How do I take care of myself after cervical fusion

I will be having a 4 level anterior cervical interbody fusion from C-3 thru C-7 with plating and screws June 8th. Will also be using cadaver bone and bone morphogenic protein. I have a mostly desk type job, and plan to be off work 3 weeks. What I don't know is how do I take care of myself at home. My husband can be home with me as long as necessary. How is the best way to sleep? I understand I will have trouble swallowing for weeks or months but will that be due to pain or swelling in my neck? If you are home resting in a recliner and watching tv, can you take off the front part of the collar as long as you aren't up and walking around? I am sure there are other questions I need to ask and my surgeon isn't very forthcoming with answers other than they will teach me in the hospital in the expected 2 nite stay. I'm afraid I won't remember details while on pain meds and I want to know beforehand how others with multi-level cervical fusions manage at home. Anything that did or didn't work to make you more comfy would be appreciated as I want to get my home prepared before I have the surgery. Thanks to all, Cindy

[LLWB]

While I don't know the answers to your questions, I too am very interested in replies you receive. My disc removal, cadaver bone implant, and single level fusion will be on June 4th. I too would like answers! Am hoping to piggyback on your post and get some info too....if I'm able, I'll post after my surgery, and let you know how it's going. Yours will be more involved, but should be able to give you a little info.Best wishes.

[bev62]

I had a two level ACDF (C5-C7) in Nov 2006.  I only stayed in the hospital one night.  I did not have to wear a collar.  I had a hard time swallowing for about 4 weeks and I still have a hard time swallowing large pills.  I've had a lot of complications since my surgery but most people do very well.  I still have not returned to work.  I am still sleeping in a recliner and I'm still not driving due to the pain meds I'm on and the limited mobility of my neck.  It is really hard to turn my neck well enough to look both ways and to turn around to look behind when trying to drive.  I couldn't imagine having a four level fusion with the lack of mobility I have after a two level.  Most people that I've talked to are fully recovered after three months.  I hope everything goes well.

[LLWB]

Good luck on your surgery, please keep us posted on how you are doing. All our prayers are with you, and all of us here facing surgery shortly. Gets scarier the closer it gets! Glad you have a husband to help you. Mine passed away last summer, so have been depressed as well as in pain, making facing this surgery even scarier. Oh well, God will help us all.

[rainsummer]

I'm having 3 level ACDF this week may 30th.

My NS said I can nothing for two weeks into I go back for x rays. After the Xrays he will taper my restriction down.

Some of the things I have prepared ahead are: I bought bendy straws, soups, pudding, icecream, soft foods. Also some fruit juice. Extra pillows, a pill crusher. I spent yesterday preparing some meals and freezing them so my husband can pop in the oven when he gets in from work. He will be off with me the first week. I have enough meals ready for the 2nd week and I hope after week two I will at least be cooking.

Hope this helps some....and good luck to you all!!!

[rainsummer]

sorry about your loss LLWB!

Good luck with your surgery and take care!

[patsy10]

I had a single level fusion in 2005.  I stayed overnight in the hospital.  My husband brought me home the next day.  I had to sleep with a hard cervical collar on which was very difficult.  It was painful and hard to swallow for a few days.  I had a very hard time getting from a lying down position to sitting up.  I thought the surgery was very painful.  I was bruised down to my chest.  I was off work 2 months.  I think three weeks off work is definitely not enough.  I am a nurse and I don't have a desk job so I had to be off longer.  Still, even with a desk job, it was painful to sit up straight for periods of time.  I would take more time off work if you can.  I was able to take care of myself at home while my husband was working but I couldn't do housework or lifting, grocery shopping etc...

[cindy5715]

I had c5-6 fusion in 2003, and now in 2008 had to have c3-4. I'm still recovering and its been since Jan. 30th. Went to doc on feb 21 and i was not fused yet so he said no going back to work until at least april! Im still having pain, cant drive and only in vehicle for doc. appt. I can now take my collar off and only wear it while sleeping. But not suppose to do anything and just seems like i should be feeling better since its almost been a month. Well we will just keep praying and start thanking the lord for a speedy recovery as i really need to get back to work!

[spinkick]

I had 3-level ACDF 5 weeks ago. I was given donor bone graph and a titanium plate with 8 screws. I stayed 2 nights in the hospital before release.

I prepared for the post surgery with protein shakes, pudding, broths, soups, veggie drinks etc. You will probably want to do the same as you WILL have swollowing problems.

I required steroid drip in my IV due to excessive swelling (helped alot). With the inflammation from the incision, scar tissue development and the added thickness of the titanium plate (plus reaction to that tube shoved down your throat in surgery), swallowing your normal size bites will be extremely difficult for a while.

Your throat shape will change and you may develop a temporary "pool" in the back of your throat where it deforms around your plate. This is where larger footbal shaped pills will get stuck. It hurts. Break up your pills into small chunks.

At 5 weeks, I am back in the gym, riding stationary bikes for 30-45 minutes and doing lower body and some ab work. I'm finally off my Percocet and Loritab and have weaned myself from Ambien. Sleeping is presently on and off as my system adjusts to less meds (i still take 3000mg of Tylenol a day).

Oh, In case your surgeon doesn't mention it, stay away from NSAIDs (advil) as they affect the fusion process...

