Road Biking Post Spinal Fusion Surgery
#1
Newbie
Thread Starter
Join Date: Jan 2010
Posts: 2
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 0 Times
in
0 Posts
Road Biking Post Spinal Fusion Surgery
Help! My husband is an avid road cyclist - almost 10,000 miles a year. After decades of pain due to degenerative discs, he just had double spinal fusion surgery of the L3 and L4 discs a month ago. Recovery is going well and his goal is to resume riding in the Spring, but the doctor/surgeon is recommending against it due to the riding position and the resulting increased load on his lower back. Doctor is recommending he switch to a recumbent, but as you can imagine, that's not a welcome option to a guy who parks his bike in our formal dining room so it's the first thing he sees when he comes downstairs in the morning!
We can't believe he is the ONLY road biking enthusiast out there who has had this surgery and also wanted to get riding again - at least that's our HOPE!! If you are one of those individuals, or a neurosurgeon with some experience in this area, can you tell us the following:
Is it possible to resume riding after this surgery?
If so, how long does it take?
If so, what needs to be done to ensure the back stays "fixed" while riding, i.e. special PT or equipment?
Thanks in advance for your replies....I can't imagine him ever being truly happy again without the ability to take to the road on his bike.
We can't believe he is the ONLY road biking enthusiast out there who has had this surgery and also wanted to get riding again - at least that's our HOPE!! If you are one of those individuals, or a neurosurgeon with some experience in this area, can you tell us the following:
Is it possible to resume riding after this surgery?
If so, how long does it take?
If so, what needs to be done to ensure the back stays "fixed" while riding, i.e. special PT or equipment?
Thanks in advance for your replies....I can't imagine him ever being truly happy again without the ability to take to the road on his bike.
#2
Galveston County Texas
Join Date: Nov 2007
Location: In The Wind
Posts: 33,222
Bikes: 02 GTO, 2011 Magnum
Mentioned: 19 Post(s)
Tagged: 0 Thread(s)
Quoted: 1350 Post(s)
Liked 1,245 Times
in
623 Posts
Bunch of us over Fifty Riders found that the Forward Lean on a road bike has eliminated most of our lower back pain.
I have 2 herniated disc's.
I have 2 herniated disc's.
__________________
Fred "The Real Fred"
Fred "The Real Fred"
#3
Senior Member
Join Date: Sep 2009
Location: SoCal (So. O.C.)
Posts: 278
Bikes: Zinn road bike, Rockhopper MTB
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 0 Times
in
0 Posts
Can't speak to post-laminectomy riding, but my back feels best when I ride the most. Keeps it limber and strong -- and there's no twisting, which is where I have the most trouble.
#4
Senior Member
Join Date: Nov 2004
Posts: 1,639
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
Likes: 0
Liked 0 Times
in
0 Posts
I hate to say it, but this is not a very good place to find unbiased opinion on a topic like yours.
This forum's readers and avid cyclists in general have a "suffering is good" credo. You'll probably get a lot of posts like the ones above. A commonly used term is HTFU....which means harden the f**k up. Of course those posting such advice won't have to live with chronic back pain, degenerative discs, a restless and grumpy spouse, or any of the consequences you've probably been dealing with.
Listen to your doctor. That he recommended a recumbent tells me that he does know something about cycling. More importantly he knows a hell of a lot more about your husband's particular case than anyone here.
My advice to your husband is listen to the doctor, do the most he can to enjoy his life. If that means giving up cycling upright on a road bike, so be it.
This forum's readers and avid cyclists in general have a "suffering is good" credo. You'll probably get a lot of posts like the ones above. A commonly used term is HTFU....which means harden the f**k up. Of course those posting such advice won't have to live with chronic back pain, degenerative discs, a restless and grumpy spouse, or any of the consequences you've probably been dealing with.
Listen to your doctor. That he recommended a recumbent tells me that he does know something about cycling. More importantly he knows a hell of a lot more about your husband's particular case than anyone here.
My advice to your husband is listen to the doctor, do the most he can to enjoy his life. If that means giving up cycling upright on a road bike, so be it.
#5
Gunnery Sergeant USMC
Join Date: Sep 2008
Location: Chesterfield, VA
Posts: 121
Bikes: Cannondale SystemSix, Specialized FSR XC Pro, Fuji Cross Comp
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 0 Times
in
0 Posts
I have had L4/L5 fused. The doctor told me I should not bike. That was in 1997. I feal great riding and have no back problems.
#6
Senior Member
Join Date: Jul 2009
Location: Saratoga, NY
Posts: 613
Bikes: 2007 Trek Madone 5.9 (Shimano DA), 2008 Kuota Khan (SRAM Red), 2009 Giant OCR2 ( Shimano 105 ), Lynsky R340 ( SRAM Rival )
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 0 Times
in
0 Posts
I have T11, T12, L1, L2, & L3 spinal fusion, and harrington rods. This was done after a motorcycle accident in 1986. The doctors said I would never walk again. I spent 18 months rehabbing in wards. I started riding months after I got out of the hospital, or 2 months post walking without a cane, crutches, or walker. So less than 2 years post surgery. I have been riding for the last 21 years. When I do not ride I get intense back pain, and need drug therapy to deal with the pain.
