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Bed rest
1%
5/723
Avoid exercise for 6 to 8 weeks
2%
15/723
Early return to low-intensity exercise
45%
324/723
Early return to high-intensity exercise
30%
219/723
Gradual return to low-intensity exercise after 6 weeks
21%
152/723
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Recent evidence supports return to high-intensity exercise at 4 weeks for patients undergoing first-time lumbar diskectomy for disk herniation. Ostelo et al., in a Cochrane review update, demonstrated that exercise programs starting 4 to 6 weeks after surgery in patients undergoing first-time lumbar diskectomy for disk herniation lead to a faster decrease in pain and disability than no rehabilitation. Additionally, high-intensity exercise programs seem to lead to a faster decrease in pain and disability than low-intensity programs. Carragee et al., in a prospective review of 50 consecutive patients undergoing first-time lumbar diskectomy for disk herniation, demonstrated that lifting of postoperative activity restrictions after limited diskectomy allowed shortened sick leave without increased complications. He concluded that postoperative precautions in these patients may not be necessary.
1.6
(82)
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