I am excitedly looking forward to the day I am given permission to stop moving like a robot... as you will find that not moving your neck is annoying (to you) and visually disturbing (to others).

In fact, has anyone here been told how long after surgery do they have to wait to begin turning your neck?

[katie566]

Hi, My name is katie and I am home recovering from 2nd ant cerv, fusion.  This last one was 5 days ago and included c3-7, cages, fusions, plates and allografts.  I feel great.  I can finally feel my hands again, and have no more shooting pain in my head and shoulder region.  I have a very high pain threshhold so that's not my issue, boredome is it!  My Neurosurg. promised complete fusion in 8 wks. if healthy. so at that time slow range of motion therapy is a great plan.   I would love a nanny, Driver, laundry lady, personal shopper, cleaning crew until that time.  Good luck to all of you,  Meditation to knock the percocet is a great help.... p.s. buy a proper neck pillow or some mornings will bring pre-op type pain.

[Margd]

Hi

I have been told that i hav to have a c5/6 decompression and fusion. Same symptoms as many people on this site. I see that you had your first op in 2003. would you recommend this operation and did it achieve what it was suppose to do. Hope you dont mind me asking.

[jandalg]

I had C3, C4, C5, C6, C7 and T1 fusions (two separate operations - one in 2001 and a 2nd cervical fusion in 2008).  First let me say, if you have more discs with problems than your present doctor can safely do, then go see another doctor who can do ALL the fusions that you need done.  Example:  some doctors only do 3 levels and tell you you will have to live with the pain in the 4th level - you should see another docotor who can safely do all 4 levels at once.  Also,  neck braces keep our (woman's) necks lovely. Without wearing collars for months afterwards, your neck becomes shorter (yes shorter from the weight of your head on you newly fused and soft bone) and you begin to see, sometimes, a ring or wrinkle that goes across the neck.  Also, no doctor who does a cervical fusion should leave a scar that goes across and up (for those of us who have neck creases) - a doctor also should do the stitches in a way which is also asthetically pleasing to the eye of the patient, and those who have to look at her.  Please do not poo- poo wearing a collar, my first doctor made my long neck look short and the scar he left between my two neck creases was so ugly.  The doctor's response was, "the scar had to be made this way" ---wrong! it didn't and he lied.  My first doctor left my lovely long neck shorter and looking stocky like a guy's neck!  Now my second, more carefully selected doctor did ALL levels at once and redid the poor work the 1st doctor left.  My neck is now long, as before any surgery and the scar is almost unnoticeable.  THE COLLAR WILL ALLOW YOUR LOVELY NECK TO STAY LONG AND SLIM SO WEAR IT EVEN IF IT IS 100 DEGREES OUTSIDE!   I wore a hard collar for 3 months and a soft collar for 1 and 1/2 months but sleeping in a hard collar all 4 and 1/2 months.  6 weeks after surgery I had physical therapy for 4 months!  Now I have a beautiful neck, just like when I was a teenager with a scar that is so minimal, it blends into my crease (I am 56 years old).  No arthritis medicine until the bone heals 100% (about 4 to 6 months), no epidurals because steroids interferes with the bones healing after an operation so talk to your doctor about what can be done if you have arthritis problems because you may have no arthritis medicine while your bones heal and if you need epidurals, well, you can't have any while your bones heal!  If you follow this and your doctor is very good with his hands, your neck should end up looking just as long (or short) as it was before the surgery so TAKE PICTURES OF YOUR NECK with a ruler beside your neck.  I am very serious about this because so many women complain that their neck "doesn't look as good as pre-surgery."  For the first 2 weeks after cervical fusion, you must sleep sitting up, this is a must!  So a recliner you can sleep in or get or rent a bed that elevates your head and back into a sitting position is great.

[browneyes145]

I was wondering if anyone has used a wedge pillow to sleep, instead of the recliner. I really don't want to sleep in one that long. I'm really worried about the sleep pattern. I was rear ended last July,2007 they have done all they could to help with my chronic pain in my upper shoulders and neck area.Just sitting here typing aggervates it. Plus I am on percosets too and they don't take the edge off of my pain, I've tried a lot and nothing I take works. Except I have tried a few viccodin750mg and they did take some edge off, so I'm going to see if they will give me them. I read that we can't drive for two weeks well I have a standard shift so I might be longer, because of the stress it might put on my neck I hope not though I will go NUTS!!!! Well my husband has a automatic I can go somewhere after I can drive.
I can't even think about getting a pill smasher this aprt is going to be hard to deal with, because I have to throw my head back and swallow. I need to start and go out and get things I need though to eat. Like they have been saying in this blog, is it really going to be 2 weeks to be able to eat good again too? I'm 50 years old and in pretty good shape, so i hope to heal fast. I can't wait to get back an exercise like I did before this accident. I had lost 50lb's before the accident then put back on 30lb's pretty depressing, so I really am looking forward to get back to my exercise program.
I have a GREAT PS and he is one of the best in my area, plus I know of other people who had him, and they don't even feel thier pain no more. That one felt great after her 2 weeks so I am really BLESSED in having him. He is Dr.Rahn from Northeastern,Indiana. I had crotizone shot, epidural shot, theraphy twice, and all kinds of meds, so that is why he said syrgery. So can you get by and use a wedge pillow instead of the recliner I will need to ask him or call his nurse a week before. If she says I can get a wedge pillow I will be sure to post how it did for me. I've had a breast reduction and i had to sleep on the sofa for 6 WEEKS which it S_ _ _S!!! I just hate to think about the recliner. Some people still say even after all this it is still hard to sleep in bed. I love these blogs I've have learned a lot about what I am in for.
Donna

