From the Research
Walking after an endoscopic partial discectomy should begin within 24 hours after surgery, starting with short, gentle walks around your home or hospital room, as this approach has been shown to promote healing and reduce the risk of complications without increasing the risk of disc reinjury 1.
Key Considerations for Walking Post-Endoscopic Partial Discectomy
- Gradually increase walking distance and duration over the following weeks, aiming for 5-10 minute walks several times daily in the first week, then progressing to 15-30 minute walks by weeks 2-3.
- Avoid sitting for more than 20-30 minutes at a time during the first few weeks to prevent muscle atrophy and promote blood flow.
- Use proper walking technique by maintaining good posture, taking measured steps, and wearing supportive footwear to reduce strain on the back.
- Pain medication such as acetaminophen (500-1000mg every 6 hours) or NSAIDs like ibuprofen (400-600mg every 6-8 hours) can help manage discomfort during this recovery period, as supported by general pain management principles.
Activities to Avoid
- High-impact activities, heavy lifting (nothing over 5-10 pounds), and excessive bending or twisting should be avoided for at least 4-6 weeks to minimize the risk of complications.
- If you experience increased pain, numbness, weakness, or any concerning symptoms during walking, contact your healthcare provider immediately for guidance.
Evidence Basis
The recommendation for early mobilization after endoscopic partial discectomy is supported by studies showing that postoperative activity restrictions may not be necessary for most patients, and that early return to work and normal activities does not correlate with increased rates of recurrent sciatica, reoperation for reherniation, or poor clinical outcomes 1, 2. While the evidence on specific physiotherapy interventions post-discectomy is inconclusive 3, the general principle of early mobilization to promote healing and reduce complications is well-supported. Additionally, the management of residual disc fragments post-operatively suggests a "watchful waiting" approach may be preferable in asymptomatic patients, further supporting the safety of early mobilization 4.