Dos and Don’ts After Spine Surgery

The most common question that comes to our mind, when we are offered a Spine procedure is, what happens after spine surgery?

Can I perform activities of daily living? If so, then when?

Can I get back to Active life style including sports activities after spine surgery?

Here, in this article, we try to put answers to the most common questions pertaining to lifestyle after spine surgery.

What are my limitations after minimally invasive spine surgery?

The days and weeks after surgery can be some of the most crucial to your recovery. That’s why we ask you to slow down and take it easy, stay hydrated by drinking plenty of water, and take all medications as directed.

It’s important to limit activity

(bending, lifting, twisting) that applies added weight to the spine.

We also ask that you follow these recovery guidelines:

. Wear your brace for the time recommended by your surgeon for your surgery type.

. Bend from your hips if you’ve had a lumbar procedure. DO NOT bend from your spine.

DO NOT reach overhead if you’ve had a cervical procedure.

Ask for assistance.

Whether your job involves light desk duty, or is more physical in nature, Dr Joshis Neuro Spine Clinic sets realistic return to work and daily activity expectations. We base this on outcomes from patients with similar types of work roles.

How long should we take leave from office ?
Depending on your job description and individual recovery, we recommend you take at least two weeks off work after your surgery. Some patients may need 6 to 12 weeks.
88 percent of patients return to daily activities within a month
81 percent of patients return to work with three months

What are travelling or driving instructions after spine surgery?

Most patients can drive as a copassenger within 48 hours after surgery. Patients undergoing a minimally invasive stabilization procedure may not drive for up to two weeks after surgery. Patients must not drive while taking pain medications or muscle relaxers. If riding long distances, we ask that you stop every hour to stretch and walk.

What are the lifting/physical activity restrictions?

We recommend lifting no more than 5-7 kgs for at least four weeks after surgery. And because each patient heals at his or her own rate, we recommend a gradual return to normal activities to allow maximum healing. You can also gradually increase your activity level after two weeks based on how you feel, continuing this gradual progress for four to six weeks after surgery. If you’ve had a fusion procedure, it may be six weeks or more. And we ask that during this time of recovery, you avoid any prolonged postures and vary your activities and positions.

Will I need physiotherapy after spine surgery?

Because everyone heals at a unique pace, some patients may require physical therapy to help them recover after surgery.  We are committed to helping you during this part of your journey. If you feel you need physical therapy, please call the Dr Joshi s neuro spine clinic and request a prescription for physical therapy.

Schedule an appointment with your Dr. Rajnish Kumar Neuro Spine Surgeon in Chandigarh or your primary care provider to have your incision checked two weeks after your surgery.

To make sure you stay the course, we’ll be checking in with you 2, 6 and 12 weeks after surgery to see how you’re feeling and help guide you a successful recovery. Should you need assistance during your recovery, we encourage you to call  and speak with us. We’re here to provide answers.

What is treatment for lumbar disc bulge?

A bulging disc in lumbar spine occurs when the spongy discs between the backbones in the spine become compressed and bulge out.

Back bones are series of interlocking bones, called vertebrae, make up the spine. The vertebrae provide support for the spine nerves and strength to bend and move.

Between each vertebra is gel like tissue, known as a spinal disc. The discs allow for movement between the backbone and prevent bones from friction. They also act as shock absorbers to prevent damage during movement.

Each spine disc contains a tough outer layer with soft lgel in the middle. This gel may lose its flexibility and become rigid with old age.

When the disk bulges backwards, it may compress or make contact with a nerve and trigger pain.

Most bulging disks occur at the lower  lumbar spine. Sometimes, the outer layer of the disk breaks down and ruptures, and a gel-like center is pushed out through a tear in the disk’s exterior wall.

What are the signs of  disc bulge?

Symptoms of a bulging disk depend on its severity and location in spine. You  may experience the following:

• back pain that worsens with movement, such as when coughing

• spasms in the back muscles

• weakness and numbness in the legs and feet

• reduced mobility in the legs, knees, and ankles

• decreased bladder and bowel control

• difficulty walking

• sciatica

Pain may also radiate to different areas of the body, such as the arms or chest

You should seek help at once if you experience a loss of bowel or bladder control. This  is a medical emergency.

What is the treatment for disc bulge?

Treatments for a disc bulge will depend on its severity and location.

You may be prescribed  anti-inflammatory medications to help with pain and reduce inflammation. For people with severe pain, spinal steroid injections may be a suitable short-term solution.

If the disc ruptures, bed rest may be necessary. Sometimes, if the condition is severe, a doctor may perform surgery to reduce pain and improve mobility.

Home care

Over-the-counter pain relief may alleviate mild pain due to a bulging disk.

Physical therapy and exercises may help a person strengthen the muscles around the disk and improve mobility.

Additionally, supporting the spine with protective equipment like lumbar corset may ease a bulging disk.

Do exercises help in disc bulge?

Some exercises may help relieve the symptoms of a bulging disk in the back, but people should check with a doctor or physical therapist first. Exercising in the wrong way may worsen any damage.

If any exercise makes the symptoms more severe, the person should stop.

What are the causes of disc bulge?

Bulging disks result from a change in the consistency of the gel in the disk center. A reduction in gel quality can cause the disk to become compressed and start to bulge.

A  spinal disc bulge usually results from aging,

Other risk factors include:

• engaging in some types of physical activity, especially if they involve repetitive movements

• having a job that involves lifting heavy objects

• having obesity or overweight

• driving frequently

• having a sedentary lifestyle with limited physical activity

• smoking, as it may accelerate degeneration by reducing the oxygen supply to the disk

How to prevent disc bulge?

You can take the following steps to prevent a bulging disk from becoming severe:

• reaching or maintaining a moderate body weight to reduce pressure on the vertebrae

• keeping physically active to strengthen the muscles surrounding the spine

• staying flexible and stretching when sitting for long periods

• practicing proper posture to reduce stress on the spine

When to contact a doctor for disc bulge?

You should consult a neurosurgeon or doctor if back pain  worsens over time or accompanies other symptoms, such problems with bowel or bladder control.

People experiencing severe back pain following trauma or physical exertion may also need to contact a doctor.