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Post surgery recovery - L5-S1 microdiskectomy, S1 Laminectomy

Hi all--I got so much good info from this forum PRIOR to my surgery, I want to chronicle my recovery for others to learn from, too.  Thanks to all who have posted before me--your experience and your advice helped me prepare for my procedure and recovery.  Thank you.

--Hours 1-12 post-op---->  Pain Rx, intravenously--Dilaudid.  I was on PCA pump, a dose every ten minutes if needed.  Needed to pee a lot because the IV fluids and also I drank a lot of water--the anesthesia and pain Rx left me with cotton-mouth.  It was difficult to pee, which is to say, I didn't have the muscle control at first.  (The muscles were still "asleep", I guess.)  I did quite a bit of walking from bed to potty, which made my wound bleed.  My bandages had to be changed twice.  I had a hard time learning how to log roll the first few times.  ADVICE--The BEST way to get up and down from a sitting pos'n is to place all your weight on your HEELS--it forces your back to be straight and makes all your leg muscles work, taking the strain off your back.  Place your feet shoulder apart and point your toes out like a duck.  It helps--A LOT.  Or at least it did for me.

--Hours 12-24 post-op----> Pain Rx was changed to Toridol, by injection.  IV Rx changed to Morphine, PCA every 10 mins as needed.  The Dilaudid and anesthesia coming out of my body made me ITCHY!!!!  So I got benadryl in my IV to stop the itching.  Slept for a few hours, then woke up at 4am and couldnt get back to sleep.  Did a lil more walking, but not as much as the previous 12 hours.  Appetite was back with a venegence!  ;-D  Only hit the Morphine twice in the 12-24hour period--and once was just because it was there and I couldnt fall asleep!  LOL  But right before leaving the hospital 24 hrs post-op, I hit it three times in 30 mins because I had about a 30 min car ride ahead of me and just wanted the little extra pharmaceutical help for the ride.   Oh yeah--they gave me Colace to help loosen my stool and also IV antibiotics before I left.  (I started passing gas in the 12-24 hrs post op.)

--Day 2, post-op-----> Consitpation.  Not a lot of surgical or incision pain at this point.  Insomnia again at about 4 am.  (That has GOT to stop LOL!)  Got out and about at the grocery store.  Went to have lunch at pizza joint.  Was a lil scary at the grocery--wearing the brace under my clothes where people can't see it makes me nervous--afraid to get bumped or jostled, esp with lil kids running around.  Hypersenstivity to "touch", which is to say, I don't want people touching me, even my loved ones.  I just want to be "left alone" in that way.  I dont want hugs and I dont want hand or arm rubbing--my body is already hypersensitive at this point, I don't want more nerves "on alert."  (Ordinarily, tho, I am a touchy-feely person...but the last couple of days I just want to be left ALONE!)  Oh yeah, I am on Darvocet as needed for pain.  I took one before bed last nite, one this afternoon at lunch.  Took one just now (approx 2.5 days post-op) because muscle spasms are kicking in.  Dont know if its because I was sitting in chair awkwardly or because I couldnt get comfy sleeping on my back so i slept on side w/pillow tucked between knees for a couple hours.  in any casse, standing is best right now.

This is my experience so far.  Oh yeah, the smallest movements are the hardest (like, scooching into a car seat sideways, or up or down on the pillows to get comfy.)  If you have any advice or questions, feel free to post.  I'd be happy to offer any help and/or welcome advice.  

All in all, thus far, the recovery is fine.  I feel ok (considering) and the pain is really just localized.  And now it's time to get up because I've been sitting in this chair for waaay too long!  :-)

32 Responses
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Avatar universal
I can't type out all the big words.Friday the 20th because systems were breaking down fast I went to the DR at 2;15 and was out of surgery at 7pm.

The fires are gone from my r calf, ankle, buttock, big toe,. basically I am in no pain but I get tired quickly.

I still have no sphincter but was told will come back after swelling goes down.

