I've always been taught that with acute injury/trauma (elective surgery) that you should always ice the area. The theory behind this is that the injury site is inflamed and heat will "instigate" the inflammatory processes and slow healing and recovery.
However, after I had my 2-level ADR I used my heating pad here and there just to help my lower back to loosen up. I would say that you can use your heating pad, but it is probably best to avoid it in the short term and use it when you get home from Germany.
As always, ask the medical team rendering your spinal care.



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