Precautions To Take After Spinal Surgery
Spine surgery is inherently high risk, as any issue during surgery can translate to lasting problems in the future. These complications can mean more pain, higher recovery time, or even the necessity to perform a subsequent surgery. The spinal structures are either removed, restructured, and realigned or adjusted- in an effort to treat injuries or congenital defects. Reducing the risk of postoperative complications is a major concern, and the preparation begins long before the surgery is conducted. Let us learn more about these precautions to follow after spine surgery- either open/traditional or minimally invasive.
How To Care For Incision Site After Spinal Surgery
Following some basics of wound dressing and allowing it to heal will work wonders. Some instructions you should follow include:
- You can change the dressing only 3 days after surgery and not sooner.
- You can then opt for some clean and soft gauze afterwards, and keep it on for one week.
- If you face any irritation due to clothing, then you can dress the wound for a longer while, but leaving it to heal while open to air works the best.
- Ensure that the incision site stays completely dry for the first 3 days.
- No full-blown baths are required for one month, minimum- any moisture is bad. So, ensure that the incision site remains dry at all times. Use a water-repellent dressing for bath time.
- Never scrub the site, and use only mild soap.
- Steri-strip dressings used will fall off on their own after a few days.
Physical Therapy Exercises Recommended After Spine Surgery
Taking care of your core is paramount now- and hence physical therapy will likely include core-strengthening exercises. Start off with something simple and basic- a good walk for 20 minutes for example. You can walk for longer once you get more comfortable. Some other good exercises include heel slides, straight leg raises, superman, wall squats or bridges.
Medication Management Post Spinal Surgery
Most of the heavy-duty pain medication will be given in the hospital using IV or oral capsules. After some time, the doctor will give you prescriptions of decreasing dosages, to help you cope with any pain, if present.
Importance Of Wearing A Back Brace After Spine Surgery
A cervical belt is your best friend after surgery. It will help support your spine, and limit any unnecessary movements made otherwise. You must wear the belt for at least a month or however long your doctor asks you to. You will need to stop wearing the belt gradually, or you may become too dependent on it.
Movement Restrictions After Spinal Surgery To Prevent Complications
Your doctor may ask you to walk the very same day after surgery. No restrictions are placed as such, except you should never overdo any movement. You can sit or stand while working- whichever you find comfortable. But, avoid bending, sitting on the floor or lifting any heavy items for at least 3 months after surgery- to allow proper healing. Sleeping position also matters a lot.
Conclusion
Spinal surgery is major surgery, whichever route you decide to take- traditional or minimally invasive. But, post-operative care, if done well can ensure that you do not suffer from any unnecessary pain, and improve quality of life drastically. Always remember to talk to your physician about any pain or fever or changes occurring at your incision site. Do not strain yourself for the next few months and take it easy. You will get better soon!
Frequently Asked Questions
Dr. P. V. Satyanarayana Murthy
MBBS, DNB (Ortho) Fellow in Spine Surgery
Consultant Spine Surgeon