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Is Cycling Safe after Microdiscectomy Surgery?

    

1.13 - Is Biking Good after Microdiscectomy

Microdiscectomy is a minimally invasive procedure performed to treat a herniated disc in the spine. The goal of the surgery is to remove the damaged portion of the disc and relieve pressure on the nerves, alleviating pain, tingling, and weakness. Post-surgery, patients are often eager to return to normal activities, including physical exercise. One common question that arises is whether biking is safe after a microdiscectomy.

While cycling is a low-impact activity that may seem like a gentle option for exercise, it is essential to understand the specific risks and benefits before jumping back into your biking routine. In this article, you will learn whether biking is good after a microdiscectomy and gain insight into how to approach this activity safely during your recovery.

Understanding Microdiscectomy Surgery

A microdiscectomy is a surgical procedure used to treat a herniated or slipped disc in the lower back. The procedure involves removing the portion of the disc that is pressing on a nerve root, which can cause pain, numbness, or weakness in the leg. Unlike traditional open surgery, microdiscectomy is minimally invasive, often requiring only a small incision and allowing for faster recovery times.

While the surgery itself is relatively low-risk, the microdiscectomy recovery process is crucial to ensure proper healing and prevent further complications, including reherniation of the disc.

The Benefits of Biking after Microdiscectomy

Cycling can offer several benefits as part of a rehabilitation plan after microdiscectomy surgery. These benefits include:

  • Low-impact cardiovascular exercise

One of the key benefits of biking is that it is a low-impact exercise. Unlike running or other high-impact activities, biking does not put excessive pressure on the joints, including the spine, knees, and hips. This makes it an ideal option for individuals recovering from surgery. It allows for cardiovascular conditioning without overloading the body.

  • Strengthened core muscles

While cycling may seem like a leg-centric exercise, it actually engages various muscle groups, including the core. Cycling strengthens the muscles that support the spine, which can aid in the recovery of your back after surgery. A strong core is essential for providing stability and preventing further injuries.

  • Enhanced flexibility

Regular cycling maintains and increases flexibility, especially in the hips and lower back. This is particularly beneficial after a microdiscectomy, as these areas may be stiff during the early stages of recovery. Keeping your body flexible can prevent muscle tightness and enhance overall mobility.

  • Better blood circulation

Exercising after surgery can promote blood flow, which is essential for healing. Cycling can increase circulation to the lower back, speeding up recovery and reducing inflammation. It can also alleviate stiffness by promoting joint lubrication.

Risks of Biking after Microdiscectomy

While biking can be beneficial, there are also potential risks to consider as you recover from microdiscectomy surgery.

  • Strain on the lower back

Cycling, particularly if done improperly, can put strain on the lower back. If you do not have the proper posture or if you ride for extended periods, it may increase pressure on your spine, which can hinder healing and lead to discomfort or complications.

  • Overexertion

During the recovery process, it is easy to become overzealous and push yourself too hard. Overexertion can lead to strain on the back and other areas of the body, which could delay healing. It is essential to avoid high-intensity cycling or long sessions in the early stages of recovery.

  • Risk of reinjury

After a microdiscectomy, the risk of reherniating a disc or experiencing other spine-related issues remains. While cycling itself is relatively low-impact, sudden, jerky movements, poor posture, or cycling for too long can increase the risk of reinjury. It is important to listen to your body and progress gradually.

  • Poor posture

Maintaining proper posture is key during cycling to avoid exacerbating spinal issues. Slouching or leaning too far forward while riding can lead to additional strain on your back, which may slow down your recovery or result in pain.

When Is It Safe to Start Biking after Microdiscectomy Surgery?

The timing of when to start biking after microdiscectomy varies depending on the individual, the nature of the surgery, and the advice from the doctor. Generally, it is important to follow these guidelines:

  • Wait for medical clearance

Before starting any exercise, including biking, it is essential to get approval from your surgeon or physical therapist. Your medical professional will assess your healing progress and determine whether you are ready to resume activity. 

