- Find a Doctor
We’ve addressed preparations for back surgery in recent blogs and specifically the surgery for spinal stenosis and fusion operations. Yet, the recovery process is just as necessary as the back surgery itself to your long-term health, so prepare well for postoperative routines and realities before the surgery is performed.
Among the first questions patients often ask about the spinal fusion back surgery recovery process is how soon they will get out of bed following the operation. Patients typically get out of bed the day after their surgery – with the help of attendants, who will assist you in sitting up, getting your legs over the side of the bed, standing up, and walking. You’ll be glad that you spent time getting in shape before your operation. The preparation pays off at times like this, as being in good health will help throughout your healing and recovery, as the body responds to the trauma of surgery and works to repair itself.
Movement is indeed critical to proper healing, and since you’ll spend a good deal of time in bed in the first days after the spinal fusion operation, it’s essential to learn how to move correctly in bed. We’ll show you the best way to turn over, sit up, and move in ways that will promote proper healing, strengthen muscles and minimize pain.
All surgeries involve certain risks in one way or another, such as infection, bleeding, or nerve damage. E.g., if you suffer from osteochondrosis, problems with other discs may occur. In most cases, such complications are associated with the rigid spinal fusion structure, where the load on the vertebrae is unevenly distributed. Therefore, people may feel unable to do some movements. Joints perform a dual function that leads to degenerative changes.
On the other hand, a spinal stenosis surgery implant is a more effective treatment for certain spine diseases. But the healing process can take several months, especially if the patient is overweight or has poor muscle tone. At the stage of preparation for surgery, you’d change your lifestyle and take the following steps:
Getting out of bed after back surgery will go smoothly, and you’ll be able to get up and walk unaided in a few days and soon even go home to recover. Some elderly or debilitated patients may consider visiting a rehabilitation center for about a week. That will help strengthen a back and learn how to move safely.
The hospital regimen in the first days after the operation provides instructions on how to get around, as flexibility will be limited. Patients often receive pain relievers and wear a brace to maintain the correct spine position. By the way, prescription opioids shouldn’t be consumed with alcohol. You can also replace them with more traditional methods – e.g., cold or heat wraps for 15-20 minutes with a break of 2 hours between procedures. A separate topic is the resumption of a diet consisting of solid food. Also, general anesthesia requires fasting for at least 8 hours before the intervention. On the day of surgery, only a sip of water is allowed to take medicine.
When you’re in better physical condition before surgery, healing time can be shortened, e.g., doing all kinds of exercises recommended by doctors, physical therapy, undergoing a course of massages, etc. This is how you can strengthen your back muscles. Subsequently, they’ll better support the spine, and you won’t wonder how to get in and out of bed after back surgery. In any case, a sedentary lifestyle puts a greater risk of wear and tear on the vertebrae located above and below the immobilized part.
Anything that was inconvenient or seemed impossible before the operation became available. Postoperative care is directly related to the initial preparation phase, namely the layout of your home. Oddly enough, but it’s essential to have a spacious bathroom with a shower and a rug so as not to slip, a firm mattress so that the process of getting in and out of bed after back surgery is as painless and gentle as possible for the operated area. Consider placing a portable small refrigerator and cooler in the room, as well as blankets and other supplies so that you can easily access them. You can also utilize a grabber to lift items off the ground and shelves (find them in pharmacies or specialized stores). For elderly patients who have difficulty walking, sticks or walkers are recommended. A soft lounge chair, unlike a regular chair, can reduce the load on the lumbar region. In general, you need to take care of preventing falls: remove objects through which there is a possibility of tripping, install handrails as required (e.g., in the shower, on the stairs). This way, you can recover in a safe environment. Household chores after discharge are also best left to family members, a home care aide, or a caregiver.
Here are some tips on how to get out of bed after back surgery faster.
For recovery to take place as quickly as possible and for the load on the spine to be optimal, it’s necessary to take short walks every 30 minutes. For example, if you sit for most of the day, you’d learn the most ergonomic position. Use supports with a low back or unique chairs that allow you to maintain correct posture.
Please note that after surgery, you’d avoid long car trips.
Sitting with knees higher than hips has a negative effect on the spine. Therefore, try to get up slowly: move to the edge of the seat and utilize the armrests to push upward. Focus on your feet.
Bending, lifting, twisting, and driving – all these activities are prohibited in the early stages of recovery. For example, flexion at the knees and hips is perfectly acceptable, but not the spine. Remember: don’t lift anything that weighs more than a gallon of milk (about 8 pounds)! It’d also be borne in mind that due to drowsiness, impaired judgment, and poor coordination – side effects of prescription opioid pain relievers, driving is prohibited during the recovery period.
