I. Postoperative bed rest time.
Patients receive local anesthesia under surgery, no need for resuscitation and other processes, in addition, the surgical wound is only 8mm, therefore, bed rest is only to stop the bleeding, and you can move freely after two hours after surgery.
II. Repeated period (recovery period or edema period).
1. The third day after surgery will start to appear the so-called: “postoperative reaction”, which is manifested as the reappearance of preoperative symptoms or even aggravation, or new symptoms can appear, such as numbness, pain, soreness and weakness. The duration can be very short or very long, ranging from a few days to 3 months or even longer. About 30% of patients will have various symptoms in the “recurrent period” after surgery, which can be reduced or avoided by strictly following medical advice.
2. The symptoms of the recurrent period are various, but generally they are low back pain, hip pain, numbness, swelling, or soreness at the incision site on the affected side, etc. There are also a few symptoms on the opposite side, most of which appear or are obvious when standing or sitting, and most of them can be relieved by themselves. If bed rest cannot be relieved or the symptoms continue to worsen progressively, the MRI should be reviewed to see if endplate inflammation occurs, at which time the treatment plan should be changed and the treatment period will be extended.
3.Special notice: “recurrent period” is not a relapse or poor treatment effect, it can recover by itself.
4. The purpose of medication and rehabilitation within 3 months after surgery is to reduce or shorten the recurrent period, however, there is no way to make all patients free from the “recurrent period”, so please follow the doctor’s instructions.
(3) Late imaging changes.
The symptoms improve first after surgery, and then the imaging changes such as MRI and CT can be seen, which is the so-called “imaging change lag”. The imaging changes are usually after six months, and the factors affecting this are mainly age, length of medical history, whether or not the patient has received other excessive treatment, the degree of prominence, and the severity of the disease.
IV. Contraindications.
1, 3 months after surgery, do not drink alcohol, do not overwork, preferably do not eat “hair”, such as mutton, seafood, etc..
2, within six months shall not engage in long-term bending or prolonged squatting work or activities, such as long meetings, grass pulling, etc..
3. Do not lie in bed for a long time after surgery, preferably for no more than 10 hours. Otherwise, the symptoms will be relieved slowly.
4. Do not play computer games for a long time within six months, surf the Internet or play cards for a long time, etc.
V. Recommendations.
1.You should keep in touch with the bedside doctor for 3 months after surgery in order to guide the medication and rehabilitation exercise.
2.Medication: It is recommended to use neurotrophic drugs, blood-activating drugs and anti-inflammatory and analgesic drugs for 3 months after surgery to facilitate the smooth passage of the “recurrent period”.
3.Following up: After surgery, you should come back for review and follow up in the third month, six months and one year. The content of the follow-up visit includes simple questioning, physical examination and imaging examination, etc. The content of each visit varies and is specific to each patient’s situation.
4.Each patient should come back one year after surgery with the preoperative imaging data to review MRI, CT, etc.
5.A year after surgery should be filled out again to review the follow-up form for efficacy assessment.
6.Absolutely no absolute bed rest without any exercise after surgery, otherwise there will be adverse consequences
7.Post-operative rehabilitation should be carried out gradually and in accordance with the doctor’s instructions, and should be transferred to the rehabilitation department if conditions permit.
8, rehabilitation exercises can also be carried out by themselves, such as taijiquan, eight duanjin and various gymnastics can be used as exercise programs.
9.If the recurrence is caused by poor rehabilitation, improper force and other factors, you can undergo minimally invasive surgery again, because minimally invasive surgery, unlike open surgery, will leave a lot of scars, which will hinder the second surgery or make the second surgery more difficult. The second minimally invasive surgery will be as smooth as the first minimally invasive surgery.