Doctors are not the end all. A good athlete knows their own body. If I listened to the Doctors... I may still be in a wheel chair.
Doctors are not the end all. A good athlete knows their own body. If I listened to the Doctors... I may still be in a wheel chair.
#7
The Weird Beard
Join Date: May 2005
Location: COS
Posts: 8,554
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
Likes: 0
Liked 3 Times
in
3 Posts
There is a lot to be said for cycling as therapy. I'm no doctor, but from what I have seen with friends/cyclists who have had back injuries, cycling makes it better or at least prevents the injury from getting worse (to support JaceK's position and that of others in this thread).
#8
Senior Member
Join Date: Aug 2008
Location: SF Bay Area East
Posts: 429
Bikes: Open Cycles WI.DE.
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
Likes: 0
Liked 1 Time
in
1 Post
I have a C5/6 fusion and cycling is a huge benefit for me in regards to the usual chronic pain and stiffness I get in that region. I also have DDD in 3 lumbar discs with mild herniations as well. Cycling, emphatically does not cause me any problems. The opposite seems to be true. Riding a bike seems to help keep my core strong and the riding position does not aggravate it any way whatsoever. I can't imagine how a recumbent would be better in anyway at all. I tend to have the most pain and stiffness in my lumbar spine after 'sitting' for long periods at a desk, in a car or even on the couch. Cycling is the tool I use to undo all the damage my regular daily activities of driving and sitting seem to cause. Besides, the discs have been removed so you can't really make it worse. Sure you could stress the joints above and below but I firmly believe that as long as you manage your lifestyle by not over exerting your spine while bending or twisting all will be well. Might consider getting an adjustable stem to start out just to get the bars up and back a bit until the core muscles can be rebuilt. Best of luck to you both. Back pain is a terrible thing for someone to live with and it's not often you find another person who does not have back pain who understands what it's like and sympathizes.
#9
Peloton Shelter Dog
#10
Peloton Shelter Dog
F the doctors and their cluelessness about backs. This cannot possibly be overstated. You won't know if you can tolerate it until you TRY It, but cycling is not particularly stressful on your lumbar spine, more stressful for your cervical spine (neck) area.
P.S. I had a neck fusion (C6-7) in 1999. That never bothers me either.
#12
1coolrider
Join Date: Sep 2006
Posts: 479
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 2 Times
in
2 Posts
Yup, me too. 60 yrs old, been riding since my teens. L4-5, 2 surgical procedures .. one at 27, second at 56. Still riding. Last year 4200 miles living in Ak.
Keep trying.
Keep trying.
#13
purity of essence
Join Date: Feb 2006
Location: NH
Posts: 2,260
Bikes: 2018 Giant Trance 2, 2019 Trek Farley 7, 2017 Jamis Renegade Exploit
Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 37 Post(s)
Likes: 0
Liked 26 Times
in
11 Posts
Ditto.
F the doctors and their cluelessness about backs. This cannot possibly be overstated. You won't know if you can tolerate it until you TRY It, but cycling is not particularly stressful on your lumbar spine, more stressful for your cervical spine (neck) area.
P.S. I had a neck fusion (C6-7) in 1999. That never bothers me either.
F the doctors and their cluelessness about backs. This cannot possibly be overstated. You won't know if you can tolerate it until you TRY It, but cycling is not particularly stressful on your lumbar spine, more stressful for your cervical spine (neck) area.
P.S. I had a neck fusion (C6-7) in 1999. That never bothers me either.
#14
Spin Meister
"the doctor/surgeon is recommending against it due to the riding position and the resulting increased load on his lower back."
Hmm......hubby rides 10,000 miles per year and this issue comes up AFTER surgery?
It's difficult for me to accept this is a serious post. Granting the benefit of doubt, though, I suggest, if you haven't done so already, contacting at least a few other surgeons for their thoughts about your husband's condition.
Hmm......hubby rides 10,000 miles per year and this issue comes up AFTER surgery?
It's difficult for me to accept this is a serious post. Granting the benefit of doubt, though, I suggest, if you haven't done so already, contacting at least a few other surgeons for their thoughts about your husband's condition.
__________________
This post is a natural product. Slight variations in spelling and grammar enhance its individual character and beauty and are in no way to be considered flaws or defects.
This post is a natural product. Slight variations in spelling and grammar enhance its individual character and beauty and are in no way to be considered flaws or defects.
#15
Tilting with windmills
Join Date: May 2008
Location: North Texas 'Burbs
Posts: 4,828
Bikes: Many
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 3 Post(s)
Likes: 0
Liked 3 Times
in
3 Posts
Two surgeries at L5/S1, including a full cage fusion, and one surgery at L4/L5. I was told to not ever ride again and foolishly listened for way too many years. I eventually decided to try and get back on the bike and it's the best thing I have ever done. I did seek other opinions before doinig so due to some nerve damage.