Sleep is critical to the body’s recovery – the immune system is involved in reducing inflammation. Of course, it can be difficult to fall asleep at times, especially since now you have to consider the new rules of rest.
So, utilize the log technique – keep your knees together and keep your back straight. Remember how geisha slept in ancient Japan? They rested their necks on wooden supports while the load was transferred to the upper spine and shoulders. You have to do something similar in everyday life: sleep with your head in the pillow, with a rolled-up blanket under your knees. So your legs will be slightly bent, so there will be no intense pressure on the operated area.
It would be best if you did manipulations to cleanse the wound daily. In addition, it’s worth checking it for infection. If you notice signs of suppuration, redness, swelling, or palpation of the wound that causes too painful sensations, you’d urgently consult your doctor. Occasionally, an infection may cause fever and chills. Don’t take a bath; take a shower instead and use a soft sponge only.
Today, many candidates for spinal fusion surgery can opt for the TOPS (Total Posterior Solution) System instead. The TOPS™ implant has been shown to have better clinical outcomes and fewer post-surgical complications than spinal fusion. And unlike spine fusion procedures, the TOPS™ device preserves the full range of each vertebra’s motion. Patients concerned about how soon they can get out of bed following spine fusion back surgery should make sure they’re familiar with all their surgical options, as the choices they make can also affect their recovery.
Your caregivers will have plenty of valuable tips for helping ensure a smooth, steady recovery from spinal fusion. For example, such simple tips will help you rehabilitate more quickly and with less discomfort:
But it’s essential to take care of your physical condition even before the operation since the timing of your recovery depends on it.
Spinal surgery has made significant advances in both its safety and efficiency in correcting many back problems, from traumatic spinal cord injury to degenerative diseases like spinal stenosis, spondylosis, and slipped disc. Many of these advances in spinal surgery have come in recent years due to minimally invasive microsurgical tools and techniques. Nonetheless, back surgery is a severe operation, and surgical candidates need to be aware of all facets of the procedure they’re considering – not only the benefits of the surgery but also the potential risks. One of the risks of spinal surgery is that of developing blood clots.
Any injury to the body increases the risk of a blood clot, as the injury itself stimulates the clotting process. Surgery constitutes an injury or trauma, and the body responds accordingly. Spinal surgery – which the body interprets as an injury to the spinal cord – can lead to the formation of blood clots within the veins. If such a thrombus becomes dislodged, it can block a blood vessel as it narrows, causing a stroke or heart attack, possibly resulting in paralysis or death. Proper postoperative care, medications, and the patient’s active role in the recovery process can minimize the risks of blood clots.
That’s a postoperative disease associated with thrombus forming in the deep veins of the lower extremities. Often, it is induced by muscle atony or, simply put, lack of movement.
DVT symptoms include:
To understand why you get blood clots after surgery, it’s worth analyzing the typology of thrombus. So, the hemostasis of the human body is maintained by forming blood clots (e.g., during wound healing). But sometimes, such a phenomenon has a negative impact on the body’s functioning. The thrombus is formed as a result of activation of the blood coagulation system in response to a vascular injury. The occurrence of thrombosis is also associated with a violation of the venous wall. That’s life-threatening because pulmonary embolisms from deep vein thrombosis (DVT) may happen later. A blood clot breaks off and goes through the bloodstream to the lungs, settling in the pulmonary arteries.
It may also cause some ischemic strokes or blood clots near the spine while blocking the artery that supplies the spinal cord. Its signs usually appear suddenly and can feel like a tight bandage wrapped around a torso. That’s precisely the point where the blood supply is disrupted. The thickening or narrowing of the arteries that carry blood to the spinal cord often triggers cerebrospinal strokes.
Treating conditions such as slipped discs, spinal stenosis, and spondylosis is much less likely to cause complications than a hip or knee replacement. The cumulative incidence of deep vein thrombosis or DVT, also known as blood clot after surgery, steadily increases during the first two weeks and depends on the professional hospital care and factors of the patient’s preoperative condition, for example:
One of the misconceptions is regarding the existence of inflammatory bowel disease (IBD) as a risk factor. The reality is that postoperative complications don’t occur; for the most part, they may be comorbid.
The most important concern after an operation is to prevent any negative consequences. In this case, we’re talking about two serious diseases: deep vein thrombosis and pulmonary embolism.
