Spine Surgery Discharge Instructions

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1 Spine Surgery Discharge Instructions Your sutures or staples need to stay in place for at least 10 days after surgery. To have them removed you can: Call your surgeon s office (the number is on your discharge paperwork) to schedule a time, or Call your primary care doctor at least 10 days after surgery, if approved by your surgeon, to have them taken out. Medicines If you are taking aspirin or other blood thinners, you must talk to your surgeon about when to restart these medicines. If you have a stent, take your aspirin to prevent blood clots. Unless approved by your surgeon, do not take any non-steroidal antiinflammatory drugs, called NSAIDS. These medicines include ibuprofen (Motrin or Advil), arthritis medicines such as Celebrex, or naproxen (Aleve) for at least weeks after surgery. Activity For the next 6 weeks after surgery: Walk as you are able. Start with short distances and work up to longer times standing and walking. Tell your surgeon about your progress at your follow-up visit. Learn more about your health care. More on next page Copyright September 6, The Ohio State University Wexner Medical Center - Upon request all patient education handouts are available in other formats for people with special hearing, vision and language needs, call (614)

2 Page 2 Use the hand railing for support when going up and down stairs. It is normal for your energy level and sleep patterns to change after surgery. These slowly return to normal as you start your usual activities. Get extra sleep at night and naps during the day while you heal. Remember, everyone s recovery is different, so don t get discouraged. Do not lie down or sit for more than 2 to 3 hours, unless sleeping at night. You may do light housework, such as dusting, but no vacuuming. To protect your spine do not bend, twist or stoop. Limit lifting, pushing or pulling to 5 pounds or less. This is about one ½ gallon of milk. A gallon weighs 8 pounds and will be too heavy. Do not drive or operate power tools or machinery until approved by your surgeon. For one month following surgery, do not sit in a car for more than 45 to 60 minutes. If you take a longer trip longer than 60 minutes, stop every hour and get out and walk for a few minutes. Avoid any exercise or activity that will cause you to sweat. Your surgeon will instruct you when it is safe to return to work. Incision Care Check your incision every day for redness or drainage. It is normal to have some bruising, swelling and tenderness around the incision. You may be told to keep your wound covered for up to 5 days, but the dressing needs to be changed 48 hours after surgery. NEVER leave a wet or dirty dressing on your incision. If your incision is damp or dirty, it can delay healing or lead to infection. Protect your incision by: Cleaning the area around the wound and put on a new dressing. Taking a shower when your doctor has said it is okay to shower. Do not take a tub bath. Dry the wound completely. Do not scratch or pick at the incision as it heals.

3 Page 3 Do not apply any of these products to the wound unless told to do so by your surgeon: Lotions, creams Ointment such as Neosporin Alcohol Hydrogen peroxide Powder Sunscreen Wear loose fitting clothes and materials that do not rub the skin around the incision. Avoid clothes with tight elastic waist bands. Protect your incision from sun exposure. Tobacco use delays healing. If you need further help with quitting tobacco, talk with your doctor. Showering For the first 48 hours or 2 days after surgery, do sponge baths. Avoid getting the incision and dressing wet. For example, if you had your surgery on Monday, do only sponge baths until Wednesday. Your incision needs to stay dry and covered for days following surgery. If you have been told to keep your wound covered for more than 2 days, you must change your dressing on day 2 after your surgery. Once you have been told it is okay to leave the incision uncovered, leave it open to air. You may take a shower without covering the incision on the day after surgery. When showering, using a mild soap to gently clean the entire area. Rinse well with water. When drying off, use a clean towel. Very gently pat the wound dry. Do not rub it with a towel. It is also okay to let the wound air dry. If you have a dressing called Tegaderm which will be given to you by the surgeon us this to keep the wound covered. You can also use Press n Seal plastic wrap that can be found at a drug or grocery store each time you shower over your incision/dressing to keep the area dry.

4 Page 4 If your wound was closed with special glue called Dermabond that is thin and purple instead of sutures, shower and clean the area with Dermabond in place. Do not remove the Dermabond. It will remain in place for about 10 days and then wear off by itself. Avoid all tub baths, hot tubs and swimming pools until your surgeon has given approval to soak in water. Limited Mobility or Bed Bound Patients If you will spend most of the time after surgery in bed or not able to walk, you will need to wear a dressing over your incision until your stitches or staples are removed. If you are not able to shower, have your caregiver continue with sponge baths. The original dressing needs to be changed 48 hours after surgery. Always keep the wound clean, dry, and covered as you were told by your surgeon. After you have been bathed and the wound is dry, apply only one abdominal pad over the incision and secure with paper tape only. You may also use Primapore dressings if they were given to you by the surgeon. If you have a lower back/lumbar incision and use barriers for incontinence, you or your caretaker should tape the barrier below the level of incision to prevent any stool or urine from getting on your wound. This should be done until the sutures have been removed, or your surgeon allows you to stop using these barriers. When to Call Your Doctor If you have one or more of these signs, call the surgeon s office. The phone number will be on your discharge instructions when leaving the hospital: Fever of degrees Fahrenheit or greater (38 degrees Celsius). Drainage from your incision. Skin around the incision becomes red, warm, swollen or painful. Leg swelling or calf tenderness or pain.

5 Page 5 When to Go to the Emergency Department If you have any of these problems, go the nearest emergency room: New or worse signs of weakness, numbness or inability to move an arm or leg, problems with balance or walking. This may be on only one side of the body. Nausea, vomiting or diarrhea along with swelling of the stomach or abdomen area. Problems with the loss of bladder or bowel control, or not able to urinate and you feel pain in the lower abdomen. Talk to your doctor or others on your health care team if you have any questions. You may request more written information from the Library for Health Information at (614) or health-info@osu.edu.

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