[fianllyrelief]

Just had second cervical fusion at c 5-6 and replacement disc at c 6-7.  Had a fusion at c 4-5 18 months ago,  After both surgeries I have been able to eat and or drink and take my medications with no problems.  My throat all the way down my chest area was sore/tight.  Drank a lot of ice water to help with swelling.  Soreness.tightness completely gone by day 3-4.  Have slept in bed as normal since came home after just an overnight stay.  Pain completly gone.  I am having some pressure I assume from swelling, in my neck and the back of my head and some muscle spasms still. Using ice and heat to help along with narcotics and muscle relaxers.  Very optomistic with recovery.  Wearing soft collar at all times except to sleep and use heat and ice only while lying down though.  So sorry for all those who have poor outcomes but for those facing this surgery know that there is positive outcomes probably more often than not.  People are more apt to complain than to spread good cheer.  So good luck and god bless to all.

[kat740]

hi evryone, this looks like a great forum, i am having a cervical fusion, c-5, c6, and c-6 and c7 and i have bone spurs.  has anyone had bone spurs?  my surgery isn't till july 20.  a friens of mine had the same operation done 7 weeks ago.  he is very satisfied with the surgery, but his throat is very inflamed i guess. he is now on steroids for this.  but i am so so so nervous,  but i want it done.  i have gotten alot of good advise here.  i cut hair for a living,  they told me i should only have to be off of work for 2 weeks and then light duty for a couple of weeks.  but from what i am reading, the recouperation sounds like its longer.  any advise?

[Mikey4154]

I had C4-C7 Fused 4 weeks ago and I'm doing very well so far!  I had donar bone and the plate screwed in place.  My doctor doesn't require a neck brace at all.  I had mostly muscle spasms the first week that caused most of my pain due to lying flat on my back during the operation which took about 2 1/2 hours.  I can't lie down long enough to do an MRI without severe pain due to curvature of my spine.  The only thing is that I have a numbness in my right thumb that I didn't have before but most of the pain in my right arm is gone and I slept in the recliner for about 2 weeks and then for 1 week would sleep about half the night in the recliner and half in the bed and the last week I've been in the bed all night long.  I was allowed to drive a limited amount after two weeks and I had so many bone spurs (arthritis) that after the operation I had more mobility that before.  It gets better every week.  I'm supposed to go back to the doctor next week for a checkup to see how things are going.  I work from home a lot anyway so I was back to work from my recliner soon after the operation.  I had the operation on a Thursday, released on Friday, back to work from home on Monday.

I was leary of the operation but I'm really glad I did it!

[maggiend1]

Hi everyone, I too am having an anterior cervical fusion C-2C3 on the 29th of March, then 2 months after that C4-C5 and 2 months after that lumbar surgery too. My Neuro said it looks like my vertebra have been crushed and are sliding off to the left side so he really doesn't know what he will find when he gets in there. Needless to say, I'm pretty scared but the pain has made the decision is the only one I can make now. I've learned a lot through this forum and I want to thank you all. I'll check back in after my surgery and let you all know how things are.  

[criscia]

I have had three fusions,  All at seperate times.  The C3 C4 C5 C6 C7 and S1(think that is it the one above the tailbone.)  Anyhow,  my question are not being answered by my doctor.  I know that I will have nerve damage in lots of different areas.  However this past surgery has been the hardest.  Everything was going ok and then less than two weeks after the surgery I got rearended and now I am having numbness in my arms and legs after sitting up for a while or even laying the wrong way.   If I lift my arm above my head it goes numb, I am worried that I am not going to be able to go to work anymore.  I dont know what to do I have tried heat, ice muscle relaxers and pain meds I dont know where to go from here.  Please if anyone have any advise email me, or post here my email is ***@****.

[leigh327]

3 weeks ago I had fusion at C-4, this after having fusion at C5 and C6 four years ago. Problem is finding the right pillow to use to be comfortable all night sleeping! Has anyone tried the one with water in it or can anyone share what works for the best neck support?  

[kay290]

I had 2 levels done 7months ago. Never used a collar-no longer used according to my surgeon. It may depend on how many levels. I was driving on day 3, no neck mobility problems, swallowing problems for 3 weeks and very little pain in my neck. I did go to PT to iron out the pain I was having and that worked. All pain should be gone by the 3 month mark. My incision is beautiful. I had a wonderful surgeon and that is crucial!!!  

[taxpiggy]

I wish I had another doctor, or maybe I was too severe to be doing great.  I have c4-c7 with plate and cadiver bones.  I am three months post op, I still hurt.  Before surgery I was a 10 or over with pain.  My pain stays between a 2-5.  I can not sit for over 15 or 20 minutes at the computer or I will get the burn in my shoulders.  I still do not have the feeling in the thumb.  Sounds like your doctor has you prepared and outcome looks great!!!  The choking thing w/the plate is not fun, but I will say that has gotten better and I do feel it with every swallow, just used to it by now!!!!!!