Since the thrombus has a high density, thinning drugs, namely anticoagulants, will prevent blood clotting (e.g., warfarin/ coumadin, heparin).
Note! Use the article for informational purposes only. Follow the therapeutic instructions of your doctor.
Clot busters are injected intravenously and break down clots. Filters settled in large veins can sometimes be used during therapy. Their function is to prevent pulmonary embolism. Compression stockings may also prevent puffiness (one of the signs we’ve noted above).
Prevention of the illness in the postoperative period consists of maintaining normal body weight and good physical shape. Thus, you need to play sports, walk and avoid prolonged inactivity constantly. So, for example, it’s essential to take short walks. Discuss with your doctor how vulnerable you’re at risk of blood clotting, tell your medical history. If you suffer from comorbid diseases, such as diabetes or heart failure, ensure to report it. During the preoperative period, your goal should be to achieve a stable state of health.
Blood clots in the back can be triggered by an invasive operation, trauma, disease. In 40% of cases, people who have suffered a cerebrospinal stroke can walk independently, 30% move with a cane, 20% are confined to a wheelchair. The scary data only makes you want to stay out of that 20% and 30%, right? Therefore, the preparatory period is significant: systematic; targeted treatment will help eliminate possible negative consequences. Anticoagulants, drugs that lower blood pressure, occupational therapy to preserve muscle function – these are all standard manipulations for preventing and treating cerebrospinal stroke. By the way, don’t forget to stick to a healthy diet – foods rich in fiber will help avoid the risks of intestinal inflammation. So take care of yourself now, not when you reap the rewards of a poor lifestyle.
Anyone considering back surgery should also be aware that some procedures for treating a spinal problem may present lower risks or provide better outcomes than others. For example, the TOPS™ (Total Posterior Solution) procedure, which may be performed after spinal decompression surgery to stabilize the spine, provides better clinical outcomes than spinal fusion surgery, which was the traditional choice for spine stabilization before the introduction of the TOPS system.
The TOPS provides for minimally invasive spine surgery and thereby significantly reduces the risks associated with DVT. Previously, when knowledge in spine treatment wasn’t as developed as today, the fusion procedure was the only available and most innovative option. The vertebrae were “glued” into a relatively rigid structure, which significantly limited movement. Even though flexion and extension weren’t possible, and the risks were very impressive, the fusion continues to be performed today. However, TOPS™ surgery has become a more acceptable alternative to treating degenerative spondylolisthesis of lumbar spinal stenosis for many younger physicians. Its advantage is movement in all axial directions, as well as stability.
The structure is implanted using a traditional posterior surgical approach, but the TOPS system exerts less force on the screws than other configurations.
After the operation, the blood clotting mechanism in the body is very active because it’s aimed at stopping bleeding. Damage to the blood vessels around the surgical site is often the cause of DVT. Thrombus can form in the veins of the lower extremities but travel to the pulmonary veins with the blood flow, generating pulmonary embolisms, which are life-threatening. This process can last for weeks, and some symptoms can be identical to other diseases. The same shortness of breath or coughing are often warning symptoms, and if the convalescent neglects visits to the hospital or rehabilitation center, then often valuable time can be wasted.
The TOPS solution has the added benefit of preserving the spine’s full range of motion and also has significantly lower risks of thrombosis, unlike spinal fusion, which permanently fuses adjacent vertebrae. If you’re a candidate for back surgery, make sure you understand not only the upsides and downsides but also all the alternative surgical solutions that can help you minimize the already low risks associated with advanced spinal procedures.
Near the top of the list of questions from almost every spinal surgery, the patients indicate how long they will have to wait for the following surgery before resuming their everyday activities. When it includes athletics – golf and tennis, bowling and the like, pastimes that put tremendous strain on the back – the answer becomes more complex. The factors influencing the time before patients can get back in the game include their physical condition and health. Just because one engages in strenuous physical activity doesn’t mean they are in good physical condition or health. Recovery times are faster for surgery patients in good physical shape because their bodies heal more quickly. Of course, the operation itself will play a significant role in deciding when you’ll be back on the tennis courts, golf course, taking a job, or engaging in a simple walk. The postoperative physical therapy program also plays a significant role. But the type of back surgery is the primary factor affecting the time required to get back into sports activities.
How to recover from surgery if you are an athlete or cannot live without daily activity – read further in this article.
While many people consider back surgery as the end of a promising sports career, Olympic, amateur, or professional athletes have returned to their competition after many common types of operations. General physical condition, professionalism during surgery, and spine rehabilitation affect how quickly you return to the game. Here are some tips for athletes planning to return to sport after a minimally invasive intervention.
