How to care for a herniated lumbar disc after surgery

Lumbar disc herniation, also known as lumbar leg pain and spinal nerve compression, is a common chronic degenerative lesion in neurosurgery, and patients mainly present with symptoms of spinal nerve compression. Currently, both neurosurgery and orthopedics can perform surgery for lumbar disc herniation, but in comparison, neurosurgery is more advantageous in terms of nerve protection and relief of nerve compression. Patients need to know the following after admission: Postoperative instructions: 1. Postoperative position: bed rest for 3 to 4 weeks, and nurse assistance in turning the patient every 4 to 6 hours after surgery to avoid pressure sores. 2, general care: closely observe the changes in the patient’s vital signs and incisional exudate, prevent hemorrhage and cerebrospinal fluid leakage, and focus on the recovery of sensory-motor function of both lower limbs. 3.Rational diet: enhance nutrition and prevent cold and flu. 4.Functional exercise: early postoperative straight leg raising exercises to prevent nerve root adhesions. During the period of bed rest, you can cooperate with the limb activity exercise. Discharge instructions: 1. Sleep on a hard board bed after discharge. Patients can leave the bed if their condition allows, but it should not be too long, not too much weight bearing, squatting when lifting and picking things, avoid bending the waist weight. 2, diet should be light, cautious of fried food, eat more high-protein, low-fat, high-calorie, high-fiber food, to ensure nutrition, to prevent constipation. 3.Maintain correct standing, walking, sitting and labor posture during the recovery period, keep the waist upright, change position frequently, avoid prolonged same posture, and reduce the occurrence of chronic strain injury of lumbar spine. 4.Patients who perform simple lumbar disc herniation removal gradually leave bed after three weeks with lumbar girth and continue to carry lumbar girth for about 3 months; patients who perform lumbar disc herniation removal plus internal fixation gradually get out of bed with brace after one month and continue to carry brace for about 3 months. The brace and lumbar girth were taken off at bedtime. And try to use it to protect the waist when sitting and bending over to bear weight. 5. Pay attention to avoid cold and keep warm. In winter, pay special attention to the warmth of the waist and both lower limbs. Summer to pay attention to the room temperature can not be adjusted too low, especially pay attention to the waist and back can not be blowing against the cold wind. 6, strengthen the exercise of the lumbar back muscles and leg muscles to increase the stability of the spine. However, attention must be paid to the gradual progress, not too hasty. 7.Actively participate in appropriate physical exercise to enhance physical fitness. 8, 2-3 months after the follow-up, according to the recovery to decide the time to work, generally brain workers can resume work in about 2 months after surgery, physical workers must be 3-4 months gradually began to work. Avoid strong bending and weight-bearing activities.