Post-Operative Course Patients are generally maintained at bedrest for several hours following the surgical procedure. They are typically advanced to ambulation on the day of surgery. Patients are usually advanced to a regular diet on a gradual basis and IV fluids are discontinued when they are able to accept liquids. IV antibotics are usually given pre-operatively and for 24 hours post-operatively. If the patient is independent with ambulation, able to tolerate a regular diet, and afebrile and able to void they are generally discharged on the day following surgery. Patients may occasionally be discharged on the day of surgery. Average length of stay in 275 patients has been 1.2 days. Patients are advised at the time of discharge to avoid activities such as bending, lifting, and vigorous twisting. They are instructed on body mechanics or techniques in sitting, standing, and transferring out of bed etc. Patients are typically prescribed pain medication to be taken by mouth as needed and occasionally anti-inflammatory medication for residual nerve root swelling and irritation. Patients are generally advised to refrain from getting the incision wet for three days postoperatively. At that time they may shower. It is generally advisable to avoid submerging the incision in a tub or pool for at least one week. Follow-up examinations are typically conducted at one week, one month, and three months post-operatively. At approximately one month post-operatively patients are referred for physical therapy. This includes a graduated course of lower extremity and lumbar flexibility, strengthening, and instructions on body mechanics and postural alignment. Patients are generally advised to incease their recreational and daily activities commensurate with their progress at physical therapy. |