In most cases, surgeons consult about postoperative care. They depend not only on the patient’s health and medical history but also on the desire to return to sports. We previously discussed lower back surgery recovery: diet, exercise, physical therapy, massages, proper wound care, and medication support are vital aspects of recovery. Of course, you shouldn’t neglect motivation and grit to achieve success. And if your competition is right around the corner, and you’re still in the hospital ward, this is not a reason to be upset. Your orthopedic surgeon will take this into account when planning your postoperative period. Of course, everyone wants to leave and start an everyday life immediately. Still, following the recommendations, you’ll be able to return to sports faster than causing implicit harm to your body during self-rehabilitation. Returning too early cancels not only the healing but the operation’s effectiveness.
So, a doctor’s advice may include:
You’d also talk to your coach about your career prospects or options (if you’re an amateur athlete) when getting approval from your PCP to return to athletics. It’s essential to be careful and aware of the limitations.
The postoperative stage depends on the patient, understanding the symptoms of complications, and a quick reaction if something goes wrong. E.g., accurately characterizing the level of pain and discomfort, reporting aches, numbness of the limbs, dizziness, suppuration in the wound area doesn’t mean a step back in the rehabilitation progress, but on the contrary, the ability to accelerate after a slight slowdown. Try to protect the spine, especially in the early stages of recovery. Respect your body and its healing times.
Infections at the site of the surgical incision most often occur 2–4 weeks after the intervention. Most often, the following symptoms appear:
It’s essential to treat any of these and some other signs as they arise. If ignored, unavoidable consequences may occur.
For patients with deep infection, a course of intravenous antibiotics is often given for about two months. Chronic contamination leads to the removal of the implant.
Keep the wound clean: it must be washed with water and soap at least once a day. Remember to keep the wound dry for healing and crusting. It’s undesirable to utilize ointments, lotions, body creams on the operated areas. After two weeks, when the staples or stitches are removed, you may return to bathing or swimming.
For opioid pain relievers, discontinuation usually occurs within the first few weeks, at most a month. There are other pain management options, such as using acetaminophen or non-steroidal anti-inflammatory drugs. But, as in the first case, they have their pros and cons and depend on the medical history. By combining medicines with physical therapy, you can achieve impressive results.
It’s no secret that athletes’ dedication to the postoperative rehabilitation program greatly influences their subsequent success. Depending on overall progress in physical therapy, you may get consent to exercise, but return to activity must be gradual and gentle to avoid unnecessary risks.
Patients, who have undergone minimally invasive TOPS™ procedures, can usually regain a full and painless range of motion. They have the greatest likelihood of returning to sport at pre-injury levels. Conversely, most exercises after spinal fusion aren’t available to athletes, and the possibility of injury increases – they’re less likely to return to athletics. Any collisions and falls will negatively affect health.
In any case, physiotherapy is a panacea for healing – movement combined with other aspects of rehabilitation can give you a chance for a better life. Let’s consider the leading practices that are useful for patients in the postoperative period.
It’s worth moving daily to improve blood circulation and speed up the healing of muscles and spine tissues. E.g., an essential therapy is walking, which can support the normal functioning of the heart and lungs. An upright position of the body is the best activity for the spine after surgery – this way, you can protect the discs from unnecessary stress. So, start with simple walks, and then work with your coach to develop your exercise program.
That’s one of the simplest and effective therapies utilized in various types of operations. For instance, laminectomy recovery exercises are invaluable as they help protect discs and strengthen your back muscles.
This exercise is valuable because the discs hold the lower back during flexion and extension of the lumbar spine. So, to perform the training, you need to do the following steps:
To strengthen the muscles of the lower back, it’s worth doing the SLR exercise. To do this, while lying on your stomach, slowly and alternately lift each leg up. In doing so, try to tighten your abdominal muscles. Do an exercise with a delay of two seconds at the highest point of the limb position. As before, do ten reps per set. Such a physiotherapy approach is appropriate for laminectomy, fusion, microdiscectomy, decompression, and of course, implantation.
