How do I recover from laminectomy?

Intervertebral foraminoscopic surgery for lumbar disc herniation is regarded as the safest and most effective minimally invasive technique, with minimal trauma, rapid recovery and good outcomes. Even so, patients with herniated discs still need a period of recovery after foraminoplasty. So, how to recover after intervertebral foramenoscopy, we will tell you in detail: a. The degree and speed of recovery after intervertebral foramenoscopy depends on the duration of the disease and the degree of nerve compression of the disc, pain recovery is relatively fast, numbness recovery takes a long time, and some patients even numbness can not disappear completely. After surgery, there is a certain amount of time in bed, and patients should follow the instructions of the doctor and do not move without permission immediately after laminectomy. However, it is generally recommended that you take bed rest within six weeks after surgery, and you can get out of bed about six times a day, and it is appropriate to take no more than 15 minutes at a time. Second, the problem of postoperative recurrence Whether it is open major surgery or minimally invasive surgery, there is a possibility of recurrence after surgery. It has been reported in the literature that the incidence of disc reherniation after minimally invasive intervertebral foramen surgery is about 5%. To reduce the recurrence rate after surgery, special attention should be paid to the following points: (1) bed rest is emphasized within six weeks after surgery; (2) special protective brace must be worn when getting out of bed after surgery; (3) excessive bending and twisting of the back should be avoided after surgery. (3) Correctly treat the recurrent period after intervertebral foraminotomy “postoperative reaction”: generally starts to appear from the third day after surgery, manifesting as the reappearance of preoperative symptoms, or even aggravation, or new symptoms may 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. Most patients will have various symptoms of the “recurrent period” after surgery, which can be reduced or avoided by strictly following medical advice. If you understand and treat the recurrent period correctly and actively cooperate with the treatment, you will generally recover smoothly. Fourth, the intervertebral foramenoscopy after the regular use of medication in accordance with medical advice within 3 months after surgery, the purpose is to reduce or shorten the recurrent period, but there is no way to make all patients are free from the “recurrent period”. Fifth, post-operative imaging monitoring after foraminotomy, the symptoms first improve after foraminotomy, and then only to see the MRI, CT and other imaging changes, this side is the general orthopedic disease so-called “imaging changes lag phenomenon”. Imaging changes generally occur after six months, and some patients always have a shadow of the annulus fibrosus remaining after surgery, creating the illusion that there is still a herniated disc. Follow the doctor’s instructions to receive postoperative imaging monitoring, understand the recovery of the disease, and do the follow-up treatment and rehabilitation. Sixth, postoperative rehabilitation exercises after intervertebral foraminal surgery Do not smoke after surgery; do not engage in long-term bending or prolonged squatting or sitting work or activities within six months. Postoperative rehabilitation should be carried out gradually and in accordance with medical advice, and should be transferred to the rehabilitation department if conditions permit. Rehabilitation exercises can also be carried out by yourself, for example, Xiao Yan Fei, backward walking, etc. can be used as exercise programs. 1.Straight leg raising exercise for both lower limbs: start from the 2nd day after surgery. Prevent nerve root adhesions. 20 times/group, 2-3 groups/day. 2.Lumbar back muscle functional exercise (swallow and arch bridge): recommended to start from the 3rd-4th week after surgery. (1) Arch bridge (5-point support method): lie flat on a hard bed, support with head, feet and elbows at 5 points, lift the hips up and raise the buttocks as high as possible. Hold for 10 seconds, repeat 20 times/group, 2-3 groups/day. (2) Flying swallow: lying prone with a hard bed, head, both upper limbs, both lower limbs posterior extension, abdomen touching the bed as small as possible, in the shape of a flying swallow. Hold for 10 seconds, repeat 20 times / group, 2-3 groups / day.