some circumstances where it may be closer to six months.
Lumbar Decompression for Stenosis
Even aging athletes with degenerative spine conditions such as stenosis who have failed to improve without surgery can get back to sports after a decompression surgery. Spinal stenosis is an abnormal narrowing of the spinal canal, which restricts the spinal cord and may cause pain, numbness and sometimes weakness.
Following decompression surgery, patients should refrain from heavy lifting for six weeks. They can start back to cardiovascular conditioning at three to four weeks, and are able to start physical therapy about one month after surgery. With good progress in physical therapy, return to sports can be expected at three to six months.
Lumbar spinal fusions are done for numerous reasons, but the most common is spinal instability. Because bone healing must occur, returning to sports after a fusion is a much slower process. Physical therapy may be started at three months. The age of the athlete, the sport and the level of competition greatly impact the speed of return. An avid golfer, for example may be cleared to return to play at six months after the surgery. Return to contact sports is made on an individual case-by-case basis.
With a team approach involving the patient, surgeon, and physical therapist, most athletes can anticipate a return to sports after spine surgery.
Carrie A. Diulus, MD, is an orthopaedic spine surgeon in the Neurological Institute’s Center for Spine Health and Center for Regional Neursociences. She has a special interest in sports-related spine conditions. Dr. Diulus sees patients in the Medical Office Building at Medina Hospital and at the Cleveland Clinic Specialty Center in Wooster. To make an appointment with Dr. Diulus, please call 866.588.2264.