In some cases, the surgical treatment chosen for a given spinal condition will affect not only the time needed to get back on the playing field but the degree to which you will ever be able to recover your old form. Take the stabilization procedure following spinal decompression surgery, for example. Spinal decompression is performed to relieve pressure on nerves within or emanating from the spine caused by conditions including spinal stenosis, spondylolisthesis, and other degenerative changes or as a result of spinal cord trauma. Spinal fusion back surgery has been the primary stabilization procedure. But the fused vertebrae lose their independent motion following stabilization. Often, patients are restricted from physical activity for up to 6 months while waiting for the biological fusion process to complete. Today, the TOPS™ (Total Posterior Solution) System provides an alternative to spinal fusion. The TOPS™ System, a surgical implant, stabilizes the spine while preserving each vertebra’s independent motion – and the good news is that there are no restrictions on your physical activity after surgery. That’s going to ensure better performance whenever it’s time to get back in the game.
As you improve your range of motion in your spine, it’s time to start doing more challenging activities that will help you get back to working condition. To do this, discuss a possible change in activity with a PCP and trainer and adjust the training schedule. After implantation, you don’t have to worry that you can’t perform some exercises. The TOPS™ System is an alternative to spinal fusion and allows you to perform any range of movements required for warm-up, training, and cool-down.
Medical terminology doesn’t go out of its way to be complicated or hard to understand. It’s simply that the language has to be very precise, and that much of it comes from Latin. Hence, it can be difficult to decipher some med-speak without a little help. Take the term “lumbar laminectomy,” a fairly common surgical procedure that can help alleviate the pain, mobility limitations, and other symptoms that often accompany medical conditions of the lower spine. Indeed, the word “lumbar” refers to the lower spine. The lumber portion of the spine comprises the lowest five vertebrae of the spinal column, which bear the designation L1 through L5 – “L” standing for lumbar.
Every vertebra in the spinal column is covered in a bony sheath called the lamina, which helps protect
the nerves that run through the spinal column. But sometimes, due to injury, disease, degenerative changes, or other causes, the lamina can put pressure on nerves emanating from the spinal column, a condition referred to as a pinched nerve. Problems within the vertebrae, such as an unnatural narrowing of the spinal canal, a condition called spinal stenosis, can also result in pinched nerves.
When surgery is performed to relieve pressure on a pinched spinal nerve, a procedure called spinal decompression, it requires cutting away the portion of the lamina that is impinging on a nerve or to gain access to the interior of the vertebrae to address a condition such as spinal stenosis. In medicine, the suffix “ectomy” refers to excision or removal. Thus, cutting away a portion of the lamina is a procedure called a laminectomy. So a lumbar laminectomy is an operation in which a portion of the lamina on one of the first five vertebrae is trimmed away. A lumbar laminectomy can achieve dramatic results in alleviating the symptoms of pinched nerves. Traditionally, spinal fusion back surgery was performed in concert with a laminectomy to stabilize the spine at the point of the operation. Now lumbar laminectomy patients have an alternative that provides better outcomes than spinal fusion surgery while preserving the full range of the spine’s motion: The TOPS (Total Posterior Spine) System procedure. If you’re a candidate for a lumbar laminectomy or other spinal decompression procedure, make sure you understand all your treatment options.
What is a Laminectomy
Lumbar Laminectomy is a spinal surgery involving the removal of the vertebral bone to alleviate symptoms of spinal stenosis. Laminectomy surgery is relatively common for major surgery. Its main function is to reduce spinal pressure on the cord and nerve roots when they are being unnaturally restricted. This surgery is for those suffering from various ailments, including those sustained from past injuries, herniated disks, spinal stenosis, and tumors. While there are alternative methods to try before getting to this point, such as physical therapy, medication, and even injections, some may find this is the only path to relief.
While determining what is a laminectomy, we should deconstruct the name. Lamina is the scientific name for the vertebral bone. This surgery, Lumbar Laminectomy, is the process of removing the vertebral bone to lift pressure surrounding the spinal canal. Pressure is created by things like impacted bone injury, bone overgrowth, or growing tumors. A decompressive laminectomy increases available space and therefore alleviates any pain sufferers may be experiencing. While the surgery itself is great, so are the results.
What is Spinal Stenosis
If you are considering spinal laminectomy you may likely be suffering from spinal stenosis. Spinal stenosis is one of the most common spinal ailments. Since stenosis means narrowing or restricting, this condition refers to the unnatural narrowing of the spinal canal. This condition often develops for unknown reasons but can be caused by an overgrowth of either bone or tissue. Some cases may be hereditary, while others arise from an unhealthy lifestyle.
Options Before Surgery
Everyone can benefit from a healthy lifestyle, including those suffering from spinal stenosis or other spine stemming pain. Simple solutions like a healthy diet, regular exercise, and maintaining a healthy BMI can all reduce pain and symptoms. While these are idealistic options, they also are not the solution for everyone. It is possible that someone’s back pain is so great they are limited in the forms of exercise they can partake in.
