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  • Getting in Shape for Surgery

    I've been told that I need to get into the best possible aerobic condition before surgery, and I'm curious what others have done.

    I'm currently doing 45 minutes on an elliptical trainer 3 times a week, and 30 minutes of swimming 3 times a week. I can't walk any distance without pain due to a pinched nerve at L5 that sends intolerable pain down my left leg.

    How fit do I need to be? Am I doing enough?

    Surgery is, I hope, more than a year out.
    Stephanie, age 56
    Diagnosed age 8
    Milwaukee brace 9 years, no further treatment, symptom free and clueless until my 40s that curves could progress.
    Thoracolumbar curve 39 degrees at age 17
    Now somewhere around 58 degrees thoracic, 70 degrees thoracolumbar
    Surgeon Dr. Michael S. O'Brien, Baylor's Southwest Scoliosis Center, Dallas TX
    Bilateral laminectomies at L3 to L4, L4 to L5 and L5 to S1 on April 4, 2012
    Foramenotomies L3 through S1 in August 2014

  • #2
    Hi and welcome to the forum. I booked my surgery in November 2009 and just had my surgery this past June. I decided in Sept 2009 I was going to have the surgery and I wanted to get in the best possible shape. I had my second child in 2007 and never lost the baby weight. From Sept '09 to June 2010 I lost around 40 pounds. Then after surgery I lost another 20 (due to meds, I lost my appetite). Anyway, I think it's good that you get in the best possible shape that you can. All I did is walk on the treadmill 5 days a week, for 35-40 minutes and ate pretty good. I cut out all the sodas and fruit drinks, basically just drank milk, water and OJ. Also ate smaller portions. Was shocked the 40 lbs came off so fast. I also had pain limiting me on how much I could exercise. For the past 3 years, I have had throbbing foot pain (which I believe is coming from the S-I joint in the back) which really flares up when I walk, but due to the fact I was having an upcoming surgery, I fought through it and put up with the pain.

    So good luck with your workouts. I would definately try to lose some weight as I believe it would be harder to take off the weight once you have the hardware in your back. You'll feel much better. Exercise will also help to alleviate some of your anxiety about the operation, at least it did for me.

    Good luck!!

    JenM
    Surgery date: June 8, 2010 with Dr. Boachie
    Thoracic curve: 55 degrees, corrected to 25 degrees
    Lumbar curve: 58 degrees, corrected to 27 degrees
    Posterior-only surgery, Levels T3-L3
    31 year old mother of 2 young kids

    Comment


    • #3
      I walked 5-6 times per week prior to surgery, about 45 min to one hour each. I think I was in good aerobic condition at the time.

      Editing to add, if you're looking to lose weight now, remember you'll probably lose some post-surgery. I think I lost 15 (due to pain meds and low appetite) over the first few months, but then once I started eating regularly it came back.
      Last edited by debbei; 08-28-2010, 03:23 AM.
      __________________________________________
      Debbe - 50 yrs old

      Milwalkee Brace 1976 - 79
      Told by Dr. my curve would never progress

      Surgery 10/15/08 in NYC by Dr. Michael Neuwirth
      Pre-Surgury Thorasic: 66 degrees
      Pre-Surgery Lumbar: 66 degrees

      Post-Surgery Thorasic: 34 degrees
      Post-Surgery Lumbar: 22 degrees

      Comment


      • #4
        Originally posted by JenM View Post
        Hi and welcome to the forum. I booked my surgery in November 2009 and just had my surgery this past June. I decided in Sept 2009 I was going to have the surgery and I wanted to get in the best possible shape. I had my second child in 2007 and never lost the baby weight. From Sept '09 to June 2010 I lost around 40 pounds. Then after surgery I lost another 20 (due to meds, I lost my appetite). Anyway, I think it's good that you get in the best possible shape that you can. All I did is walk on the treadmill 5 days a week, for 35-40 minutes and ate pretty good. I cut out all the sodas and fruit drinks, basically just drank milk, water and OJ. Also ate smaller portions. Was shocked the 40 lbs came off so fast. I also had pain limiting me on how much I could exercise. For the past 3 years, I have had throbbing foot pain (which I believe is coming from the S-I joint in the back) which really flares up when I walk, but due to the fact I was having an upcoming surgery, I fought through it and put up with the pain.

        So good luck with your workouts. I would definately try to lose some weight as I believe it would be harder to take off the weight once you have the hardware in your back. You'll feel much better. Exercise will also help to alleviate some of your anxiety about the operation, at least it did for me.

        Good luck!!

        JenM
        Jen,
        did your foot pain go away? I know that initially you said it did, but then thought you felt it again during your early recovery? Here's hoping it's gone for good.

