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Published on: 5/15/2025

How Can Back Surgery Lead to Difficulty Walking, and How Long Does It Last?

Back surgery can cause difficulty walking due to nerve irritation, muscle weakness, or pain. Recovery typically takes several months, with most patients seeing improvement by six months.

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Explanation

After back surgery, some patients experience difficulty walking. This occurs when the surgery irritates nearby nerves or causes temporary muscle weakness and pain. During spinal procedures, changes in nerve and muscle function can affect walking ability until the body heals. Additionally, post-surgical scar tissue and swelling may initially limit movement. Research on walking ability after procedures like lumbar spinal stenosis decompression and lumbar fusion shows that recovery depends on several factors, including the patient's pre-surgery condition and post-operative pain levels. While recovery times vary individually, research indicates that substantial improvements in walking typically occur within six months after surgery. Physical therapy and gradual exercise are crucial for regaining strength and coordination during this period. Remember, each person's recovery journey is unique, so it's essential to follow your healthcare team's guidance throughout this process.

(References)

  • McIlroy S, Jadhakhan F, Bell D, Rushton A. Prediction of walking ability following posterior decompression for lumbar spinal stenosis. Eur Spine J. 2021 Nov;30(11):3307-3318. doi: 10.1007/s00586-021-06938-6. Epub 2021 Aug 5. PMID: 34351524; PMCID: PMC8550110.

  • Quek JMT, Tan J, Toh I, Chen JL, Yeo W, Chia R, Ang A, Pua YH. Factors Associated with Pain Intensity and Walking Disability After Lumbar Fusion: A Longitudinal Study. Spine (Phila Pa 1976). 2022 Apr 15;47(8):597-606. doi: 10.1097/BRS.0000000000004324. Epub 2022 Jan 19. PMID: 35066535.

  • Gilmore S, McClelland JA, Davidson M. Does walking after lumbar spinal surgery predict recovery of function at six months? Protocol for a prospective cohort study. BMC Musculoskelet Disord. 2016 Nov 14;17(1):472. doi: 10.1186/s12891-016-1296-0. PMID: 27842523; PMCID: PMC5109719.

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