Physical therapy is another noninvasive option that patients can try before getting a lumbar laminectomy surgery. Because most patients suffer from pain in their back and legs, it can be helpful to have a physical therapist to assist in teaching the body how to move through these debilitating pains in a way that can offer some relief. Physical therapy assigned exercises to have the ability to release pressure similar to surgery, though the effects are often not as long-lasting.
Medication is also available to those suffering from inescapable pain. Some medications offered can help with both pain and inflammation so that those suffering from spinal stenosis are able to manage their symptoms throughout their day.
While these solutions can help manage and relieve pain, ultimately, they do not offer more stability to a destabilized spine, nor do they permanently create space in the spine where the pressure afflicts. In cases of long-term relief, most find that surgery is necessary to moving forward into a pain-free life.
In deciding if surgery is right for you, it helps to know exactly what is to be expected during the procedure. A doctor uses general anesthesia to put the patient under for the duration of the surgery. In the process of the surgery, the surgeon makes a small cut into the back, right over the affected area. They then enter through this cut with small tools to lift the muscle away from the spinal column. The lamina is then removed to create space in the narrowed spinal canal. In the case of a herniated disk, the doctor can then remove the parts of the disk that have herniated.
Traditionally after this, the vertebrae would be fused to create stability in the spine to supplement the removed lamina. This is done with either bone graphs, screws, or metal rods. While efficient in rendering the spine functional post-operation, it does create limited mobility that can impede some physical activities.
How to Prepare for Laminectomy Surgery
Laminectomy Surgery is major surgery. Many are intimidated by spinal surgery because it is such a crucial part of our body and people often have a fear of how their life changes after. Here is how to prepare for optimal recovery.
Once you wake from the surgery your care team checks to ensure everything has gone smoothly and your body has responded well to the spinal laminectomy surgery. While a short hospital stay is typical, some people are released the same day. This means that no matter the case, the comforts of home are not too far away.
Upon returning home, rest! Though it is healing in the long run, your body has just sustained a major injury and needs time and care to recover. Give yourself grace and let people help with things like meals and keeping the house running. Letting yourself rest at this time is crucial for long-term recovery.
It is recommended that you do not work for the first few weeks following a decompressive laminectomy. Those with less physically demanding jobs return to work sooner than those with more labor-intensive jobs. If you have a spinal fusion laminectomy recovery takes longer.
How to Make Spinal Surgery Less Traumatic
The results of lumbar laminectomy, while impressive, may take a while to work. There are records of patients taking up to a full year to complete their laminectomy recovery. Those who do go through with the surgery are also sometimes recommended physical therapy as a part of their recovery process. This leads to a long and involved path back to normalcy.
If you are looking for a way to make your laminectomy surgery and recovery less traumatic, consider a spinal implant. TOPS system uses an implant after decompression is completed to prevent the necessity for spinal fusion. Where traditionally vertebrae are fused after laminectomy surgery, TOPS implants hold the space where the vertebrae were removed, combining the relief of the surgery with all the mobility and freedom you had before.
Patients who have had a TOPS System implant report faster and easier laminectomy recoveries than those who received traditional spinal fusions. Because the spine is the foundation of the human body it is important you take the path offering the greatest recovery and mobility post-surgery. Does this look like a spine that has been fused together, or upgraded with an implant?
Life After Laminectomy
While it is a big decision to make, ultimately it comes down to regaining your life. Those who have spinal laminectomy are choosing a life free of debilitating pain and getting back the body they once knew. Lumbar laminectomy patients are often happier and healthier, having chosen the care right for them.
There are several different types of back surgery proving successful at resolving patients’ back pain issues, each involving the highest level of surgical technology available today, as well as the skill of a board-certified spinal surgeon. If your spinal specialist advises back surgery, you’ll embark upon a learning process about the different available back surgery procedures – guided by your physician. You always want to get your information directly from your spinal surgeon, since back surgery information online can be outdated or incorrect, and Googling back surgery topics can sometimes cause unnecessary anxiety. The best course of action for researching back surgery procedures is to prepare a list of questions for your surgeon, and request all of the back surgery literature possible that your doctor can provide you with so that you can fully understand what will be done during your surgical procedure.
Overall, back surgery can accomplish several different pain-relieving goals, including removing portions of the bone to widen the narrowed area in your vertebrae, which can cause back pain. Your spinal surgeon may remove the gel-like middle section of a ruptured disc to relieve pressure on pinched nerves in the back. And sometimes, the damage to a disc is so severe, your doctor has to remove the entire disc and then fuse together the remaining discs.
