Successful Spine surgery at We Care India partner hospital allows Henry Stolz to live a normal life despite a microendoscopic Decompression. We Care india helped Henry find best super specialised surgeon for his procedure.
Most people are able to go home after about four days for a single level disc replacement and perhaps five days if two levels are replaced.
What can I expect in hospital after the operation?
You will probably be quite surprised at how quickly and easily you will be able to get moving after the operation. We will usually aim to get you up, standing and taking a few steps later the same day or the day after the operation. Hydrotherapy is available at the hospital and is a great way to gain confidence with movements and mobilization. Your wound will be protected by a waterproof dressing when you go in the pool. As your mobility improves you will be encouraged to take regular short walks. You will start a programme of core stability physiotherapy exercises, which are very important, and these will continue after you go home. Your therapist will show you ways to protect your back while doing everyday things such as getting in or out of bed, dressing, getting up out of a chair or getting into a car.
The nursing staff will work with you to try and ensure that any post-operative discomfort is kept to a minimum. Initially this may be through the use of pain killing medication through a line which you control through the simple press of a button (Patient Controlled Analgesia, or PCA), but quite quickly you will be able to switch to simple tablets.
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Over the next few weeks you will find that you should be able to return to most normal day to day activities. This should be a gradual and progressive process, guided by how you feel and by the progress you make with your physiotherapist. Take care and don’t try and be too ambitious. It’s important to achieve good muscle control of movements before you try and push your range of movements too far. Make sure you are happy with one stage in your programme before you try and move onto the next. For the first six weeks or so you should avoid sudden or extreme twisting movements or back extension (arching backwards). As you gain confidence in your movements you can incorporate these in everyday tasks and activities, including bending
Driving and Travel You can return to driving as soon as you feel reasonably confident about getting in and out of your car and happy that you will be able to sit comfortably for the necessary time. You shouldn’t drive if your concentration is impaired, for example if you are uncomfortable, or if you are taking medication which might make you drowsy.
ExerciseThe same guidelines apply to airline travel, although you should avoid very long haul flights for the first three months after surgery because of the risks of a deep vein thrombosis. If you do plan to travel take an aisle seat so you can get up for a stretch and do a little walking periodically, and wear your elasticated stockings. Keep yourself well hydrated and consider taking half an aspirin a day, starting a few days before your trip. These measures help to reduce the risk of DVT.
Sports and fitness training You will probably be able to return to light aerobic fitness training at your health club about six weeks after your surgery. You can discuss appropriate exercise with your physiotherapist. It is best to wait until about three months before returning to golf and competitive sports.
Return to Work You will be able to consider returning to light semi-sedentary work in three to four weeks but if your work is more physically demanding you may benefit from a longer period of recovery. In the weeks after an operation you will tend to tire more easily and it might be better to return on a part time basis initially.
What to expect in terms of symptoms after your surgery
Although the recuperation after total disc replacement is relatively quick, you are certainly likely to be aware of some discomfort and soreness deep in your back. The wound itself will also feel quite sore and the tummy muscles around the wound will feel bruised and tender initially. These problems will gradually improve over the days and weeks following your operation.
Another cause of some lower back discomfort after disc replacement can be the facet joints which have to get used to the slight readjustment of the vertebrae and often a rather improved range of movement compared to what they have been used to. These symptoms will again usually settle, but if they remain troublesome occasionally we will suggest some facet joint injections.
It is not unusual to experience some leg pain on one side or the other. As the disc height is restored during the operation the nerves close to the disc may be stretched a little at first. There will also be some bruising around the disc replacement which can slightly irritate the nerves a little. Almost invariably these symptoms will pass after a few weeks. If you are worried or the symptoms are very troublesome contact your GP or Mr Boeree’s office.
Medical Follow-Up
When you leave hospital we will contact your doctor to ensure he or she is fully aware of the operation you have had and any necessary care needs you may have. If you have clips to be removed we will arrange for this to be done at the hospital or by your district nurse.
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