What to look for in perioperative life coaching for lumbar spine surgery

Postoperative bed position: Generally, you should lie down with pillows for 6 hours after the operation, and try to lie down as much as possible for 24 hours after the operation, in order to reduce the local blood seepage, but in the case of not causing aggravation of the pain, you can move your limbs and back and other parts of the body, in order to alleviate the discomfort of prolonged lying in bed. Generally 1-2 days after the drainage tube is removed, you can choose a comfortable position, the general principle is not to cause pain, you do not have to worry about the wound will open, such as lying on the side, one side of the side of the discomfort, you can adjust the other side of the side of the bed. When can you get out of bed to urinate and defecate after surgery: the principle is still not to cause pain, if it is painful to get down to the ground, do not get down to the ground, but change to urinate and defecate in bed. Keep going until you feel no unbearable pain when you get out of bed. In addition, you should wear a girdle or support and use a bidet when you get out of bed. Postoperative bed rest time: It is generally recommended to stay in bed for 4-6 weeks after the operation, a small number of patients can be able to perform their daily life and work in 2 weeks, while some patients still feel discomfort in the lower back for more than 3 months. The duration of bed rest varies from person to person, your doctor will suggest an appropriate bed rest time according to the surgery, but the general principle should be not to cause back pain and discomfort. The posture of getting out of bed: first wear protective gear; then prone position feet first, then hands to support the rise, which is conducive to the protection of the lower back; can also be side-lying position, flexion of the hips and knees, family members to assist the first in the bedside after a little bit of sitting, family members to help stand. Straight leg raising exercises: the purpose is to properly pull the nerve root, reduce nerve root adhesion. Generally, the first day after surgery, you can start to carry out the affected side and the healthy side of the leg lifting exercises. The specific method is to lie on your back, straighten your thighs and calves, raise your lower limbs as high as possible, stay for 2 seconds and then put them down. A group of 10 to 20 times, morning, afternoon, each do a group. Generally after discharge from the hospital to continue training to 2, 3 weeks or so can not be practiced. Postoperative rehabilitation exercises: the main purpose of rehabilitation exercises is to restore the strength and coordination of the lumbar muscles. The time to start postoperative rehabilitation exercises varies from person to person. If there is no pain after the exercise, you can start the exercise from the next day. Otherwise, the start of the exercises is postponed to a later date. If there is no obvious pain in the wound after surgery, you can exercise, lying on your back, contracting the muscles of the lower limbs for a few seconds at a time. After removing the drain tube, there is no obvious pain, you can perform functional exercises for the low back muscles. You can gradually increase the number of exercises. Every day 2-3 groups, each group of 20 times is appropriate, the action should be slow, adhere to a certain period of time (you can silently count, such as counting to 10 or 20), slowly put down, according to your situation, each time you can increase the duration of time. In addition there are more ways to exercise, such as: supine empty pedal bicycle method. Post-operative activity restrictions: incorrect activity after surgery is often uncomfortable, affecting the patient’s confidence in recovery and compromising the outcome of the surgery. watkins describes the basic activity restrictions after surgery. Patients should walk as much as possible after getting up. No bending or holding weights or twisting. hold no more than the weight of a coffee cup for 2 weeks and no more than 20 pounds (about 9 kg) for 6 weeks, and avoid forward bending of the body unless squatting with knees bent. Sit for no more than 20 minutes, get up, walk around and then sit down again. Do not sit on short, soft couches or chairs. no driving for 3 weeks. You may ride in a car, but the increased pressure on the intervertebral discs and the sudden braking at highway speeds can easily lead to back injuries. Post-operative brace use: Depending on the surgery and the treatment philosophy of the different physicians, your physician may recommend the use of a waist cuff or other brace. The use of postoperative braces can increase the patient’s confidence in recovery and reduce discomfort in the lower back after standing, so it is recommended to use braces for a short period of time, but not for a long period of time, and it is not recommended to continue to use braces for a long period of time after 3 months.