Orthopedics - treatment protocol s/p lumb fusion

Print Page | Close Window

treatment protocol s/p lumb fusion

Printed From: CyberPT - Your Online Physical Therapy Resource
Category: Specialty Forum for PTs/Healthcare Professionals
Forum Name: Orthopedics
Forum Description: Discussion on Orthopedics
URL: http://www.cyberpt.com/ptforum/forum_posts.asp?TID=389
Printed Date: Nov 24 2024 at 7:10am
Software Version: Web Wiz Forums 11.03 - http://www.webwizforums.com

Topic: treatment protocol s/p lumb fusion

Posted By: EQ
Subject: treatment protocol s/p lumb fusion
Date Posted: Apr 06 2009 at 4:32pm

I'm working with a new "back surgeon" who doesn't have a guideline/protocol for his lumbar fusions. I work home health and am trying to develop our own protocol specifically from post op discharge to 8 weeks. Obviously this group of patients may be able to go to OP when released to drive, many can't. This MD also refuses to allow lumbar stab of any kind until after 3 months (at which time he d/c's the brace and then starts aggressive lumb. stab.) Any advice is appreciated...most info. is vague.

Replies:

Posted By: mistertj
Date Posted: May 20 2009 at 5:42pm

I would work on: Log Rolling, Bracing Abdominals with movements, general mobility, bed mobility, tranasfers, gait, safety with mobility around the house.

If you cannot do L/S stab and because its a fusion and cannot do ROM, then you are not left with a whole lot. Stick to the basics and get the pt moving safely.

You can still develop a protocol for exercises, but just not with this surgeon. Also, ask everyother surgeon if your protocol (once developed) is ok with him/her.