After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle. To ensure that the program is safe and effective for you, it should be performed under your doctor's supervision. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals.

  • Strength : Strengthening the muscles that support your spine will help keep your back and upper body stable.
  • Flexibility : Stretching the muscles that you strengthen is important for restoring range of motion and preventing injury. Gently stretching after strengthening exercises can help reduce muscle soreness and keep your muscles long and flexible.
  • Target Muscles : The muscle groups targeted are - Cervical spine (neck), Trapezius (neck and upper back), Back extensors and erector spinae (middle and lower back), Quadratus lumborum (lower back), Gluteus medius and gluteus maximus (buttocks)
  • Warm up : Before doing the exercises, warm up with 5 to 10 minutes of low impact activity, like walking or riding a stationary bicycle.
  • Stretch : After the warm-up, do the stretching exercises before moving on to the strengthening exercises.
  • Do not ignore pain : You should not feel pain during an exercise. Talk to your doctor or physical therapist if you have any pain while exercising.

There are many exercises which will help you meet your rehabilitation goals.

1. Head Rolls

Main Muscles : Cervical spine muscles, trapezius

Equipment Needed : None

Repetitions : 3 sets of 3

Days per week : Daily

Step-by-step directions:

~ Sit in a chair or stand with your weight evenly distributed on both feet. ~ Gently bring your chin toward your chest.
~ Roll your head to the right and turn so that your ear is over your shoulder (1). Hold for 5 seconds.
~ Gently roll your head back toward your chest and to the left. Turn your head so that your ear is over your left shoulder (2). Hold for 5 seconds.
~ Slowly roll your head back and in a clockwise circle three times (3).
~ Reverse directions and slow roll your head in a counterclockwise circle three times (4).

head rolls - spine recovery exercise

2. Kneeling Back Extension

Main Muscles : Quadratus lumborum, erector spinae

Equipment Needed : None

Repetitions : 10

Days per week : Daily

Step-by-step directions:

Begin on your hands and knees with your shoulders positioned over your hands.
~ Rock forward onto your arms, round your shoulders and allow your low back to drop toward the floor. Hold for 5 seconds.
~ Rock backward and sit your buttocks as close to your heels as possible. Extend your arms and hold for 5 seconds.

kneeeling back extension - spine recovery exercise

3. Sitting Rotation Stretch

Main Muscles : Piriformis, external oblique rotators, internal oblique rotators

Equipment Needed : None

Repetitions : 2 sets of 4

Days per week : Daily

Step-by-step directions:

Sit on the floor with both legs straight out in front of you. Cross one leg over the other.
~ Slowly twist toward your bent leg, putting your hand behind you for support.
~ Place your opposite arm on the side of your bent thigh and use it to help you twist further.
~ Look over your shoulder and hold the stretch for 30 seconds. Slowly come back to center.
~ Repeat on the other side. Repeat the entire sequence 4 times.

sitting rotation strech - spine recovery exercise

4. Modified Seat Side Straddle

Main Muscles : Hamstrings, extensor muscles, erector spinae

Equipment Needed : None

Repetitions : 10 each side

Days per week : Daily

Step-by-step directions:

~ Sit on the floor with one leg extended to the side and the other leg bent.
~ Keep your back straight and bend from your hips toward the foot of your straight leg. Reach your hands toward your toes and hold for 5 seconds.
~ Slowly round your spine and bring your hands to your shin or ankle. Bring your head down as close to your knee as possible.
~ Hold for 30 seconds and then relax for 30 seconds.
~ Repeat on the other side. Repeat the sequence 10 times.

modified seat side straddle - spine recovery exercise

5. Knee to Chest

Main Muscles : Quadratus lumborum

Equipment Needed : None

Repetitions : 3 sets of 10

Days per week : Daily

Step-by-step directions:

~ Lie on your back on the floor.
~ Lift one leg and bring your knee toward your chest. Grasp your knee or shin and pull your leg in as far as it will go.
~ Tighten your abdominals and press your spine to the floor. Hold for 5 seconds.
~ Repeat on the other side, then pull both legs in together. Repeat the sequence 10 times.

knee to chest - spine recovery exercise

6. Bird Dog

Main Muscles : Back extensors, erector spinae, gluteal muscles

Equipment Needed : None

Repetitions : 5

Days per week : Daily

Step-by-step directions:

~ Begin on your hands and knees with your shoulders positioned over your hands and your hips directly over your knees.
~ Tighten your abdominal muscles and raise one arm straight out to shoulder-height and level with your body. Hold until you feel balanced.
~ Slowly lift and extend the opposite leg straight out from your hip.
~ Tighten the muscles in your buttocks and thigh, and hold this position for 15 seconds.
~ Slowly return to the start position and repeat with the opposite arm and leg.

bird dog - spine recovery exercise

7. Plank

Main Muscles : Back extensors, erector spinae, quadratus lumborum, abdominals

Equipment Needed : None

Repetitions : 5

Days per week : Daily

Step-by-step directions:

~ Lie on your stomach with your forearms on the floor and your elbows directly below your shoulders.
~ Tighten your abdominal muscles and lift your hips off of the floor.
~ Squeeze your gluteal muscles and lift your knees off of the floor.
~ Keep your body straight and hold for 30 seconds. If you cannot hold this position, bring your knees back to the floor and hold with just your hips lifted.
~ Slowly return to the start position and rest 30 seconds. Repeat.

plank - spine recovery exercisev

8. Hip Bridge

Main Muscles : Lower back extensor, erector spinae, gluteal muscles, hamstrings

Equipment Needed : None

Repetitions : 5

Days per week : Daily

Step-by-step directions:

~ Lie on your back on the floor with your arms at your sides, your knees bent, and your feet flat on the floor.
~ Tighten your abdominal and gluteal muscles and lift your pelvis so that your body is in a straight line from your shoulders to your knees.
~ Hold this position for 15 seconds.
~ Slowly return to the start position and repeat.

hip bridge - spine recovery exercise

9. Abdominal Crunch

Main Muscles : Abdominals

Equipment Needed : None

Repetitions : 2 sets of 10

Days per week : Daily

Step-by-step directions:

~ Lie on your back on the floor with your knees bent and hands at the back of your head with your elbows open wide.
~ Tighten your abdominal muscles and lift your head and shoulder blades off of the floor.
~ Keep your back flat to the floor and hold for 2 seconds.
~ Slowly lower and repeat.

abdominal crunch - spine recovery exercise

10. Back Extension

Main Muscles : Lower back, midsection

Equipment Needed : None

Step-by-step directions:

~ Lie on your stomach, facedown, arms straight out in front of you, palms down, and legs straight out behind you.
~ Pull your abs in, as if you’re trying to create a small space between your stomach and the floor.
~ Lift your left arm and right leg about one inch off the floor, and stretch out as much as you can.
~ Hold this position for five slow counts and then lower your arm and leg back down. Repeat and continue alternating sides.

back - spine recovery exercise

The small puncture wounds take several days to heal. The operative dressing can usually be removed the morning after surgery and adhesive strips can be applied to cover the small healing incisions.

Although the puncture wounds are small and pain in the joint that underwent arthroscopy is minimal, it takes several weeks for the joint to maximally recover. A specific activity and rehabilitation program may be suggested to speed your recover and protect future joint function.