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PATIENT EDUCATION · BACK

Lumbar decompression / laminectomy recovery

Decompression removes tissue to create more space for nerves. This guide concerns decompression without fusion. If fusion was also performed, use the fusion precautions from your surgeon.

Weeks 0–4: move within precautions

Early rehabilitation usually emphasizes safe daily movement and gradual walking. Learn transfers and how to use your walking aid. Some patients begin outpatient therapy within this period; timing must be confirmed. Avoid independently adding spinal stretches.

Weeks 4–8: controlled rehabilitation

If cleared, therapy may introduce trunk control and progressive leg strengthening. The ability to maintain comfortable alignment matters more than the calendar. New or increasing nerve symptoms require reassessment.

Examples to discuss—not automatic assignments

Start only if your treating clinician specifically approves the movement, range, and dosage.

Weeks 8–12: rebuild capacity

Progress walking endurance, functional movement, and resistance only within current restrictions. Lifting and return-to-work demands should be assessed individually; do not assume symptom relief means full healing.

Examples to discuss—not automatic assignments

Start only if your treating clinician specifically approves the movement, range, and dosage.

Questions for your care team

Before moving to the next stage

Confirm your restrictions, review symptom changes, demonstrate the current movements to your therapist, and obtain the next written instructions. Time alone does not establish readiness.

When to stop and get medical help

Stop exercise for new or increasing weakness, spreading numbness, dizziness, or worsening symptoms. Seek urgent medical assessment for fever, concerning wound drainage, or a newly painful swollen calf after surgery. Call 911 for chest pain, sudden shortness of breath, stroke-like symptoms, or a medical emergency. New loss of bladder or bowel control, saddle numbness, or rapidly worsening weakness requires emergency assessment.

Clinical reference

Read the original hospital or professional guidance ↗

Educational overview assembled October 18, 2026. This is not a reproduction of the full protocol, a medical clearance, or a clinician-signed prescription. Follow your own surgical team’s instructions.