TAKE 3 or 4 different kinds of socks with you; your feet can't decide if they are hot cold itchy

Doing well on percecet every 6 hours.

talkingtoolbox
Helpful - 0
251991 tn?1239296030
My Doc is having me have a disc protrusion Thursday, has anyone had to have that prior to beibg fixed? He is trying to find out if all my pain which is lower back,right butt, lrg to calf and foot, or if it is due to a deform in my L5 from a past fracture, I have been in pain for a yr and 2 months now, the past week i can no longer walk,stand,sit or situp and nor can i hardley go pee it hurts so bad in by buttock, its crazy! Has anyone been like me? My bonescan scan showed hotspots in SI Joints an right hip i have had steroid injections in si 2 times, right hip joint today,facet joint and a complete nerve ablasion last yr. none of it helped. Anyway the disc protrusion will tell if i need fusion done.
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251991 tn?1239296030
ERROR- I GUESS IT IS CALLED DISCOGRAPH, IF YOU GO TO COLUMBIA ORTHOPAEDIC GROUP THEY HAVE VIDEOS OG ALL PROCEDURES AND PROBLEMS IT IS A NIC WEBSITE TO SEE WHAT YOU WILL BE GOING THROUGH. IT IS COLUMBIA ORTHOPAEDIC GROUP IN COLUMBIA MISSOURI, REALLY HANDY MATEREAL.
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Avatar universal
had l5 surgey done on 08-04-08 .pain is minimal but i,m still feeling weak.i get the jimmy legs at night and cant keep my left leg from flinching. but my main concern is my left but cheek is still numb right by my ffistuala and i have a hard time getting an erection.is this common because of the operation and i,m just tying to fast or is this something i should look into. i would also like any advice on any post-op rehab anyone could offer. going back to work after my first dr. visit next week 09-02-08 thanks anyone
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Avatar universal
I just had surgery on my back L5-S1, im still feeling pain and numbness on my left leg, my question is, is it normal to have pain after surgery? how long is the recovery process for the inside of my body to heal?
Helpful - 0
1272051 tn?1270655581
The following is a list of surgeries I had: I still have leg pain and I am goig in for a Fusion for my L5 - S1 on the 30th hoping it will help with the pain. I am tired of taking all these drugs and will try anythiing for the pain just to stop and lighten up. Most all back surgeries take about a full year to heal, don't let anyone tell you different. I find wallking right away helps you, take little steps at a time, but don't just sit around thinking the pain will go away by itself and keep taking these damm drugs...

The drugs only take the edge off and remember, you will get hooked on them. Make sure you have a Great Doctor and Make sure you have a Pain Dactor as well. He will be the one giving you your Heavy drugs and helping you with your pain.....Good luck to all with you back problems, I know what you are all dealing with, and I know everyone is different and dealing with there own pain....But get out there and walk more than anything.

My e-mail is ***@**** if I can help you with any other information, I am NOT a Doctor, I am an Author of a new novel called A Big house for Little Men - but I have been through my share of surgeries and Back Pain - Also if anyone wishes to read my new novel out there visit my website at www.abighouseforlittlemen.com or visit www.Barnesandnoble.com and see the reviews.

Here are the following surgeries I have had..

Good luck to all and God Bless,
Michael W. McKay

April 1999 Lumbar Diskectomy L -5  S-1- By Dr. Ronald Warren - Boston

September 2006 C 5-6 Neck Surgery Cut Bone out of right hip – By Dr Rydel - (Failed Fusion) Florida

June 2008 Surgery on C 4 5 6 7 with plate installed – By Dr. Small, F.O.I. Florida

April 2009 T 9 – 10 Laminotomy Diskectomy – By Dr. Small - , F.O.I. Florida

April 2009 Lower Back L -1, S 5 Laminotomy Diskectomy – By Dr. Small - , F.O.I. Florida

Aprial 30th -  Let's hope for the best with this Fusion - By Dr. Small - , F.O.I. Florida
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