Dr. Alireza Sheikhi | Neurosurgeon
Necessary care and recovery period after lumbar disc surgeryspinal surgeries

Necessary care and recovery period after lumbar disc surgery

دکتر علیرضا شیخی
writer: دکتر علیرضا شیخی
publish : ۲۴ خرداد ۱۴۰۰

Recovery period after disc surgery:

Patients undergoing lumbar disc surgery are divided into three categories:
The first group consists of patients who are generally less than forty years old and have a mild ruptured disc. They are treated with simple outpatient treatments such as heat laser and discogel injection and leave the hospital one hour after surgery and return to normal activity the next morning.

The second group are people who are candidates for open surgery or without the use of platinum due to severe protrusion of the lumbar disc or neck and severe pressure on the spinal cord or nerve fibers or loose vertebrae or changes in the spine angles. The day after surgery in the hospital, they start moving on their feet and then they are released, and seven days later they return to normal life and ten days later, if they use platinum, they return to normal life.

The third group is people who have a mild rupture of the disc, but there are a large number of people who have suffered from spinal stenosis. The surgeon starts moving on his feet in the hospital, then they are released the same day, and two weeks after the surgery, they start their normal life.

Pain after surgery


After surgery, you will feel pain in or around the surgery site. You will be given painkillers to soothe your pain as well as ensure your postoperative movement. Immediately after the operation, the main pain you had before the operation will go away, but if you still feel pain in that area after the operation, you must talk to your nurse or doctor.
Fewer patients have difficulty urinating after surgery. This is usually temporary, but in some cases, rare complications, such as nerve damage, can make it difficult for the bladder or leg to function properly. Be sure to talk to your nurse or doctor.

Leg pain after lumbar disc surgery


The question that often occupies the minds of patients is about the possible causes of pain after lumbar disc surgery. These pains are divided into several categories.

• The first group are pains that occur early in surgery and are similar to preoperative pains along the way. This type of pain is due to root traction and is self-limiting.

• The second group of these types of pains are completely natural and insignificant, which is in the path of previous pains in the form of numbness and tingling, and usually scares patients, but they disappear over time.

• The third group of these types of pain are fatal and severe that have not improved with surgery or sometimes have increased, in which case the disc is likely to return or bleed, so re-examination is needed.

• The fourth category is pain, which is a new deadly bullet that occurs some time after the operation and raises the possibility of disc herniation, new discopathy, or adhesions.

Postoperative sutures


After surgery, you will have two types of sutures, one type of deep suture that is inserted under the skin and there is no need to pull it and it disappears over time. Another type of surface suture is that if it is absorbent, it does not need to be pulled and it disappears. Non-absorbable sutures will be removed 5 to 10 days after surgery. After suturing, it is covered with glue, which you should be careful not to get wet when washing the glue so that the wound heals faster.

Rehabilitation after lumbar spinal surgery


After the operation, a physiotherapist will help you to start moving safely and regain your strength and movement as before. By doing light exercise at home you can help you recover as quickly as possible.

Fastening the belt after lumbar disc surgery

After the surgery, it is necessary to use medical belts for many optimal functions, which most doctors recommend for the following cases:


• Lumbar disc herniation and spine

• Pain in the lower back

• Osteoarthritis and joint pain

• Spondylitis

• Spinal canal stenosis

• Health after surgery

• Fractures of the spine and compression of the vertebrae

• Pressure on the muscles


Complications of lumbar disc surgery

Surgery is usually risky and dangerous.

Lumbar disc surgery is associated with complications, some of which are temporary and resolve over time, but some of which are permanent:

• Bleeding at the surgical site

• Blood clots in the lungs and legs

• Anesthesia reaction to drugs

• Tingling sensation in hands and feet

• Nerve nerve that leads to bladder incontinence, weakness, paralysis, pain or sexual dysfunction

• Feeling on from spine to limbs

• See infection in the body


Treatment of lumbar disc disease

Measures prescribed by the doctor for patients:

• Type of disease

• Your tolerance for medication

• Check your age, general health and medical history

• The extent of the disease

• Performing other operations or treatments

•The initial treatment that a patient is usually expected to perform is the first treatment for lumbar disc management, which includes a combination of the following:

• Weight prevention and control

• taking medication

• Educate the patient to help reduce the likelihood of exacerbation of pain or disc injury

• Physical therapy (ultrasound, massage and exercise programs)

• Use of lambosacral braces

• How to rest in bed


The treatment mentioned above If you are not effective in treating your disease, you will have surgery to remove the damaged disc.

Lumbar disc surgery and sexual activity:

You should not have sex for 2 weeks after lumbar disc surgery. After 2 weeks, you can resume sex if you feel better physically


to sleep:

A pillow can help you sleep better. It is best to put a pillow behind your knees when lying on your back. When lying on your side, place one pillow on the back of your body and another pillow between your knees.

take shower :


5 days after surgery, the dressing should remain dry and not wet as much as possible to infect the surgical site. And the bath is unobstructed only while the dressing area remains dry.
Avoid going to hot tubs, swimming pools, and lakes for up to 6 weeks after surgery.