What to Expect
Length of stay after surgery is 3 to 4 days as determined by the surgeon and the spine team.
What to bring to the hospital?
- Comfortable-loose clothing
- Non-slip, closed shoes
- Toiletries (scent free)
- Electronic/communication devices (ie. mobile phone, tablet), and charger(s)
- Eye glasses, hearing aids and dentures
NOTE: Please leave all valuables such as jewelry, money, credit cards, etc. at home
What to expect after surgery?
Day of surgery (Day 0)
- Nurse will monitor your vitals regularly
- Rest
Day after surgery (Day 1)
- Pain team to assess medications and adjust as needed
- Nurse to assist with sitting at the edge of the bed or to sit on commode
- Therapists PT and/or OT will assess and assist with ambulation on the unit
- Sit in the chair for 30 minutes and for meals
- Indwelling (foley) catheter will be removed, and you will be encouraged to void
Day 2-3
- Practice stairs, walking, and daily activities with the therapist and/or therapist assistant
Day 3-4
- Therapists to review equipment, exercises and post-op activities
- Request from therapist insurance letter for equipment if needed
- Discharge home if cleared by surgeon and spine team
- Arrange transportation from hospital
Rehabilitation after surgery
- Inpatient rehab will be determined by the team if day to day activities are impacted by severe deficits
- Exercises will be reviewed by the therapists if needed
- Pain is not a criteria for inpatient rehab
- Ask your surgeon if outpatient rehab is needed after recovery
Post-op Precautions
- No heavy lifting more than 5 to 10 pounds. Avoid lifting pets and children
- Avoid pushing and pulling heavy objects
- Avoid stretching activities to the neck such as looking up or down and looking over the shoulders
- Consult your surgeon for return to driving and return to work
NOTE: These precautions will be reviewed with you during your post-op follow-up appointment with your surgeon.
Planning for home prior to surgery.
- Arrange for someone to stay with you after discharge for the first few days
- Arrange for someone to assist with house chores, meals, groceries, and transportation
- Arrange for someone to assist with showers
- Arrange for private services if social supports are not available
- LHIN/CCAC is not guaranteed as services are limited
- The eligibility for LHIN services is determined by a community case manager
Post-Operative Care After Discharge
Incision Care:
- Change incisional dressing as instructed on discharge
(Strip dressing provided on discharge)
- If area becomes wet, gently pat area dry with a clean towel
- Staples are removed 10-14 days after surgery by your family doctor
- Please make sure to bring staple remover
(provided on discharge) to your family doctor appointment
- Notify your family physician and your surgeon for presence of swelling, discharge, and severe pain from your incision site
Showering after surgery:
- Follow the instructions provided by your surgeon and/or clinician at discharge regarding showering after surgery
-
NO soaking in the tub or swimming while staples are in
Pain Management
- Effective pain control after surgery can help the overall success of the back surgery
- You may be prescribed a narcotic to help with pain, in combination with a stool softener to prevent constipation
- If you are prescribed a narcotic, please make sure to also drink adequate amounts of fluids to prevent constipation
- Please speak with your family doctor if the pain medications prescribed are not effective and/or if your pain worsens
