I. What movements can and cannot be done in spinal disorders? I am often asked by patients with spinal disorders (especially post-operative ones): Which movements can I do and which movements cannot I do? In response to the more focused questions from patients, based on my years of experience in the practice of medicine, I have roughly summarized the following recommendations: 1. What activities should be avoided by people with spinal disorders and post-operative patients? In general, you should avoid movements that cause pain. It is up to the patient to decide which movements are painful and which are not. The spinal skeleton is involved in many forms of exercise, and if you feel pain in any area, it is a hint that the exercise is not for you or that you are overdoing it. If doing any movement causes pain, it is a cue to the body that this movement should not be done. After the surgical treatment, the same principle of rehabilitation, which action pain is not done, should do some appropriate light exercise. Even if some pain occurs, after proper rest and maintenance, it will generally be relieved after a period of time. 2 . Which movements can and cannot be done for patients after lumbar spine surgery? After lumbar spine fusion surgery, patients do not bend within six months, and it is not suitable to practice lumbar flexibility for life. If we say which movement can be done and which movement cannot be done? It’s the same principle as before: avoid painful movements, or movements that cause pain. I suggest doing some light exercises to strengthen the back muscles in the early postoperative period, such as: prone to do swallow flying movements, etc. 3. How long is it appropriate to wear a back brace? It depends on your actual situation, usually about three months, but not too long, it will cause the back muscle to degenerate due to lack of proper exercise. 4. Can I sit for a long time after lumbar spine fusion surgery? The answer is the same as the first one. 5. Will walking affect the healing of the spine after surgery? No, it will not. It is better to be pain-free. II. How can patients identify mild or severe spinal problems? 1. Some people often feel back and neck pain. The observation is usually 1-3 weeks, orthopedic disease observation this period of time generally does not lead to serious consequences, mild bone disease after a period of rest and physical therapy, most can be relieved, if the pain is serious then see a doctor in a timely manner is generally not too late. 2. lumbar disc herniation is the best surgical treatment? For lumbar disc herniation, we also advocate conservative treatment first and surgical treatment only when conservative treatment is ineffective. If orthopedic problems are not tumor diseases, many diseases can be relieved by conservative treatment and clinical symptoms. However, if the pain persists without relief or continues to worsen, it is necessary to consult a specialist to avoid delaying the disease leading to deterioration. 3. What kind of pain must be seen by a doctor early? Patients with nocturnal pain or rest pain should pay attention to the pain, and patients who still have pain after a period of conservative treatment and have limited movement of the lower back should see a doctor and have relevant imaging examinations. Doctors suggest: for some special diseases, regular checkups are required, for example, patients with malignant neoplastic diseases without pain are also recommended to have regular checkups, and once discomfort is found, a whole-body bone scan is done as soon as possible, and if there are indeed signs of metastasis, PET-CT examination can be done for patients with conditions. If metastases are found, PET-CT can be done to detect metastatic lesions and treat them in time. Warm tip: Some bone pain can be reduced or cured by rest or recuperation, so there is no need to come to the doctor even after 1-2 days of pain or when the pain has been relieved. This will not only waste money and time of yourself and your relatives and friends, but also affect many patients with serious diseases to get timely diagnosis and treatment.