How do I know if back surgery is right for me?
Only you can decide if back surgery is right for you. Your doctor will work closely with you to navigate the pros and cons of back surgery. However, you will be empowered to make the final decision. You should approach your decision with confidence, and completely understand the limitations of surgical and non-surgical treatment.
If you choose to have spine surgery, your physical condition and your mental attitude will play a role in your body’s ability to heal. You should have realistic goals and work steadily to achieve those goals. The decision to have or not to have spinal surgery includes weighing the risks and benefits involved. Be sure to ask your spine surgeon questions about anything you do not understand.
When will my pain go away?
Back surgery can help relieve pain, but it may not make you feel completely pain free. You should, however, experience reduced pain and an improved quality of life.
It can take months to heal completely from back surgery. You will likely experience pain and soreness for several weeks. Everyone is different, so pain will vary patient to patient. Post-operative pain may include:
- Pain from your surgical site
- Sore throat
- Pain related to your body’s position during surgery
Is there anything I can do that will damage my post-operative spine?
Your post-operative spine will be very strong and secure after surgery. However, there are some precautions that must be followed to ensure that your spine stays in good condition. Your nurses and physical therapists will review these with you.
In general, quick sharp movements, falls, bending and twisting of the trunk/neck and pushing/pulling of the arms should be avoided. Your nurses and physical therapists will teach you proper body mechanics in order to prevent injury.
Will I need an assistive device after surgery?
Most patients will be up and walking the day of surgery. Movement is key to helping your body heal from surgery and strengthen your muscles. Your physical therapist will work with you to determine if you need to use any assistive device, such as a neck or back brace, a walker or cane.
When will I get to go home after back surgery?
Your discharge after back surgery will mostly depend on your type of surgery. Your attitude and willingness to follow instructions from your care team, including your nurses, surgeon and physical therapist, play a big role in getting you home sooner rather than later. You must be able to do the following before you can return home:
- Get into and out of a chair and bed by yourself
- Walk independently (with or without an assistive device)
- Use the restroom, including sitting on a toilet and standing up from the toilet
- Understand exercise program and precautions
What home precautions must I follow after my back surgery?
After your back surgery, it’s important for you to be careful as you ease back into your regular routine. Your surgeon and physical therapist will encourage you to do simple, easy activities and exercises everyday. However, it is important for you to be careful as you navigate your home after surgery. Precautions may include:
- Keep pets in a separate room until you are settled. This will keep them from jumping on you as you arrive home. Once you are seated and comfortable, allow your pet to come and visit with you.
- Sit in a sturdy chair that has arms and is easy to stand from. Avoid sitting in low, overstuffed chairs or sofas and rocking chairs. If your preferred chair is too low, you may need to put a pillow in the cushion of the seat.
- Ride home in a mid-size or larger car that is easy to get in and out.
- Make sure you get in the car safely:
o First, ask your drive to make sure the passenger seat is back as far as possible.
o Then, stand with your back toward the car.
o Next, sit down gently and carefully scoot back into the seat
o Then, swing your legs into the car
o Finally, position yourself comfortably in the seat.
- Avoid bending, twisting and lifting for the first few weeks after surgery.
- Plan on having assistance for the first 5-7 days after surgery
- Remove throw rugs in your home
- Keep items you need close by, such as on a nightstand, end table or TV tray if needed.
When should I call the doctor?
Your doctor and medical team will go over specific discharge instructions after your surgery. However, if you experience any of the following, you should call your doctor immediately:
- Severe pain not controlled by medications
- Fever over 101 degrees
- Wound becomes red, starts to drain or opens
You should also call your doctor if you have any questions about your recovery. Healing after surgery often takes time, patience and a commitment from you on following all discharge instructions, including daily exercises as outlined by your doctor or physical therapist. Be sure to keep all follow-up appointments and physical therapy sessions so you can be sure your body, and back, heals and recovers.
What else do I need to know about recovering from back surgery?
There are many things you can do to prepare for surgery and help with recovery after your procedure. Learn more about recovering from back surgery, including specific discharge instructions for back and neck surgery.