[leigh327]

Wow! Great for you that you've recovered so nicely. I, too, had a great surgeon...my incision (done right over the last one) looks good. The only problem is the stiffness and feeling coming back that I have something stuck in my throat! I think this is all related to coming off the Flexerill (muscle relaxant) 3X a day and certainly, how the neck is positioned during sleep...that's why I wondered what others have used for a pillow...soft or firm, contoured or flat?? What have you been using?

[kay290]

I never changed my pillow and it is a pure feathered pillow that contours with your neck when you lay on it. A regular cheap pillow is not good and they are usually too elevated and is bad for posture.

[mtwnrocket]

Am in Day 4 following C3/4, 4/5, 5/6 ACDF with autograft.  Autograft site is a pain.  Only took two Lortabs first 24 hours. Ever since a couple of Tylenol PMs help to sleep.  Difficult to get into that small comfort zone window.  Sore throat is getting better by the day.  Wear collar at all times except showering (my shower has a sitting area; slipping & falling without a collar would be very bad).  OS says 6 weeks in the collar.

[Kalvin]

So you're completely off pain meds after 4 days? Thats great, always happy to hear success stories. Hope you're recovery continues to go well.

Take Care

[boredinmichigan88]

I am 2.5 weeks after c5 c6 c7 discetomy fusion.  I am doing great I think.  I get very tired easily after being up and moving after an hour or so.  I take long walks morning and night with collar.  I wear my collar 50% of time and take 2 vicadin a day, one in morning and one at nite.  I have no more burning and pulling pain down shoulder and no more tingling and numbness.  I have limited mobility with neck...always feels like a balancing act and pain when I move side to side too far.  I am bored to tears but will stay that way till July 1st which will be 6 weeks and my next checkup.  Stay patient, the first 6 weeks are crucial to do nothing, and I mean nothing.  Unfortunately I cannot work and I will figure all that out after my check up...my job is to heal and I plan to do that so I do not have to go thru this again and to get out of pain and off pain killers.  Good Luck everythone and hang in there.

Bored in Michigan

[boredinmichigan88]

PS  One more thing...I sleep on a 2 way memory foam pillow and love it!  one side is soft pillow and other side is memory foam.  It is the only pillow I can sleep on a it feels like it really keeps my neck in position....i tend to sleep on my side and this pillow gives me support.  I bought it at Kohls.  

Bored In Michigan

[kay290]

If you have limited mobility you need to contact the surgeon and start PT when Dr. says it is okay. I started 3 weeks post-op.

[Scarlett88]

I am 9 days post-op after having anterior cervical discectomy with 4 fusions from C3 to C7. I was scared to death prior to the procedure but I had no choice since 2 discs and spurs were pressing/displacing my spinal cord. I was also losing small motor skills in my right hand and both hands felt like they were on fire. My toes were also cramping. Procedure was done by a neurosurgeon & orthopedic surgeon. the first 2 days were pure pain from hell, and I was able to talk, but not eat solid food for 4 days, but now, I'm fine. I'm down to 2 hydrocodones 5mg. and tylenol. My right hand is much better and the motor skills are back, my right shoulder is pain-free, but my left hand still has numbness in ring & pinky finger. i was told this could take months to resolve. My 1st post-op visit is tomorrow and I'm turning my head freely - never had to wear a collar. Hoping I can drive soon. Sleep with a roll-shape pillow under your neck and lie on your back and tuck a pillow under your knees. Ice packs help with the soreness/pain in the back of my neck. Massage also helps. I am hoping for successful fusion and they will be giving me a bone stimulator this week. I wish all of you well...keep the faith and find the best surgeons. Ask me anything you like and I'll keep you posted.

[slc123]

Does anyone have information on results of some of the newer, non fusion surgeries?  

I've heard the recovery from these can be very, very good.  There is no bone fusion done.  Instead, small holes are drilled in the bone, positioned to relieve the pressure on whatever is being pressed on, or to widen the hole a nerve or blood vessel must pass through.  The approach is from the side or various angles.  I understand they can clean up several sites at once.  There is nothing afterwards to affect swallowing and the recovery is supposed to be very fast.

I have bone spurs at several positions, and thinning of cervical disks.  My xray looks bad, but the physical therapist said I have excellent flexibility and range of motion of my neck.  My doctor obviously does not know much about this as he said 'You can't have sugery because you have multiple sites'.  Clearly, that isn't really true.  Especially if only one site is actually causing the problems.  

I see by reading here that many people have multiple sites and several can be operated on at once.

I am very active(have led a very active life in competitive sports, riding, traveling in the third world, backpacking), 55, and no accidents or injuries.  I farm, ride and at least til the last few weeks have been very active.

I am bothered by looking up.  I can even get a bit dizzy and nauseated when I look up.  But I have to do it for a sustained period and maintain the position, for several hours, to cause that pain down both my arms(radiculopathy).  And for several weeks after that flare-up, I feel ill and 'off'.  This has happened twice.  The pain down the arms can easily occur during that recovery period of a few weeks.  But afterwards, if I am careful not to strain and look up for periods of time, it seems I can go back to my activities.  This has happened twice now.  The pain down the arms is like a wave of pain and nausea, very sudden.

