Post-Operative Activity Timeline

Spine Surgery Recovery Timeline: What to Expect Week by Week

Healing after spine surgery varies for each patient, so follow your surgeon’s guidance, though most recoveries follow a general timeline. Every patient heals at a different pace, but the following general timeline outlines what most people can expect after spine surgery. Always follow your surgeon’s personalized instructions, as your specific procedure and overall health may require adjustments.

Days 1–14 (Early Recovery)

• Walking: Begin walking the same day or next day after surgery, as advised
• Start with 5–10 minutes, 3–5 times daily
• Use a walker or cane if recommended
• Sitting & Standing: Limit to 20–30 minutes at a time; alternate positions to avoid stiffness
• Work & Daily Tasks: Focus on self-care and light household activities (brushing teeth, light meal prep)
• Avoid lifting, bending, twisting, or strenuous chores
• Rest: Prioritize sleep and rest to support healing

Weeks 2–6 (Gradual Activity Increase)

• Walking: Increase duration to 15–30 minutes per session, 3–4 times daily
• Gentle outdoor walks are encouraged
• Sitting & Posture: Use supportive chairs; continue to avoid soft couches or recliners
• Exercise: No heavy lifting or sports
• Gentle stretching may be introduced by your surgeon or physical therapist
• Work: Some patients in desk-based jobs may begin part-time return around weeks 4–6, if comfortable

Weeks 6–12 (Rebuilding Strength & Mobility)

• Physical Therapy: Many patients start formal PT around week 6 (especially after fusion surgery)
• Exercises focus on core stability, gentle strengthening, and posture training
• Walking & Activity: Walks can extend to 30–45 minutes daily
• Light stationary cycling or pool walking may be introduced (if incision fully healed)
• Daily Life: Gradual return to routine household activities
• Continue restrictions on heavy lifting (>10–15 lb) until cleared
• Work: Patients with sedentary jobs may return full-time; physical jobs may need longer

3–6 Months (Functional Recovery)

• Strengthening & Flexibility: PT progresses to strengthening abdominal and back muscles
• Introduce low-impact exercises (elliptical, gentle yoga, Pilates — only if approved)
• Work: Patients in more physical occupations (construction, nursing, manual labor) may begin transitioning back after 3–6 months
• Sports & Hobbies: Swimming, golf, and other low-impact hobbies may be reintroduced gradually
• Avoid high-impact or contact sports until cleared

6–12 Months (Full Recovery Phase)

• Return to Normal Activities: Most patients regain full activity by 6–12 months
• Bone fusion (if performed) continues to strengthen during this time
• Exercise & Sports: High-impact activities (running, tennis, skiing) are usually delayed until your surgeon confirms stability
• Long-Term Lifestyle: Maintain good posture, exercise regularly, and avoid smoking to protect your spine

Important Reminders

• Recovery is gradual: Expect good days and slow days
• Listen to your body: Stop any activity that causes sharp or worsening pain
• Always consult your surgeon before resuming exercise, work, or sports