        FYI, it's not harder to take weight off with hardware in the back. At this point for me, it's easier because I feel so good. My surgeon thinks it is very important to exercise regularly post-surgery as well. Since my spine has totally fused, I can do normal exercises with absolutely no problems or pain whatsoever. I've been exercising regularly since this past January and lost about 15 lbs. I'm happy with how I look AND how I feel now.

        Yesterday at my zumba class, one of the men said, 'oh Debbe your back must be feeling REALLY good; look how you're jumping!' That made me feel really good. I feel normal now.
        __________________________________________
        Debbe - 50 yrs old

        Milwalkee Brace 1976 - 79
        Told by Dr. my curve would never progress

        Surgery 10/15/08 in NYC by Dr. Michael Neuwirth
        Pre-Surgury Thorasic: 66 degrees
        Pre-Surgery Lumbar: 66 degrees

        Post-Surgery Thorasic: 34 degrees
        Post-Surgery Lumbar: 22 degrees

        Comment


        • #5
          I am 5'10" and 125 pounds, so I don't think I had better lose any weight!

          I was more concerned about getting into shape in terms of aerobic fitness and overall strength.
          Stephanie, age 56
          Diagnosed age 8
          Milwaukee brace 9 years, no further treatment, symptom free and clueless until my 40s that curves could progress.
          Thoracolumbar curve 39 degrees at age 17
          Now somewhere around 58 degrees thoracic, 70 degrees thoracolumbar
          Surgeon Dr. Michael S. O'Brien, Baylor's Southwest Scoliosis Center, Dallas TX
          Bilateral laminectomies at L3 to L4, L4 to L5 and L5 to S1 on April 4, 2012
          Foramenotomies L3 through S1 in August 2014

          Comment


          • #6
            Hi,
            I had also walked about 4-5 times a week for 3-4 miles each time. I was never "a runner" :-).

            In addition, about 7 months prior to my surgery, I started to use weight machines at the YMCA about 3 times a week. I really focused on increasing the strength in my arms, legs, and abdomen. I had no back pain prior to surgery, so this was not hard for me to do.

            The year prior to my surgery, I had lost about 20 pounds.

            Went I had my pre-opt with Dr. Lenke, his focus was solely on aerobic exercise. I believe that the surgeons want your heart and lungs to be strong for the surgery.

            I'm surprised now that though I still weight the same 123 lbs I did prior to surgery, but weight seems to have moved from my legs (muscle tone is way down) to my abdomen (swelling). Oh well, this will hopefully resolve itself over time.

            I still believe that it is good to have strong arms to lift yourself up and out of chairs (triceps important).
            Kathy
            46 yrs at surgery, now 50
            71 degree thoracolumbar curve corrected to 34 degrees
            8/2/2010 surgery with Dr. Lenke

            posterior T9 to sacrum with pelvic fixation

            4 osteotomies and 1 cage
            http://s1066.photobucket.com/albums/...athK_08022010/

            Comment


            • #7
              Kathy, my spine specialist said the same thing about stressing aerobic exercise, and I assumed the same reason you say, they want your circulatory system strong for the surgery. I've just been wondering how much is enough and what other people have done. Probably the more, the better.

              And strength makes sense, too.
              Stephanie, age 56
              Diagnosed age 8
              Milwaukee brace 9 years, no further treatment, symptom free and clueless until my 40s that curves could progress.
              Thoracolumbar curve 39 degrees at age 17
              Now somewhere around 58 degrees thoracic, 70 degrees thoracolumbar
              Surgeon Dr. Michael S. O'Brien, Baylor's Southwest Scoliosis Center, Dallas TX
              Bilateral laminectomies at L3 to L4, L4 to L5 and L5 to S1 on April 4, 2012
              Foramenotomies L3 through S1 in August 2014

              Comment


              • #8
                If I was getting in shape for surgery, I would NOT eat this...

                http://www.thisiswhyyourefat.com/?p=461189619

                or this...

                http://www.thisiswhyyourefat.com/?p=239234457

                Sharon, mother of identical twin girls with scoliosis

                No island of sanity.

                Question: What do you call alternative medicine that works?
                Answer: Medicine


                "We are all African."

                Comment


                • #9
                  Originally posted by Pooka1 View Post
                  If I was getting in shape for surgery, I would NOT eat this...

                  http://www.thisiswhyyourefat.com/?p=461189619

                  or this...

                  http://www.thisiswhyyourefat.com/?p=239234457

                  Sharon,
                  I think I"m going to be sick...especially after looking at #1!!
                  __________________________________________
                  Debbe - 50 yrs old

                  Milwalkee Brace 1976 - 79
                  Told by Dr. my curve would never progress

                  Surgery 10/15/08 in NYC by Dr. Michael Neuwirth
                  Pre-Surgury Thorasic: 66 degrees
                  Pre-Surgery Lumbar: 66 degrees

                  Post-Surgery Thorasic: 34 degrees
                  Post-Surgery Lumbar: 22 degrees

                  Comment


                  • #10
                    Originally posted by debbei View Post
                    Sharon,
                    I think I"m going to be sick...especially after looking at #1!!
                    Me too, especially because I've been a vegetarian since April 1981.
                    Sharon, mother of identical twin girls with scoliosis

                    No island of sanity.