Up til now I did not realize it was looking up sustainedly that caused the condition to flare up.   But I am not sure if simply not looking up will resolve this.  My physical therapist said if I throw my head back I could even get a stroke!  Since my head could get thrown back as simply as if someone bumps me on the sidewalk or I get in a slight car accident, that sounds like a ticking time bomb!

I may have to pay for this surgery myself as I may not be bad enough off yet for the insurance company to be in a mood to pay for the surgery, but what I am thinking is, that if I could have it done now, I may be able to remain active for more years.  I head about the non fusion surgeries and was very hopeful.

Thanks, Susan

[morgan30]

Make sure you have bendy straws, lots of soft foods, and a grabber.  I got a hospital bed and set it up in the living room.   It was the best thing we did, so much easier for sleeping in a semi upright position for the 6 weeks I used it. Best of luck!!!  I have a desk job and was off for 6 weeks and have had to be very careful since,  Surgery wasa 2 years ago,

[BKS2009]

I'm 5 days out from an anterior cervical fusion (C4---C7).  I had one over-night in the hospital.  One of the main problems is sleeping. My doctor wanted me at a 45% angle for one-two weeks (my husband nor mother remember how long).  I'll call the office on Monday about that. The doctor also wanted during waking hours to have an ice pack on the neck area, 20 minutes on and then 20 minutes and in the small cervical collar and then etc., etc. until the fifth night.  That is where I am now.  I also took the outer bandage tonight because it was wet and I didn't want the moisture on the internal tape plus the doctor said okay after 5 days.  I have been amazed by the lack of pain.  I had lower lumber several years ago and will need more when I recovery from this.  I was in much greater pain.  I have had a lot of sinus-type problems and am continually clearing my throat.  I'm taking 1/2 doze of the pain pills several times a day (except at night to sleep) and muscle relaxers, and antibiotics.  Pill swallowing is uncomfortable and I have to be careful of what I eat.  I'm to be in the soft collar for two months except when showering and using the cervical-stim when it arrives in about four weeks.  Day 3 and 4 were bad.  I started swelling and had been given medication for that.  It was the oddest feeling when my throat was closing up.  It was very hard not to panic.  I can't be in a car for 30 day (because of the other drivers on the road) and won't be driving for another 2-3 weeks.  I'm concerned that I'm going to hurt myself because I don't have much of a list of limitation.  How much should I move my neck?  I do notice some tension when looking down at the scale and try to remember to be careful when being over. I'm also trying not to stay in one location very long.  Thanks for any suggestions

[KATE44]

I AM HAVING ANTERIOR CERVICAL FUSION  C4-5, C5-6 AND C6-7 IN A FEW WEEKS AND I AM CONCERNED ABOUT THE SIDE EFFECTS AFTER NAMELY SORE THROAT SWALLOWING AND COUGHING.  APPROXIMATELY HOW LONG SHOULD THAT LAST.  ALSO I SEE SEVERAL COMMENTS ABOUT WEARING THE COLLAR.  MY NS DOES NOT BELIEVE IN THE COLLAR.  ALSO I HAVE NOT BEEN GIVEN ANY INFO ABOUT SLEEPING POSITION AND WHAT KIND OF PILLOW TO USE.

[Dragonflygrl]

I had a three level C 3/4, C 4/5 and C 5/6 cervical fusion 2.5 weeks ago. WOW!!  A major surgery!!  My neurosurgeon used the new PEEK cage artificial disc and plating to secure the fusions.  He did not prescribe use of the collar nor physical therapy.  He told me there is no way I can hurt the fusion.

The first week I had no energy and felt like a truck hit me.  It was hard to swallow so I stuck with soft foods.  I had to sleep sitting up.  Thank God I bought an adjustable bed during the prior pain months.

I still have slight issues swallowing.  I went back to work after 2 weeks because I needed to, but I can tell you that it was not easy.  By the end of the day my neck and shoulders were killing me.

I still have pain, and the nerve damage is probably going to take a while to heal.  I don't do much as it hurts to lift anything and I do get tired easily.


My doctor says it takes 4-6 weeks for the post-operative pain to heal and a total of six months for complete fusion.

I still have trouble sleeping lying down, but it is getting better.  I had to have the surgery because my quality of life was terrible, it is better now, but I still deal with pain.  The light at the end of the tunnel is that this pain is temporary and I will be healed.  

I will keep you posted.  I hope this helps if you are deciding whether or not to have surgery.  The success rate is 98% for cervical fusions and they are so cutting edge now that many of the ROM problems and other issues are not an issue.

[Lockneckmonster8618]

Due t a job related injury I underwent 4th level fusion
from C4-C7 2008-2009. the surgery includes front brace,
rear plate and srcews.  I am in pain all the time having to
endure stiffness and musle spasms.

I am member of the Police Dept. My duites are  
fingerprinting and Identification of prisoners and deceased
individuals. I am not permited at this time to have contact
with prisoners due to my disability. My supervisors are
afraid that another physical confrontation would parylize
me or kill me.  They are trying to force me into retirement.
Due to the economy I can not afford to retire. I'll just keep
applying heat, doing my neck exercses and popping Aleves
to get through the day.  

