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.
      • Take medications on time.
      • Use a Western-style toilet.
      • Avoid driving for at least one to two months.
      • Refrain from sexual activity for three months