I feel best when I ride and train regularly. Extended amounts of time off of the bike leave me with lower back stiffness and increased numbness in my legs and feet.
I feel best when I ride and train regularly. Extended amounts of time off of the bike leave me with lower back stiffness and increased numbness in my legs and feet.
#16
175mm crank of love
Join Date: Apr 2007
Posts: 3,387
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
Likes: 0
Liked 0 Times
in
0 Posts
#17
175mm crank of love
Join Date: Apr 2007
Posts: 3,387
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
Likes: 0
Liked 0 Times
in
0 Posts
#18
Senior Member
Join Date: Jun 2008
Location: eastern Massachusetts
Posts: 994
Bikes: Rans V-Rex
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 0 Times
in
0 Posts
#19
Senior Member
Join Date: Nov 2004
Posts: 1,639
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
Likes: 0
Liked 0 Times
in
0 Posts
Why not? They're still bicycles, some are nice looking enough to do double duty as house decoration, and are equal in performance to racing road bikes. Upright, recumbent, so long as he's recovered and without pain who cares? Aside from the many people who've posted saying that an upright relieves their back pain, there are many, many people who made the switch to a recumbent to relieve back pain.
#20
Newbie
Thread Starter
Join Date: Jan 2010
Posts: 2
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 0 Times
in
0 Posts
Man, you all have given us some terrific advice and more importantly, you've given us HOPE! Can't thank you enough - John is smiling for the first time in a long time. We're up to the task ahead - this is a guy who came back from quadruple bypass surgery 11 years ago, so we know it's a long road to hoe before he can keep up with his riding buddies once again. You are the greatest!!!!
#21
Fred-ish
Join Date: Aug 2007
Location: Rhode Island
Posts: 1,800
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 1 Time
in
1 Post
Talk to the doctor some more. The problem could be in his perception of cycling. Typically to a doc, when a 40+ yo talks of cycling, it means sitting upright and putting pressure on the lower back. I know that was my experience. Once my doc understood it better he switched to "sports medicine" mode. He advised that I should keep my cadence on the high side - iow no extended mashing and no standing during recovery. After recovery he advised to make sure I used good form when out of the saddle - IOW don't stand too straight.
#22
Senior Member
Join Date: Dec 2009
Posts: 4,700
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 2 Post(s)
Likes: 0
Liked 5 Times
in
4 Posts
I've had C5/C6 fusion, and I have a degenerative disk in my lower chest/upper abdomen that will probably need surgery some day.
The recumbent is a fallback if and only if he can't ride his normal bike.
Remember, the vast majority of the patients a "normal" GP sees are couch potatos.
The recumbent is a fallback if and only if he can't ride his normal bike.
Remember, the vast majority of the patients a "normal" GP sees are couch potatos.
#24
location:northern Ohio
Join Date: Jul 2006
Posts: 3,589
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
Likes: 0
Liked 1 Time
in
1 Post
Of all the shenanigans I went through in 10 years of various medically approved,(but not guaranteed cures),the best cure for me was the exercises on Web MD for Lower Back Pain.I stuck it out all those years to avoid surgery for a herniated disc which seems to have slid back in place.From 1995-2005 it felt like a sharp knife in the nerve of my lower back unless I was crocked or full of liver roaching Vioxx pills.
If you can deal with the pain,ride a bike a few years,IMO,avoid surgery at all costs.
If you can deal with the pain,ride a bike a few years,IMO,avoid surgery at all costs.
#25
Senior Member
Join Date: Sep 2009
Location: SoCal (So. O.C.)
Posts: 278
Bikes: Zinn road bike, Rockhopper MTB
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 0 Times
in
0 Posts
We've all heard the old story:
Patient: Doc, it hurts when I do this.
Doctor: Then don't do that!
What we often don't think about is the opposite:
Patient: Doc, it hurts when I don't do this.
Doctor: Then, DO IT!
Like the typical back exercises that are prescribed for us: we feel better when we do them. Cycling is the BEST 'exercise' that I do and when I don't, I feel like crap -- aches, pains, numbness in my leg/foot.
To borrow a phrase from way back -- "If it feels good, do it!"
I'm not a doctor and I don't play one on TV.
Patient: Doc, it hurts when I do this.
Doctor: Then don't do that!
What we often don't think about is the opposite:
Patient: Doc, it hurts when I don't do this.
Doctor: Then, DO IT!
Like the typical back exercises that are prescribed for us: we feel better when we do them. Cycling is the BEST 'exercise' that I do and when I don't, I feel like crap -- aches, pains, numbness in my leg/foot.
To borrow a phrase from way back -- "If it feels good, do it!"
I'm not a doctor and I don't play one on TV.
Talk to the doctor some more. The problem could be in his perception of cycling. Typically to a doc, when a 40+ yo talks of cycling, it means sitting upright and putting pressure on the lower back. I know that was my experience. Once my doc understood it better he switched to "sports medicine" mode. He advised that I should keep my cadence on the high side - iow no extended mashing and no standing during recovery. After recovery he advised to make sure I used good form when out of the saddle - IOW don't stand too straight.