Do you have any suggestions?

[Anna610]

I just had cervical fusion C-5,C-6. (12-15-10) I did not have a cadaver or a bone graph, i had a cage put in where my disk was and a plate with 4 screws.I don't know too much of the medial terminology. I had a badly herniated disk & a bad bone spur.My muscles spasm-ed so badly my neck had no curvature to it, it was perfectly straight in my x-rays. My Dr said that was bad.  I had been having pain,numbness down my right arm severely for 3 months... I had one day's notice to prepare for my surgery. I was waiting for weeks to get in to see the surgeon, when i finally got in to see him, I told him i wanted the surgery before Christmas since my husband, who travels for work, would be able to take off over the holidays & help me with my three children. he called me after i left his office & said he could do it tomorrow. So i went for it. I had little time to do research, or prepare physically or mentally for the surgery. Not to mention having to do all my X-mas shopping in 2 hrs!

Now it has been almost a week since my surgery. I have had very little pain. I have not taken any pain meds since leaving the hospital. (i was there one night) My two concerns are this;
I have conflicting instructions from the Dr's. The surgeon that did my surgery did not discharge me from the hospital, another Doc from his practice did, and he told me different instructions than my surgeon.

My surgeon said i would be in a hard collar for 2 weeks followed by a soft collar.
The Doc who released me sent me home on a hard collar only to be worn while in a car. No other collar is necessary he told me.

My surgeon told me to stay around the house & chill out, the Doc that released me told me to do NOTHING but walk around house..no baking, no computer NOTHING!

I feel pretty good, i am just afraid that i will inhibit my healing. Or damage the work. any suggestions. Otherwise i can tell anyone else that i am glad i had the surgery, so far my numbness & pain are gone!
thanks & good luck to all!

[DiBe]

I had a 3 level c4-5-6 cervical fusion and its been almost 7 weeks. I went home with a hard collar and had to wear it for 4 weeks 24/7 except to shower. I had alot of trouble swallowing and lived on ensure, yogurt, soft foods for 2 weeks. It is much better, but it is definitely not normal. I have to swallow towards the left side or any food/pills get stuck on the right side and i end up spitting it back out. I drink a lot of water with my meals. My original pain is gone, but now have pain in the back of my neck where the hardware is (2 plates, 6 screws). The discs were degenerated and very soft so the dr really had to jack my neck to get  the plates in. Since the surgery I started getting pain in my elbows and I wake up every day in excruciating pain. I have no idea what the elbow pain is from. Has anyone ever developed elbow pain? I was very active before and walked 3 miles a day. I am still taking percocets, but need to back off of them in the next 4 weeks. I was taking 60 mg per day and down to 20-25. I also have another problem though, I have a torn rotator cuff that causes alot of pain. I had to stop yoga b4 the surgery because my shoulders hurt. In the back of my mind, I wonder if my neck pain was due to the degenerated discs/osteoarthritis or is it because of the torn cuff. I have to put the surgery on hold for cufff until I heal from the fusion. I am so tired of being in pain and I am having alot of trouble trying to cut back on the pain meds because the lower dosage doesn't help. Also I am wearing the bone growth stim. and was told I have to wear it for 6 months. I hate that thing, it hurts the back of my neck tremendously. I am really happy with my doctor, he is an excellent doctor, but right now I am really tired of being like this. Also, it probably doesn't help that its been snowing 2-3 times a week for the past 5 weeks. I've always been prone to the winter blues, but this year is dreadful.... I am also a skier but can't this year.

[dldild]

I am a 68 year-old male who had c4-c7 cervical spine fusion on 1/27/11. Difficulty swallowing while drinking has been my only complaint with the throat. Main problem is with my neck and shoulders in back. Can't seem to get comfortable yet, and I always feel as though I have a 20 pound weight on my neck. Sleep with a chiropractic water pillow, but can't say that has been that successful yet either.

I had a bone graft from my left hip that is supposed to be the worst part of the ordeal, but so far, it's not too bad.

I just had my two week checkup, and everything is the way it's supposed to be, according to my surgeon. He has not even mentioned rehab yet, and I am allowed (without the collar) to drive short distances.  I am interested in what specific exercises most of you have done after surgery. If I am going to sit here in my chair wearing the hard collar, I would prefer doing something besides tv and a book. Something that can help toward recovering quicker.

I would really appreciate your input.