                    Question: What do you call alternative medicine that works?
                    Answer: Medicine


                    "We are all African."

                    Comment


                    • #11
                      Mojo's Mom-- my surgeon explained to me that since this is a stressful surgery that can last several hours, it is very taxing on the patient. He said it is important to go into it with your heart in fairly good condition. You don't have to workout like a super jock, but he told me to at least do some stationary bike or treadmill exercising for those last few months that would work my heart. So I worked diligently to do that. Any aerobic workouts are great. Some of us can't do strenuous stuff, but we can still get our hearts pumping while sitting on a bike (recumbants are pretty good for bad backs) or walking faster on a treadmill. As far as dieting, for overweight people-- it's good to lose a little weight, but not at the cost of good nutrition. You need to be in good condition that way, also, when you head in for surgery. So those of you who want to diet, do it in a wise way. I lost about 20 lbs. prior to my surgery, but following Weight Watchers, with my surgeon's ok. BTW, I did not lose any with my surgery and in fact gained back some. Best wishes to all of you with surgeries coming up. You'll get through it all fine.
                      71 and plugging along... but having some problems
                      2007 52° w/ severe lumbar stenosis & L2L3 lateral listhesis (side shift)
                      5/4/07 posterior fusion T2-L4 w/ laminectomies and osteotomies @L2L3, L3L4
                      Dr. Kim Hammerberg, Rush Univ. Medical Center in Chicago

                      Corrected to 15°
                      CMT (type 2) DX in 2014, progressing
                      10/2018 x-rays - spondylolisthesis at L4/L5 - Dr. DeWald is monitoring

                      Click to view my pics: pics of scoli x-rays digital x-rays, and pics of me

                      Comment


                      • #12
                        Leading up to surgery we kayaked on weekends and I walked about 4 x week. In the fortnight before surgery, we went on holidays and we kayaked or power walked every day for about 4 hours. I haven't regained that level of fitness though I still walk and we kayak occasionally. The fitness had me feeling as though I could tackle anything and the fear of surgery was greatly diminished.
                        Surgery March 3, 2009 at almost 58, now 63.
                        Dr. Askin, Brisbane, Australia
                        T4-Pelvis, Posterior only
                        Osteotomies and Laminectomies
                        Was 68 degrees, now 22 and pain free

                        Comment


                        • #13
                          One surgeon also suggested I do pilates and yoga to work on flexibility before surgery.

                          So, I think cardio is most important, followed by strength and flexibility training. In the ideal world we'd all be working out multiple hours a day, but personally I'm going for about five sessions a week, 45 min to 1 hr each, always including cardio and trying to incorporate other elements as well.

                          Evelyn
                          age 48
                          80* thoracolumbar; 40* thoracic
                          Reduced to ~16* thoracolumbar; ~0* thoracic
                          Surgery 3/14/12 with Dr. Lenke in St. Louis, T4 to S1 with pelvic fixation
                          Broken rods 12/1/19; scheduled for revision fusion L1-L3-4 with Dr. Lenke 2/4/2020
                          Not "confused" anymore, but don't know how to change my username.

                          Comment


                          • #14
                            This is a GREAT thread!
                            Thank you.
                            (Now I feel so "holy" from reading it, I don't have to actually DO anything today...)
                            Not all diagnosed (still having tests and consults) but so far:
                            Ehler-Danlos (hyper-mobility) syndrome, 69 - somehow,
                            main curve L Cobb 60, compensating T curve ~ 30
                            Flat back, marked lumbar kyphosis (grade?) Spondilolisthesis - everyone gives this a different grade too. Cervical stenosis op'd 3-07, minimally invasive

                            Comment


                            • #15
                              oh my gosh, JenG...if i could kayak, i swear i'd forget the surgery!

                              i used to go to the gym 3-4 times a week, even when i worked 2 jobs!! (i was devoted!)
                              then when the pain got so much worse, i could barely go at all, even when i wasnt working!!
                              i can no longer do the recumbent bike, the one that i worked my way up on for a total of 60 minutes at a time....and the weight machines...especially the lower body ones...long gone...

                              congratulations that you could ever kayak...
                              (from a city girl who hardly knew what it was til i looked it up! )

                              jess

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