After back surgery, patients historically have been repeatedly instructed not to bend, lift, or twist. Several years ago, in our morning conferences we challenged this idea. Specifically, we studied literature that indicated fear of movement was associated with poor outcomes. However, there is clearly a need for care to be taken to allow proper healing without causing injury.
Ben Jensen, a physical therapist at Dry Creek, suggested that we instead instruct patients to be mindful of their movement. I have reflected again and again on this insight and would like to share with you what I have learned and why I think this instruction is foundational not only to healing after surgery but to our health generally.
First, let’s talk about mindfulness. One definition of mindfulness is to be aware of what you are sensing and feeling in the moment. To be mindful is to be present. It is something researchers have found can reduce stress and expand parts of our brains that aren’t normally activated when we are mindlessly running on autopilot.
In my life, I have made some efforts to help me be more mindful. For example, I deliberately put my phone away during surgery. I want to be completely focused and present, which I have found has improved my performance and enjoyment in the operating room. I recently canceled my XM radio subscription. Rather than listening to music or talk radio in the car, I enjoy peaceful quite time just being present and focused on getting safely to my destination. My wife is 27 weeks pregnant. On our daily walks, we focus more on connecting, not on how far or fast we are going.
At Summit, our core value is agility. This has several meanings, but one is we want to help our patients to move. Movement allows us to fulfill many of the goals and objectives of life. When the ability to move is taken it can have profound consequences. Muscles, tendons, ligaments, and bones interestingly are required for movement, but also need regular movement to maintain structural integrity and strength.
After surgery, movement is essential. Movement helps prevent blood clots and pneumonia. It is required to stimulate blood flow to tissues that are in the process of healing.
When patients are mindful of their movement after surgery, they are paying attention to how they move. They are aware of what their body is telling them. It may even be an opportunity to move differently than before, potentially correcting movement patterns that led to surgery in the first place. Mindful movement is deliberate. It is purposeful. It considers the profound power our brains have over our bodies—especially the way we interpret and deal with pain. Mindful movement is goal oriented. Whether you are recovering from surgery or preparing for the steeplechase at the Paris Olympics, you are incrementally and intentionally moving toward your objective.
Dr. Todd Pitts, in a recent discussion on arthritis of the knee, explained that exercise and ongoing movement was good and associated with better outcomes, even though it may be difficult. Mindful movement can help a patient with underlying problems in their spine and joints continue to stay active.
I invite you to pay attention to how you move. Try to be more present and sensitive to the feedback our bodies are giving. The habit of mindful movement can help all of us increase our longevity.