[Pitliz]

It has been several years since my 3 level fusion.. Mostly all good, but lately having a bit of struggle agian.  My advise to everyone on here is...... It takes at least a year to recover fully from a fusion surgery.  It is not going to be better and back to normal in a few weeks.  So don't set yourselves up for thinking that way. Do take the collar off after the first week and allow your neck muscles to work, if you don't it will take longer to heal. Your muscles deteriorate quickly when not being used. You head will not fall off I promise !  Don't over do it, but dont wear that dam collar every min of everyday for months, you will regret it!  Lots of Doctors dont even send people home with them anymore because they are worse. You will never be the same. You will always have limited movement. But being out of pain with limited movement is a fair trade off !    I guess my message is just expect that this takes time. Dont get frustrated and think you made a mistake by having it done. Do it with the knowing that a year is about how long you will adjusting to your "New" neck.  The swallowing takes a while to get used to also. It will drive you nuts at first. But I promise for most peoople it gets better.   Just take care of yourself and lots of rest. Move as much as you can tolorate. And dont become dependant on that collar or the pain meds.  They more you get about and not sit around, the faster you will heal.   Best of luck to all :o)   Chris

[anna73458]

  I had a Cervical Laminoplasty C3-C7 on 6/28/10,wore a collar for one week,started phys. therapy six wks. later. Unfortunately, after about three months my symptoms came back a lot worse than before the surgery.  Yes, I started doing things I shouldn't have been doing (yardwork,housework,etc.).  By the time I went back to the doctor for an exam my spinal cord was so compressed I had almost no control of my bladder or bowels,my hands and arms were almost useless,and my legs were not working at all. Second surgery was 10/14/10. Had a anterior cervical discotemy with bone graft(my bone) and fusion on C5-C6. Was in hosp. 3 days and at an acute rehab. place for 10 days. Phys. Therapy 6 wks. later. My bladder,bowels and legs are in great shape. My arms are almost at full strength. Still have some coordination issues and numbness in my fingers. I've talked to my doctor and done a LOT of research on the internet and my hands are just going to take time to get back to normal. Cervical Spondylosis was what I was diagnosed with. I got a lot of info from WebMD, Mayo Clinic, and several other reputable websites. I hope this info is helpful. By the way, after the 2nd surgery I was eating baked for lunch that day!!  NO problems with swallowing.      Sincerely, Anna Smith
        

[DBMac]

Here is what I have done post-op to recovery quickly and safely...

I had a 3 level cervical fusion done about 10+ days ago. Post-op I iced my hip, where the bone graft was taken, and iced my neck at the incision site. I went off pain meds 1 week post-op and I never had neck pain nor throat pain post-op. I ate eggs, toast, etc the very next morning after my surgery. I spent 2 and one half days at the hospital. I feel some pressure (like a small lump) behind my throat and I think that is just my body adjusting to the hardware installed (a plate with 6 screws). At first large bites of food got stuck in my throat but now I can eat normally again. Rest, healthy food and going for a walk every day is my best advise. Wear the neck brace often, even if you do not feel the need for it. I keep wearing mine and my neck feels strong and stable. I also take 8,000 IU vitamin D, take Juice Plus and a multi-vitamin every day. Avoid taking any NSAIDs, Tylenol/Motrin, as they interfere with the bone fusing together.

I go on a walk every day for about 300-500 yards. My hip pain is only mild but I still have no neck pain whatsoever. I do some minor chores around the house but I avoid lifting heavy objects and I try to keep good posture. I wear the neck brace when I am upright and take it off when my head is supported on the bed or couch.

I surmise that my surgeon is one of the best. Christopher Uychiama, MD/PhD at Scripps Green Hospital in La Jolla, CA. He took great care to make my surgery specific to my needs, he obviously did a great job, and he avoided damaging nearby soft tissue in my neck during surgery.

[Debbi1208]

I had a ACDF at two levels with donor bone and plate/screws on Mar 1, 2011.  I was in the hospital one night.  I was back to work and driving in one week.  I have a little trouble with swallowing pills.  I have not had to eat soft foods - nor did the dr. mention it.  I did not have to wear any type of collar.  NS said the plate is like a cast - which is what a collar is.  I will have xrays on April 27 for my first post-op appointment.  My major complaint is my neck gets tired.  Sleeping continues to be an issue - I still can only sleep on my back with a flat pillow.  I did sleep in a recliner for about a week.  Restrictions are little - can't push, pull or left over 30 pounds and no jumping/jogging/jarring until??  

[AngeFromAustralia]

I am 3 months post op after having my C7/T1 fused. Mine was fragmentation to my disc due to a trauma. I am still not back at work due to the fact that I work in a school with teenagers and they caused my accident in the first place. Risk of it being aggravated is quite high if I return to work too soon. My surgeon was brilliant. My scare is hardly noticeable as he made it in one of the creases of my neck. I spent 13 days in hospital due to root nerve damage and only had to wear a collar for about 4 weeks post op just when I was moving around. I was allowed to drive 6 weeks post op but waited a bit longer as I was afraid someone might rear end me and I didn't want to run the risk. My surgeon wouldn't let me have pt as he said it can cause more problems than it's worth. I still experience pain if I try anything that requires lifting, I avoid it like the plague. I have noticed some restriction in movement of my neck but I am hoping that it may improve in time. Good luck to all those out there in line for the surgery. My advice is choose your surgeon well, your future mobility is in his/her hands.  

[HealthyNeck2B]

I agree with you and everyone who said the doctor makes the difference.  My doctor was Dr. Shyam Shridharani of the DC Metropolitan area.  I am 7 days post-op after 3 levels being done and am still very achy but it is being managed with pain medication.  I was told no driving for 3 months or the duration of wearing of the brace, which is the same.  Also, I have been told to stay off work for 12 weeks since I work in a school with teenagers as an administrator.  I will probably (hopefully) not be off for that long.  My hospital stay was 3 days post op and day two I was swallowing pills (small) and eating soft food.  Swallowing is still an art as I must sit up military straight and lean forward slightly to ensure that no mishaps occurs.  

