POST OPERATIVE SPINAL SURGERY INFORMATION SHEET
Lumbar Microdiscectomy / Miniminally Invasive Surgery
Give yourself adequate time to recover over the next few weeks. Take things slowly and you will feel better off down the track. In this early recovery phase your body benefits from lots of rest and good nutrition. Don’t try to rush back into your pre-operative routines; these can be gradually re-established over the next 4-6 weeks.
- The sutures in your back are all below the skin surface and are fully dissolvable.
- Keep the wound dry over the first 7 days.
- Once home initially change the dressing on a daily basis, then leave open if comfortable.
- The Nurses will also talk to you about wound care for when you go home.
- Let Mr Brendan O’Brien know through the rooms or the St Vincent’s Hospital if there is any:
- Increasing wound redness, swelling or drainage
- Increasing wound pain
- Fever or temperature > 38.0
- For a low grade fever -record the temperature daily at 8am 12md and 6pm and notify
Remember: Increasing Pain is a RED FLAG
MOVEMENT / EXERCISE REGIME: GENERAL IDEAS
- IMPORTANT TO AVOID BENDING, TWISTING, PUSHING, STOOPING OR LIFTING anything you are not comfortable with, overall this is
- Try to restrict lifting to between shoulder and hip height
- Get up from a lying position by first turning onto one side.
- Initially limit sitting to an upright posture for 20-30mins at a time, 4 times per day (usually aligns with mealtimes). Avoid lying on the sofa, use the bed instead.
- Begin walking in the house then progress to outdoors.
- Gradually increase the distance you are comfortable with.
- Start at approximately 10-15 minutes 2-3 times per day, if you are up to it.
- Build on what you have done in the ward.
- Set attainable goals with gradual increases.
- Exercises from the physio are very helpful but more so after the first few weeks healing.
- Gentle Core muscle strengthening can begin after the first few weeks.
- If you feel increased soreness or discomfort- REST
- Don’t oversleep, use a firm mattress to support your spine.
- Resumption of sexual activity: generally this is over the first four to six weeks, being careful to avoid unusual strain or positioning.
- By the fourth week try to walk 2-3 times per day for 20 mins each at a comfortable pace
REMEMBER: THESE ARE GUIDELINES TO EXERCISE – NOT RULES
DRIVING / GENERAL ADVICE
- It is advisable not to drive from time of discharge until reviewed in Rooms.
- This is around four weeks post-operative
- Alcohol intake is okay but should be limited to two glasses at any one sitting
- Make all efforts to refrain from smoking as this definitely delays healing and bone fusion
On discharge you will be on some medications (apart from your regular ones)
- This is usually paracetamol/codeine combinations, tramadol or oxycodone, you will find the doses can be gradually decreased over the first few weeks; others used may be endone or long acting paracetamol
- As a general rule take regular pain relief (eg every 4-6 hours) to avoid any pain rebound
- Anti-Inflammatory Tablets
- These can be continued if prescribed, over the first few weeks, as needed
- Cease if there is any indigestion or heartburn
ADVERSE OR UNEXPECTED SYMPTOMS after Discharge: What to Notify?
Notify Mr Brendan O’Brien if any of these occur or you become worried about:
- Wound or wound care issues
- Changes or new difficulty with pain, numbness or tingling in the legs
- Fever, chills
- Cough, shortness of breath
- Pain passing urine
- Calf or ankle swelling
RETURN TO WORK
- This should be delayed until you are reviewed in the rooms.
- Some light sedentary computer work can be done from home if you must!
- Avoid the temptation to do the housework, paint the kids room or clean up that back shed.
- Return to work is often graduated through lighter duties, increasing by 25% contact hours per week over 2-4 weeks
- Please let us know if we can give you any required sick certificates before discharge.
- Any necessary workcover certificates can be arranged through the rooms.
FOLLOW UP APPOINTMENT
You will be given a review appointment with Mr Brendan O’Brien for approximately four weeks after discharge.
If you are discharged on a weekend, please call the rooms the next Monday for an appointment.
Please encourage your GP to contact me at any time if he wants to discuss any concerns that arise in your care or progress.