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Lumbar
Laminectomy - Decompressive
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What to expect after surgery |
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| The Healing and Recovery Process |
The healing
process can begin as soon as the foramen or spinal
canal openings have been enlarged and the spinal nerves
are no longer being pinched (Fig. 10). Healing is
the body's natural process of restoring its damaged
tissues to a normal, or nearly normal, condition. Healing
occurs on its own, but is influenced by such factors
as general good health, physical fitness, nutrition
and rest. Recovery is the process during which
you work at becoming well. You must commit yourself
to staying in good health (which means exercising),
maintaining a positive mental attitude and following
your physician's instructions.

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| Have
realistic expectations |
Recognize
that healing and recovery
will not happen overnight. It is a process. You may find
that much of your progress will be like taking two steps
forward and one step "back". Accept it! And then do all
that you can to make sure your steps "forward" are large
ones and your steps "backward" are small ones. |
| Be patient and persistant |
During
the recovery period in the hospital and at home, try
to rebuild your strength gradually. Rest when you feel
fatigued but be persistent in your efforts.
It
is important for you to recognize that we all heal
at a different rate. The speed at which you will
recover depends in part on your age, your general
level of health, your overall physical fitness and
your mental attitude. Generally, you will heal more
slowly if you are overweight, out of shape or smoke,
or if you are a diabetic or have other pre-existing
medical problems. |
| Expect some pain after surgery |
It
is normal to have some pain after any operation. After
a decompressive lumbar laminectomy, there may be some
leg "aching" which occurs as the nerve(s) attempts
to heal. You also may feel some muscle spasms across
your back and down your legs. And if there was inflammation
in the nerve root, you may continue to feel some pain
until this inflammation diminishes. You will be given
appropriate medication to control your pain, relieve
back spasms and reduce inflammation.
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| Be preared for some emotional
changes |
It
is not unusual to feel tired and discouraged for several
days following surgery. These feelings may be your
body's natural reaction to the cutback of extra hormones
it generated during surgery. Although some emotional
letdown can be expected, you must not let it get in
the way of your recovery. Don't look back at past problems.
It is important for you to look at even the smallest
positive steps you make as progress towards your recovery
goal.
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| Develop a positive mental attitude |
You
should begin to work on a positive mental attitude
even before the surgery is performed. Direct
your energies toward the solution of your problem,
rather than worrying about what caused your problem.
Don't be discouraged by minor setbacks during the recovery
process. Concentrate on the progress you make and
will continue to make in the future.
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| The Recovery Process |
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| Commit to a healthy lifestyle |
Now
is the time to commit yourself to a healthier lifestyle.
You can begin by taking these important steps: |
Watch your weight
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Watch
your weight: If you are overweight, you must
gradually return to your proper weight. Crash diets
rarely work. Commit yourself to better eating habits
and stay with them for the rest of your life.
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| Become more active |
Become
more active: Your physician will tell you when
you when you can resume normal physical activities
after surgery. Make up your mind now that you will
develop a regular aerobic exercise routine, such
as walking, swimming or riding a bike. However, always
check with your physician before starting any exercise
program.
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| Going home from the hospital |
In
general, hospital stays are becoming shorter, and even
though you may feel somewhat uncomfortable at the time
you are released, your physician usually will allow
you to go home when:
- your
vital signs are stable;
- you
can walk on your own;
- you
can eat without having nausea;
- you
have resumed normal bladder activity; and
- your
wound is healing.
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| Recovering at home |
Once
you are at home and you begin to resume your normal
activities, follow the guidelines listed below (and
contact your physician's office if you have any questions):
- Exercise: try
to do as much as you can. Daily walking is the
best exercise. Set reasonable goals, but gradually
increase the distance you walk each day. Check
with your physician before starting any exercise
program.
- Sitting
and standing: do not sit or stand for long
periods of time. If you have muscle spasms in
your back or pain in your leg(s), changing positions
frequently should help.
- Sleeping: rest
when you feel fatigued, but do not spend all of
your time in bed. Please note that waking up with
a "stiff" back is not uncommon. For relief, try
taking a short walk or a warm shower. If you do
not have a firm mattress, invest in one - it is
important for proper back support.
- Caring
for your incision: wash your incision gently
and pat it dry. If you see any increased redness,
swelling or drainage, notify your physician.
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| Medication |
You
should gradually reduce the amount of pain medication
you take. Begin by increasing the amount of time between
pills, and then reduce the number of pills taken each
time. A certain amount of discomfort can be expected
until the swelling goes down and the nerve sensitivity
decreases. Substitute moist heat, gentle exercise and
short rest periods for pain medication whenever possible.
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Preventative Measures
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The
best way to minimize future problems with your spine
is to maintain a healthy lifestyle. It is important
that you:
- eat
a well-balanced diet in order to aid proper healing
(avoid foods high in calories and fat content);
- continue
to eat a healthy diet in the future to reach and
maintain your proper body weight;
- get
the proper amount of sleep;
- participate
in some form of regular aerobic exercise
(such as walking, swimming, or riding a bike.)
- Take
extra care when lifting, bending or twisting; and
- Take
care of other health problems (such as heart disease
or diabetes.)
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| The Decision Making Process |
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| A patient centered approach |
This
book is provided to help you make an informed decision about
your health care. It is an essential part of a patient-centered
approach to medicine, called collaboration,
in which the health care team (physicians, nurses
and technicians), the health care institutions (hospitals,
insurance companies, etc.) and the patient's family all
work towards achieving the best possible recovery for
the patient.
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| Why the patient is at the center |
Experience
has shown that patients who are given the opportunity
to make decisions about their own health care have
less anxiety before their surgery and recover more
quickly after their surgery. Recognize that you have
a right and a responsibility to participate
in the decisions involving your health care.
The human body is an intricate
network of interrelated systems. Each system functions
on its own but is also influenced by and dependent
upon the others. When illness or injury occurs, it
disrupts the function of one or more of these systems.
Surgery is a human effort made
to correct one system's malfunction, but it will affect
all others. Because of this complex interrelationship,
surgical outcomes cannot be predicted.
When recovery is possible, it
occurs as a combination of the surgeon's effort, the
patient's faith, and a positive acceptance of the outcome.
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Related
links:
Lumbar Laminectomy - Decompressive - page 1
Lumbar Laminectomy - Decompressive -page 2
Lumbar Laminectomy - Decompressive -page 3
Back FAQ's
Pre-surgery FAQ's
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