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Seeking advice about post surgery

This is a discussion on Seeking advice about post surgery within the Rehabilitation Support & Postoperative Questions forums, part of the Surgical Outcomes category; I met with the surgeon on Friday and the operation is set for 12-27-10 :laminectomy and fusion of L5-S1,2 and ...

  1. #1
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    Default Seeking advice about post surgery

    I met with the surgeon on Friday and the operation is set for 12-27-10 :laminectomy and fusion of L5-S1,2 and 3. I'll be in the hospital 4 days and then home. Any suggestions as to what made post surgery go smoother would be greatly appreciated. (Do I need a raised toilet seat? ) I felt exhausted after seeing the doctor. I swing between fear and relief, with brief forays into denial. Meanwhile we are moving our office at the end of the year, so I am packing and getting my clients (I am a psychiatric social worker) ready for the move and my absence for a month -- I hope only a month! Anyone have thoughts about the length of time before returning to work? I appreciate all the wisdom and support I feel on this site! Thanks.

    Jeanie
    5 years of pain and problems walking
    Difficulty getting a doctor to listen
    Diagnosis: spondylosis and spondylolisthesis
    Decision to have surgery to fuse L5/S1, 2 and 3
    Surgery on 12-27-10
    Doing well so far
    jeanie

  2. #2
    Senior Member ajj1001's Avatar
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    Default Re: Seeking advice about post surgery

    Hi Jeanie

    Here is a link to a good thread with alot of information

    Spine Surgery Recovery: "Must Have" Items & Postoperative Tips

    alison x
    Alison 46 year old female
    2012 Doing Rehab
    2011 Sept 3rd Op Removal of old instrumentation and PLIF L4/L5 - L5/S1 both adr in situ
    2010 May Discogram on L2/L3 & L3/L4
    2009 May 2nd Op Failed revision fusion on L5/S1 with Charite ADR in situ
    2008 Caudal epidural exacerbated nerve symptoms. Prolapse L2/L3
    2007 L5/S1 Facet deterioration
    2002 March 1st Op ADR Charite - L4/5, L5/S1
    2000 Disc prolapses L4/5, L5/S1

  3. #3
    Founder / Administrator Justin's Avatar
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    Default Re: Seeking advice about post surgery

    Quote Originally Posted by jeanie View Post
    I met with the surgeon on Friday and the operation is set for 12-27-10 :laminectomy and fusion of L5-S1,2 and 3. I'll be in the hospital 4 days and then home. Any suggestions as to what made post surgery go smoother would be greatly appreciated. (Do I need a raised toilet seat? ) I felt exhausted after seeing the doctor. I swing between fear and relief, with brief forays into denial. Meanwhile we are moving our office at the end of the year, so I am packing and getting my clients (I am a psychiatric social worker) ready for the move and my absence for a month -- I hope only a month! Anyone have thoughts about the length of time before returning to work? I appreciate all the wisdom and support I feel on this site! Thanks.

    Jeanie
    Hi Jeanie,

    Alison provided you with a great link above about Post-operative Tips. In terms of recovery time for a multilevel fusion, 4 weeks of recovery time would be cutting it close. I know most multilevel fusion patients are told that 6 to 8 weeks is the minimum of recovery time before returning to work.

    With a spinal fusion, one has to be careful post-op to ensure that the fusion between the vertebral bodies "takes." The inherent healing process / growth of bone takes time. During your initial recovery, your surgeon should give you some instructions on the "Dos and Don'ts" after spine surgery. These instructions usually include the following (here's just a few examples): avoid lower-level bending (bending to tie your shoes), twisting, or significant flexion or extension of your spine.

    Good luck!

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization


    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

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    Moderator Cindylou's Avatar
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    Default Re: Seeking advice about post surgery

    Hi Jeanie, Just wanted to wish you the very best on your approaching surgery. There's a ton of valuable info in that thread that Alison directed you to. December 27th here you come! What a great New Year present to yourself. Cindylou
    • January 2000 MVA passenger, used jaws of life to retrieve me, neck injury and months of PT
    • June 2001 Bicycle accident, 2 compression fractures at T12/L1, Vertebroplasty Sept. 2001
    • April 2006 right hip, labral tear and repair
    • April 2007 3 level ProDisc @ L3/4, L4/5 & L5/6✷ ✷Lumbosacral transitional vertebra; Dr. Rudolph Bertagnoli
    • July 2, 2008 ALIF & Laminectomy @ L6/S1
    • July 30, 2008 re-opened 28 days later to remove bone cement that had leaked onto S1 nerve root
    • August 2008 Pulmonary embolism, double pneumonia, collapsed left lung, re-hospitalized 1 week
    • March 10, 2009 Right SI Joint Fusion
    • April 27, 2010 2nd right hip arthroscopy to remove adhesions and release psoas muscle
    • September 30, 2010 lumbar facet rhizotomy
    • December 9, 2010 12 bilateral lumbar trigger point and steroid injections
    • December 23, 2010 12 more bilateral trigger point injections w/o steroid
    • February 15, 2011 ESI bilaterally in lower lumbar...relief only for few days. Considering 1 more.
    Did Spinal Cord Stimulator trial from 5/11/11-5/17/11 with excellent results; Spinal Cord Stimulator surgery is Monday,
    July 18, 2011

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    Senior Member Gilbert P's Avatar
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    Default Re: Seeking advice about post surgery

    Hi Jeanie

    I wish you the best on your upcoming surgery

    Who and were are you having your procedure?