  • Ensure proper bike fit

Ensure your bicycle is properly fitted to minimize strain on your back. Consider consulting a professional bike fitter who has experience working with post-surgery clients. The handlebars should be positioned to allow for a more upright posture initially.

  • Start slowly

Once you get the green light, begin with short and easy cycling sessions. Use a stationary bike initially to eliminate the risk of falling and to control the intensity. Start with just 10–15 minutes of low-intensity cycling a few times per week, and gradually increase both the duration and intensity as you gain strength.

  • Focus on proper form

Proper posture is crucial when cycling to avoid straining the back. Make sure your bike is adjusted to fit your body correctly. Keep your back straight, engage your core, and avoid hunching over. Additionally, avoid riding at high speeds or tackling challenging terrain in the early stages of your recovery.

  • Monitor pain levels

Pay close attention to how your body feels after biking. Mild muscle soreness is expected, but sharp or persistent pain is a red flag. If you experience pain during or after cycling, it may be a sign you are pushing yourself too hard or that your back is not ready for the activity. Always listen to your body and take breaks when needed.

Modifications to Consider for Safe Cycling

Several modifications can ensure a safe return to cycling:

  • Bike type selection
  • Consider using a hybrid or comfort bike initially instead of a racing bike
  • Look for bikes with wider tires for better stability
  • Choose models that promote an upright riding position
  • Equipment adjustments

  • Install a more cushioned saddle
  • Use platform pedals instead of clip-ins initially
  • Consider adding suspension components to absorb shock

How to Achieve Long-Term Success

To maintain a healthy cycling routine after a microdiscectomy, it is important to focus on the following:

  • Regular maintenance

Keep up with core-strengthening exercises and stretching routines recommended by your physical therapist. Strong core muscles can protect your spine during cycling.

  • Gradual progression

Increase riding time, distance, and intensity gradually. A good rule of thumb is to increase by no more than 10 percent per week.

  • Rest and recovery

Include adequate rest days between rides, especially when first returning to the activity. Listen to your body and adjust your schedule accordingly.

Other Exercise Alternatives to Consider

If biking is not suitable for you during your recovery, there are other low-impact exercises that can help you stay active and support your healing process:

  • Walking

Walking is a simple and effective low-impact exercise that can help you maintain cardiovascular health and increase circulation. It can also support the healing process by keeping the muscles and joints active.

  • Swimming

Swimming and water aerobics provide excellent full-body workouts without putting stress on the spine. The buoyancy of the water supports your body weight, reducing the risk of strain.

  • Elliptical machine use

An elliptical machine provides a good cardio workout while being easier on the back than high-impact activities like running. It also allows you to control the intensity of your workout.

Biking after microdiscectomy can be an excellent way to aid recovery, maintain fitness, and improve overall wellbeing. By following your doctor’s advice, starting slowly, and listening to your body, you can safely return to cycling and enjoy the many benefits it offers. Remember, the journey back to the saddle is a marathon, not a sprint. With patience and persistence, you will be back to enjoying the open road in no time.

Even though microdiscectomy is a common and generally quite successful form of back surgery, a hole is frequently left in the outer wall of the disc. In fact, patients with these large holes in their discs are more than twice as likely to reinjure themselves by having what is known as a reherniation. These reherniations often require additional surgery or even fusions. Fortunately, there is a new treatment specifically designed to close the large holes that are often left in spinal discs after discectomy surgery. Barricaid is a bone-anchored device proven to reduce reherniations, and 95 percent of Barricaid patients did not undergo a reoperation due to reherniation in a 2-year study timeframe. This treatment is performed immediately following the discectomy—during the same operation—and does not require any additional incisions or time in the hospital. 

If you have any questions about the Barricaid treatment or how to get access to Barricaid, ask your doctor or contact us directly.

For full benefit/risk information, please visit: https://www.barricaid.com/instructions.

 

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