I have decided that it is not in best interest to get into a car at this time as the last time (today) I got into my truck, we hit one bump and my head felt like it was trying to explode off my shoulders.  After the u-turn back home, that is when I made that vow.  

[sherp454]

I just recently had a 3 level fusion, im on day 23 after surgery, i've experienced many of the same problems as the rest of you, my worry at this point is the loss of strength in my arms especially my right arm i have alot of numbness in my right arm ive been to the hospital for it they prescribed a cycle of steroids that hellped but now the numbness and pain are still there. Is this weakness permanent or will it go away with some physical therapy?

[macbleakley]

I am one week since surgery, ACDF, C6 C7.  I walked 20 minutes  3 hours after surgery, half mile the next morning, 1-4 miles daily since then. My neck is sore, as is my throat. I wear a soft collar at work and when I am being driven in a car.

I have tingling in the tips of  two fingers, and get very tired at night. I am wondering if I am taking too much calcium supplements, 4000 mg a day. Will this cause excess calcification in the fused vertebrae?

[TommyMacDaddy]

I had a 3 level PEEK implant with screws and 2 level dicectomy 4 days ago. Had 4+ hour surgery in morning and stayed in hospital overnight; restricted to bed-no standing or walking-in hospital. They went through great strides putting me in anti-embolism cuffs for my legs. The drive home was the most painful 20 minutes of my life. I'm out of work for 12 weeks, and realistically probably 16 weeks or more, on state disability. I'm a mechanic/ service manager.
If you've had the same surgery-
I was given a long list of do's and don't's-Do not pick up anything heavier then a half gallon of milk! Seriously! NO WORK at home! No strain to your arms or neck which could cause a problem.
STAY HOME FROM WORK-you can't heal properly otherwise. Even using a computer -oops- is discouraged.

The pain and numbness is gone from my back, shoulders, arms and hand for the first time in YEARS! My strength is already better. Sleeping is definitely an issue now (although it was before the surgery, so no biggie) with the collar and my throat and neck are very sore, but I am confident these issues will go away and I will be able to resume my so-called, normal, life! YAAAA HOOOO! If your doctor recommends this surgery and you trust him/her, by all means do it! Your quality of life will improve greatly.

[anniemoe4]

I am home now just having had a c5-c6 fusion with donor bone.  Swallowing is difficult.  this is day two after the surgery.  Swallowing is a challange-  taking smaller bites eating smaller amounts- soft food and keeping a beverage close by.  Pain at wound site and neck.  Pain meds help a lot though.  I do have a collar but Dr. said i really don't need it.  i am putting it on when my neck begins to feel weak or when i am holding my 1 year old.  she likes to wach me in the chest /throat area.  ouch.  I am planning on being off of work for 2 weeks and than part time for a month later.  I am a psychotherapist so it should not be too strenuous on my neck.  The collar does feel good an supportive.  I would just us occasionally and not become to dependant on it.ON the up side.  tingling is less and i already have more strength.  amazing.  I did not have a ton of pain so hard to say at this time how much less it is due to recovery from surgery.

[babs11]

I had ACDF (C5-C7) on Oct 31. I am 5 days post op and definitely feeling relief from the right arm pain and weakness. I still have numbness in my right hand. I am not sure if I should be concerned, but my left lymph node area in my neck is extremely painful to the touch. I had a 100.8 fever last night, but did not call the doctor or go to the ER because my post op instructions said to call if it's above 101. My neck is extremely stiff from loss of ROM and sleeping is difficult. Swallowing ***** because of the pain but it is getting better with each day. I am only taking Vicodin at night with Zanaflex (stronger muscle relaxer). The Zanaflex is very helpful but is very sedating. I am scheduled to go back to work on Nov 14 so that's 2 weeks off from surgery. I am not supposed to drive for 3-4 weeks so I will have to get transportation to/from work. I have a desk job working for a hospital IT dept.

Does anyone have pain in their neck lymph node area, adjacent to the incision? It hurts so much. I am not sure if I should be concerned. I see my surgeon for a post op on Nov 8th.

[mom22_2]

I am having a three level fusion next week. Can you tell me how you are doing now?

[suebee646]

H, I had ADCF surgery on Mon, Jan 23rd 2012..@ levels, C4C5 C5 C6..is there any questions I can answer?..Very painful procedure, getting better day by day,arms & hands numb still..!To many to type with weak hands, :( I;l be happy to answer  ...Sue

[mandypetere33]

I am having the same surgery on C5-6 & Dr. Shyam Shridharani is my dr. as well.(I'll find out on the 17th of Feb my surgery date) Can you please tell me what you think of him. If you will please email me personally I would appriciate it. ***@****  I would like as much info about your experience as you could share. What hospital was your surgery done? I am terrified about this surgery :(

[jj383]

I was reading about surgery and after effects of the automatic blood pressure cuff on the nerves in arms - median, radial and ulnar nerve causing numbness, weakness, etc.  Sometime people are attributing the symptoms to the neck but it is caused by the damage to the nerve from the cuff.
google it - found it interesting.