Post-Discharge Recommendations for Lumbar Disc Surgery
Introduction
The lumbar spine is involved in nearly all body movements, particularly standing and sitting, making it vulnerable to injury or post-surgical pain. Therefore, patients should follow these essential guidelines after surgery
Dear Patient, Please Follow These Instructions After Discharge
If your doctor has prescribed a lumbar brace, always wear it before walking.
Resuming daily activities, work, and driving must be approved by your doctor.
Your diet should include fresh vegetables, fruits, lean meats, and dairy products.
If you are overweight, consider a special diet after your recovery period.
To prevent weight gain due to reduced mobility after surgery, avoid starchy foods (such as rice, potatoes, sweets, pasta) and high-fat foods.
Avoid bending, twisting, or rotating your torso during the first four weeks after surgery.
After each shower, change your wound dressing using sterile techniques.
Light leg exercises can be started from the second day after surgery.
Physical therapy and exercise are very beneficial after surgery. However, start them only after consulting your doctor.
Eat a diet rich in vitamin C and protein to support healing.
Take only the medications prescribed by your doctor. Avoid self-medication. If you experience pain, use the prescribed painkillers.
Contact your doctor immediately if you experience any of the following:
Discharge from the surgical site
Chills or fever
Persistent back pain that does not respond to painkillers
Progressive numbness or weakness in the lower limbs
Visit your doctor 7-10 days after discharge for a follow-up.
Stitches should be removed 8-10 days after surgery with your doctor’s approval.
Showering is allowed 48 hours after surgery, and water contact with the wound is not problematic.
Avoid lifting heavy objects.
Use a Western-style toilet (sitting toilet).
Sleep on a flat, medium-firm mattress (avoid very soft or very hard mattresses, as well as foam or spring mattresses; a cotton mattress is recommended).
Use a chair when sitting, ensuring your back is fully upright. Avoid sitting on sofas.
Walking is allowed from the second day after surgery and should gradually increase over the following days.
Additional Instructions
Change the wound dressing every three days (only once).
Check for sensation and movement in the lower limbs regularly.