COMPLAINTS AND DISEASES

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Lumbar Disc Surgery and Postoperative Course
I. First Day After Surgery

1. In the first days after the operation, there may be pain due to the incision in the operation area. This pain is a pain that decreases day by day and should be considered normal. Thanks to the device called PCA for this pain, you can determine your pain relief level by pressing the pump.

2. It is beneficial to lie on your back in the first 2-3 hours of the operation. However, if you wish and your doctor allows, you can lie on your side after 2-3 hours. In these first hours after the operation, it is necessary to support your back with a pillow while lying on your side.

3. After surgery, the same evening or the next morning, your doctor or physical therapist will get you up and walk. When getting up and lying down, act as shown. Generally, the side lying position first, while the feet are lowered from one side, the sitting position is passed with the arm support. First, you should wait 1-2 minutes in sitting position.

4. Dizziness may occur during the first departures after the operation. Therefore, before standing up, get up after sitting for 1-2 minutes and making sure that there is no dizziness.

5. It is usually enough to get up 4-5 times on the first day. 1-2 of these departures are for the toilet, the rest are for short walks in the room and corridor. On the first day, if your general condition is suitable, your doctor will allow you to go up and down half a flight of stairs.

6. One day after a smooth operation, you can go home.

7. Nowadays, hidden stitches are applied after lumbar hernia surgery. Therefore, there is no such thing as stitching. However, you should pay attention to your wound for a few days. If there is no condition such as discharge from the wound, water may touch the wound after 8 days. If there is an unexpected situation, you should definitely inform your doctor.

II. Home and Workplace Life After Surgery

How many times can I get up a day?

In the first days after surgery, you can get up 5-6 times a day. Follow the rules shown by your doctor during departures and hospitals.

Can I get out of the house?

After the first week, very short walks can be taken. You can increase the duration of the walks gradually. Be careful not to get your waist cold during walks. Cold causes spasm and therefore pain in the waist.

Should I do a waist exercise?

Do not bend too much in the first 6 weeks after surgery. Waist exercises should be started especially after the second week after surgery and waist muscles should be strengthened.

My foot was numb after the operation. Is this normal?

After the operation, sometimes there may be numbness in the foot. This may take a few weeks. But it passes by itself within 2 months. This is normal. There is no need to worry.

When can I drive?

Driving is generally allowed after the 2nd week. Place support behind your waist, especially when driving and traveling in a car.

When can I go back to my hometown?

Usually before 2 weeks long journey tiring. It is especially useful to wait 3 weeks for journeys exceeding 7 hours.

When can I take a bath?

Generally, if there is no problem with the wound, you can wash one week after surgery. Do not cut the wound and its surroundings in the first 3 weeks.

Ameliyattan 3-4 gün sonra bacağımda yeniden ağrı oluştu. Bu normal mı?

Nadiren ameliyattan önce ağrının olduğu bacakta, ameliyattan 3-4 gün sonra ağrı olabilir. Bu ağrı fıtık ağrısı gibi değildir. Bu ağrı geçicidir. Endişelenmeyiniz. Ama süreklileşen ağrı durumu varsa mutlaka doktorunuz ile görüşün.

There was pain in my leg again 3-4 days after the operation. Is this normal?

Rarely, there may be pain in the leg, where there was pain before the operation, 3-4 days after the operation. This pain is not like hernia pain. This pain is temporary. Do not worry. But if there is persistent pain, you should definitely talk to your doctor.

When can I return to my normal job?

Generally, desk workers can start their light work after 2 weeks. Those who work in heavier jobs and have professions that require heavy physical load when they start work can start work after 4-6 weeks.

What do I need to pay attention to at home?

Do not sit on soft and deep seats at home. Choose straight and hard chairs. Use pillows that support your waist while sitting on the chair. Sleep in an orthopedic bed. Consider your waist when getting out of bed and going to bed. Wear suitable shoes. Know and take into account that minor and mild back pains are warning.

When can I return to my active sex life?

If there is no pain or similar problem, you can start your sexual life by paying attention to the waist 10-14 days after the operation. Patients with herniated disc should not take an active role in sexual intercourse and remain passive in the first 2-3 weeks. A painkiller and a hot bath taken one hour before sexual intercourse alleviates the rate of pain that may be experienced during intercourse.

What do I need to watch out for at work?

Try different chairs in the workplace and choose the one that suits you best. Especially in the first periods, using orthopedic pillows that support the waist while working can prevent possible pain. Choose swivel chairs with full back and arm support. Never sit in the same position for a long time. If you are constantly working at a desk, do 3-5 minutes of exercise to strengthen the back muscles 1-2 times a day. While sitting, sit with your knees 5 inches above your hips. This sitting position balances the curvature of your waist. To do this, place a small step under your feet if necessary. The computer should be directly opposite to avoid over-turning on the waist. Likewise, the position and height of the keyboard and mouse should be adjusted to prevent excessive bending in the seat. Avoid lifting heavy files and loads in the early days. Lift loads to be lifted in small and light pieces. Attention should be paid to air flow and air conditioning.

Can I do sports?

After the third week, walking and swimming can be done with an increased pace not exceeding 30 minutes. Sports that require fast rotation in the waist such as tennis, table tennis and basketball should be avoided.

What should I pay attention to not to have a herniated disc again?

Individuals with lumbar hernia should be careful not to force the lumbar spine in all their movements in order to prevent re-hernia at the same or adjacent level. Do not bend your waist excessively, do not lift heavy items over 20-30 kg. Do waist exercises. Set your whole life towards lumbar hernia both at home, at work and in the car.

When should I come to check?

Unless your doctor tells you otherwise, come for two check-ups 15 and 60 days after the operation. If your condition is suitable at the control examination on the 15th day, your doctor will give an exercise program.

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