Below is a list of some of the different types of back surgery that may be the customized choice for your back damage or condition:
Since back surgery is a complex procedure, work with your spinal surgeon to explore all your options. Every situation is different and you need to feel secure that you have fully researched which type of back surgery would be best for you, and if back surgery is necessary at all. And of course, your doctor will guide you through all the information you need regarding recovering from back surgery and what you can expect for your post-surgery lifestyle.
If you’re experiencing ongoing or severe back pain, you’re likely wondering if you’ll need back surgery to finally rid yourself of that constant back ache or debilitating back pain. The answer will come once your spinal surgeon assesses your back pain or back injury symptoms, and takes a full medical history, to review your general health level and medical issues. But before you panic, keep in mind that back surgery is generally needed only in a small percentage of back paincases. Most back pain can be resolved by a range of non-surgical options that can keep you off the operating table and have you feeling better soon. Some of these are as the application of ice or heat, anti-inflammatory medications, physical therapy, and massage. Changing your diet with the goal of losing weight can also help take pressure off the nerves in your back and once the initial discomfort is lessened, exercise can also provide non-surgical relief.
However, when conservative treatments don’t help, back surgery may be your physician’s advice. This is often the case when your doctor is seeking to get you relief from back pain that’s limiting your lifestyle, interrupting your sleep and preventing you from being active and at your best.
Here are the symptoms and conditions that might mean back surgery would be an optimal solution for you:
You may also be diagnosed with a condition that causes back pain and additional progressive nerve compression:
Your spinal surgeon’s primary goal is to eliminate your back pain and to return your quality of life. When a progressive condition is diagnosed through testing and examination, back surgery may certainly move to the forefront of your surgeon’s mind. It is their job to consider your best and personalized options for ridding you of back pain before your current condition deteriorates further.
Failed back surgery syndrome (also called FBSS, or failed back syndrome) is a generalized term used to describe ongoing pain after back surgery. After going through a spinal surgical procedure, of course both you and your surgeon desire your complete painlessness. But, even with the best spinal surgeon and the best indications for your spinal surgery success, there is always a small chance that back pain may continue after surgery and recovery (studies report continued back pain after 5% of all spinal surgeries ).
What causes Failed Back Surgery Syndrome? There are many reasons why a back surgery might not result in a completely pain-free existence, partially owing to the fact that spine surgery is only able to accomplish stabilizing a painful joint and decompressing a pinched nerve. If your back condition involves more than these two pain-causing situations, your spine surgeon will need to continue your care and explore additional solutions to your back pain condition.
Back surgery is reported to be 95% successful at changing anatomy that causes pain and correcting the physical results of a back injury. But it’s also important to realize that back surgeryisn’t a cure-all for every type of back pain-causing condition. Since the spine is a very complex part of your anatomy, with many vertebrae, nerves, and cushioning between your discs, it can be a complex process to get to the root of what’s truly causing you pain.
Your back surgeon will thoroughly assess your back pain condition, and use top technology to diagnose your back pain causes, but it’s important for you to have realistic expectations of what back surgery can and cannot accomplish for you. If you experience Failed Back Surgery Syndrome, your skilled physician will then conduct additional tests and map out a plan of action to remedy as much of your back pain as possible. All valuable things take time, so don’t set yourself up for possible disappointment by expecting a quick fix to any back pain. It may take an extra procedure or extra treatment after your back surgery to get you feeling much better.
If you do have great success after your back surgery, then you’re in that fortunate 95% of back pain patients whose symptoms lessen and whose lifestyle will very soon be active and more comfortable again.
In our last blog we began addressing the topic of preparing for spinal fusion back surgery. We touched upon tests that may be performed, and the need to prepare physically through a conditioning regimen so your body is ready for the rigors of surgery. Here are additional points anyone considering spinal fusion should remember:
One potential complication of spinal fusion surgery is excessive bleeding. Several commonly used medications can increase bleeding, including aspirin, ibuprofen and other NSAIDs, as can anticoagulants such as warfarin. You will need to discontinue use of any such medications. Should your physician or surgeon be concerned about the risk of excessive blood loss during your spinal fusion operation, you may bank your own blood, called an autologous blood donation, before the surgery.
Be sure to discuss all the medications you are taking with your physicians, and they will advise you when (and if) you should stop taking them. Some medications could cause adverse affects in combination with the anesthetics or other medications used during the operation, and anti-inflammatory medication such as cortisone and chemotherapy can compromise the body’s ability to heal.
