Post-op Instructions

General Post-Operative Spine Surgery Instructions

Apart from the specific instructions given to you based on the type of spine surgery performed, the following general guidelines apply to most spine procedures:

Medications

Take pain medication and other prescribed medicines exactly as directed. Take pain medication with food to reduce stomach upset. You may gradually decrease use of narcotic pain medication as pain improves. Do not drive or operate heavy machinery while taking narcotic pain medication. Avoid alcohol while using pain medications.

Activity

Walking is encouraged and is the best form of early exercise after spine surgery. Begin with short, frequent walks and gradually increase distance as tolerated.
Avoid bending, twisting, or heavy lifting. Do not lift more than 5–10 pounds unless otherwise instructed.
Avoid prolonged sitting for the first 1–2 weeks. Change positions frequently. Use proper body mechanics when getting in and out of bed (log-rolling technique).
If you were given a brace or collar, wear it as instructed.

Driving

Do not drive for at least the first 1–2 weeks or while taking narcotic pain medication. You must be able to move comfortably and safely turn your head and body before driving.

Wound Care

Keep the incision clean and dry.
You may shower as instructed (usually after 48–72 hours), but do not soak the incision (no baths, pools, or hot tubs) until cleared by your surgeon.
Do not apply lotions, creams, or ointments to the incision unless instructed. Monitor the incision daily for redness, swelling, drainage, or increasing pain.

Swelling and Pain Control

Ice may be used over the surgical area for 15–20 minutes at a time, several times per day, to help with pain and swelling. Do not place ice directly on the skin or allow moisture to soak the dressing.
It is easier to control pain by resting and avoiding overactivity rather than trying to treat pain after it becomes severe.

Physical Therapy

Formal physical therapy is usually NOT started immediately after spine surgery.
Early activity is focused on walking and gentle movement only.
Physical therapy will be started later, typically after your first follow-up visit, once initial healing has occurred and depending on the type of surgery performed.

Diet and Bowel Care

Resume a normal diet as tolerated.
Drink plenty of fluids.
Pain medications can cause constipation; use stool softeners as needed and increase fiber intake.

Follow-Up

Schedule and attend your follow-up appointment as directed. This is important to monitor healing and guide return to work, therapy, and normal activities.