    Keep us posted when you can

    Yes you will need a seat booster with handles.

    Gil
    Last edited by Gilbert P; 11-28-2010 at 11:51 AM. Reason: spelling
    L5-S1 lam 1994
    L2 to L5 DDD
    L3 -L4 hern Dec 2007.
    L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy.
    L5-S1 bilaterial neural foraminal narrowing with inferior effacement.
    L2-L3 Right-sided neural foraminal narrowing
    L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy.
    C3-C4 limited DDD
    15 injections Depo. P.T. 18 months 9 dose packs,
    Nerve Block Injections.4 ESI S1
    L5-S1 Foraminotomy 09
    L4-L5 Microdiscectomy 09 ReHerniation 4-2010
    Surgery 6-29-11 L4-L5-S1 Decompression Fusion L5-S1 and Coflex F implants


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    Default Re: Seeking advice about post surgery

    Thank you all so much for the wisdom. I am having the surgery done at Kaiser in San Diego by Jonathan Roper. I will keep in contact as I think I need to whine a bit before the surgery and maybe a round of fear and trembling. I know you all are great at giving support and I appreciate that so much!
    5 years of pain and problems walking
    Difficulty getting a doctor to listen
    Diagnosis: spondylosis and spondylolisthesis
    Decision to have surgery to fuse L5/S1, 2 and 3
    Surgery on 12-27-10
    Doing well so far
    jeanie

  7. #7
    Junior Member fumo24's Avatar
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    Default Re: Seeking advice about post surgery

    Hi Jeanie- looks like we are in the same boat, Hope it went well, im about a month behind you so would like to hear how your doing...good luck
    43 yr.old male
    08/10 work injury-heavy repetitive lifting
    L3-L4 mild disc bulge
    L4-L5 facet changes, broad based disc bulging, annular tear
    L5-S1 grade 2 spondylolisthesis, bulging and uncovering of disc with nerve encroachment
    4mos of therapy and injections didnt work
    Surgery scheduled for Jan.
    L4-L5 PSF, pedicle screw fixation, L4-L5, L5-S1 TLIF

  8. #8
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    Default Re: Seeking advice about post surgery

    The surgery was on the 27th and I was in the hospital until 31 December. The surgeon, Dr. Roper, thought it went very well. He did not have to take any extra bone from my own hip, so that was good. He said the rods and screws went in and held tight, and he said he thought my nerves were healthy enough to do some regeneration.
    I knew this was going to happen, but it was shocking to be out of bed the next day. Physical therapy came three times a day while I was in the hospital. I live on the third floor so they taught me how to climb stairs. It was painful, but doable.
    My husband rented a hospital bed for the first floor which we used for about 4 nights and I was very grateful for it. I also could not have done without the toilet seat with handles. We ordered another one for the upstairs, because my husband's back was getting sore caring the darn thing up and down. I still lay down in the hospital bed occasionally when I'm downstairs, we have it for a month.
    To me the most remarkable thing was that the surgeon told me to remove the bandages of the wound once I got home, as there were too many germs in the hospital. He said I could take a shower whenever I wanted. This was more mobility and less restriction than I had expected. I have a walker which is essential. I try to do different things during the day, sitting, standing and walking. I went outside and walked down the block, but that made me feel unsteady because of all the palm seeds on our sidewalk.
    I am exceedingly tired. I do an activity or chore and then I want to lie down. But every day I feel much stronger and more capable. The pain is there, but it feels different from the pain before. There is no pain shooting down my leg, and I'm much more steady on my feet. Even walking up and down stairs, I feel less pain than before. Which is not to say that there's no pain however. I thought I would be able to take care of myself, as it has been almost 2 weeks, but I'm still pretty dependent. But every day is better.
    Thank you for asking, and I would love to hear how things are going for you as time passes.
    5 years of pain and problems walking
    Difficulty getting a doctor to listen
    Diagnosis: spondylosis and spondylolisthesis
    Decision to have surgery to fuse L5/S1, 2 and 3
    Surgery on 12-27-10
    Doing well so far
    jeanie

  9. #9
    Moderator KBear's Avatar
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    Default Re: Seeking advice about post surgery

    Jeanie- All of that sounds very normal, so hope that's some comfort. I remember I was so tired all the time, I just wanted to sleep. I would do a couple of small tasks and be exhausted. I also had to have lots of help caring for myself for a few weeks. I used the raised toilet for awhile, don't remember quite how long. Keep taking it easy, you only get one shot at recovery. Best of Luck, Kathy
    31 years old- 1/06- In wreck with 18 wheeler at 25 years old; 6/06- Head on collision on Interstate, both wrecks other drivers fault. Numerous MRI's, PT, chiropractic, acupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc at 29 years old. Pain and medication free as of October 2010!Mommy to Emma- 8 years, Ava- 6 years & had baby Eli after ADR, via c-section on March 25, 2011 , completely pain free still!

  10. #10
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    Default Re: Seeking advice about post surgery

    Thank you Kathy, the reassurance helps me so much.
    5 years of pain and problems walking
    Difficulty getting a doctor to listen
    Diagnosis: spondylosis and spondylolisthesis
    Decision to have surgery to fuse L5/S1, 2 and 3
    Surgery on 12-27-10
    Doing well so far
    jeanie

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