Failure of the bone graft to heal, called pseudarthrosis, is one of spinal fusion’s most problematic post-surgical complications. Smoking is associated with this complication, and nicotine has been shown to compromise the ability of bone cells to grow. It is imperative that smokers stop smoking prior to the surgery, and not smoke before their recovery is complete.
Before resigning yourself to spinal fusion surgery, remember that spinal problems often respond to more conservative treatments, such as physical therapy and healthy lifestyle changes. Alternative surgical procedures may also be available. For example, many candidates for spinal fusion can choose the TOPSTM(Total Posterior Solution) System instead. The TOPS System not only preserves all the natural flexion of individual vertebrae, unlike spinal fusion, but it has also been shown to have better outcomes in clinical trials around the world. Indeed, investigating alternative options is another productive way to prepare for a spinal fusion operation.
Spinal fusion back surgery is often performed in conjunction with spinal decompression treatment. The decompression procedure relieves pressure on pinched nerves emanating from the spine, reducing pain and restricted mobility in limbs caused by the compressed nerve. But the spinal decompression surgery involves removing portions of vertebrae, making the spine weaker at these points. Thus, spinal fusion surgery is performed to strengthen the spine after decompression, and involves fusing two adjacent vertebrae with the use of an implant.
Preparing for spinal fusion surgery – whether performed on the lumbar, thoracic or cervical spine – is similar to preparations for any spinal operation, but there are a few specifics to be aware of. First, be prepared to be thoroughly examined before the surgery is performed, so your physicians can plan all aspects of your operation. Radiograph assessments of spinal instability, EMG to test nerve function, and an MRI, CAT, or other scan is often performed to identify nerve compression.
Your overall physical condition will also be assessed to ensure you are in sufficient health to undergo the rigors of the surgery. You will need to discuss any and all pre-existing medical conditions with your physicians, and further evaluation of such conditions may be necessary before proceeding with spine fusion surgery. In fact, one of the most important ways to prepare for spinal fusion is to get into the best physical condition possible. Being in good physical condition translates into fewer complications during surgery and faster recoveries after, among other benefits.
Spinal surgery of any kind should be considered a last resort, undertaken only if more conservative treatments have proven ineffective. But many patients undergoing spinal decompression now have an alternative procedure to spinal fusion, shown in clinical tests around the world to have better outcomes than spinal fusion. The TOPSTM (Total Posterior Solution) System stabilizes the spine without eliminating the independent motion of the individual vertebrae, as spinal fusion does. So one of the best ways to prepare for spinal fusion is to find out if an alternative solution like TOPS makes more sense than spinal fusion surgery for you or a loved one.
Lumbar spinal stenosis, a common medical problem, denotes an unnatural narrowing of the spinal canal, the center of the spinal column housing the spinal nerves that relay sensorial information to the brain and control the movements of our muscles. The term stenosis comes from Latin, and means a narrowing. When a portion of the spinal canal narrows unnaturally, it can put pressure on the spinal nerves, and these pinched nerves in turn can cause pain and limit mobility.
The good news is that a variety of treatment options are available that have been proven effective in helping individuals recover from or ameliorate the symptoms of spinal stenosis. Conservative, non-invasive therapies include simple lifestyle changes, medications, physical therapy, and injections of anti-inflammatory agents. For patients with spinal stenosis, there’s no way of knowing which of these approaches will be most successful, so physicians may simply prescribe one of these treatments as a first step, and monitor the results to see how the patient responds. If the first method selected doesn’t achieve the results of helping the patient recover from spinal stenosis, the next option may be tried, and so on.
For patients with moderate to severe spinal stenosis who do not respond to conservative treatments, surgery may be recommended. In this form of spinal decompression surgery, the surgeon trims away excess bone in the narrowed center of the affected vertebra, relieving pressure on the compressed nerve or nerves. Historically, a spinal fusion back surgery operation has been performed in conjunction with surgery to relieve spinal stenosis, in order to stabilize the region of the spine where the operation was performed. Today there’s an important, and better alternative to spinal fusion. The TOPS (Total Posterior Spine) System procedure provides better clinical outcomes than spinal fusion surgery. The TOPS solution has the added benefit of preserving the spine’s full range of motion, unlike spinal fusion, which permanently fuses adjacent vertebrae. TOPS also offers a much quicker recovery from surgical treatment for spinal stenosis than spinal fusion. If you’re a candidate for spinal stenosis surgery, make sure you understand all the advanced surgical solutions available today, and what impact each will have on your recovery from this condition.