Post Laminectomy Syndrome Thoracic

Definition:
Post-laminectomy syndrome refers to the persistence of pain and disability following laminectomy. Laminectomy is a type of back surgery performed to relieve nerve compression or nerve root injury in the spine caused by disc herniation or spinal canal narrowing related to degenerative changes. The spinal canal is formed by the posterior portion of the vertebrae that surround the spinal cord and protect and confine the spinal nerves. A disc herniation or spinal stenosis may occur and cause pressure on the spinal cord and/or one or more spinal nerve roots.

Symptoms
  • Chronic back pain after surgery
  • Radiating arm pain
  • Loss of ROM in the back
  • Abnormal sensibility may include sharp, pricking, and stabbing pain in the extremities
Causes
  • Poor patient selection
  • Nerve root injury at the time of surgery
  • Delayed surgery
  • Infection in the disc space or epidural space
  • Unrecognized lateral spinal stenosis or instability
  • Reherniation
  • Psychosocial factor
  • Smoking
Treatment
  • ROM and stretching
  • Posture program
  • Core stabilization exercises
  • Upper and lower extremity strengthening
Post Laminectomy Syndrome Thoracic Phase I

Purchase Phase

  • Standing Posture
  • Sitting Posture
  • Walkfit
  • WalkFit Program
  • Wall Push
  • Wall Slides
  • Side Lying Lumbar RR RL
  • Prone Thoracic Extension

Post Laminectomy Syndrome Thoracic Phase II

Purchase Phase

  • Swiss Ball Stretch
  • Thoracic Rotation
  • Thoracic Stretch 1
  • Foam Wedge In Flexion
  • Superman Holds
  • Warrior