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anice
Veteran Member


Date Joined Apr 2009
Total Posts : 536
   Posted 5/1/2009 11:38 AM (GMT -7)   
I  had my follow up appt. today. My staples are out now. That feels a little better now. Dr. seems pleased with results of laminectomy. He said that it was alot worse than what he thought it would be once he started the surgery.
 
He wants me to walk for 20 min. 3x a day. And to go back in 3 weeks. I didn't say so at the time,but I don't think I am able to do that right now. I am still in pretty bad pain. Just going to the doctor-getting out of the house for the first time has worn me out. I am not meaning to second guess him.But should I do this? What if I don't feel like I can do it? I am really scared of messing things up by doing too much. I never want to have back surgery again. I know many have had far worse surgeries than this,but this was alot worse than I expected.
 
Should I push myself to walk 20 min. three times a day?Should I let my body decide what to do day to day?
 
Anice

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13469
   Posted 5/1/2009 11:48 AM (GMT -7)   
Anice, haven't been on in awhile because of pain. Walking is the one and only exercise right away that you can do that will give you strength. If you don't feel you can walk for 20 min at first then try it for 10 min at a time and build yourself up to the 20 min. Don't get too far from home and then not be able to get back home. Once you start walking you will find more & more strength will return. Your dr sounds like he knows what he is doing. Get wel soon. Hugs, Susie


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 5/1/2009 12:00 PM (GMT -7)   
Anice,
Remember it doesn't have to be power wallking! And it can just be walking in circles around the house if needed. But I wonder if your exhaustion is because you are walking and moving a lot trying to take care of the kids? I hope you told your doctor about all the stress you're under.

But yes, if the pain gets too bad, I would stop. Susie's suggestion is good; even start with 5 minutes, but build up slowly.

PaLady

Hello~Kitty
Veteran Member


Date Joined Jun 2005
Total Posts : 610
   Posted 5/1/2009 1:14 PM (GMT -7)   
My aunt had back surgery this last summer and she was suppose to be only walking to the end of her drive way and back a couple times a day but she had me taking her shopping and to the hospital to visit my grandmother, I had to force her into a wheel chair at the hospital cause she was pushing herself too much, I told her she was gonna end up messing up her surgery area, but she wouldnt listen. And now she's having back pain again, I dont know when she's gonna learn her lesson. But if I where you, I would get up and walk but only go as far as your body will let you, but dont push it, and if it hurts way too much to do even that, then call and talk to your doctor, maybe he can advise something else, like some other simple exserize, but you do need to let the doctor know what's up at all times before something like what happened to my aunt hapens to you.

-hellokitty
26 years old, single mother of 2 children, 7 year old girl and 9 year old boy
DX-Lower back pain, Arthiritis, Migraines, Raynald's Phenomenon, Depression, Anxiety/Panic Disorder, Bipolar Disorder, Pancreatic Divisum, Chronic Pancreatitas, Fibromyalgia
Meds- Suboxone 16-24mg daily, Cymbalta 60mg, 100mg Lyrica, Ventolin Albuterol Inhaler, Advair, Imitrex 100mg, Ibprofen 800mg, Phenergan 25mg, Hydroxizine 25mg, Biofreeze
Surgeries- Gallbladder removed 1998, Stent in Pancreas 2003, marsupilized bartholin gland cyst, countless upper GI scopes and ERCPs
Pets- 3 degus named Pricilla, Aster, and Shorty, one female rat named Sassy, one male rat named Squeeky who's brother died on 4/18/09 and was replaced by a baby female Guinea pig name Rosalina, a baby black emperor scorpian, and a corn snake named Precious
"Never go to a doctor's office whose plants has died."
 
 


White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3611
   Posted 5/1/2009 2:40 PM (GMT -7)   
anice
I would try and do what your Doctor told youto do, but start off slow, try waliking real slow for 5 or so mintues, three times a day. Then do that for a day or two  then increase it to 10 minutes three times a day for a couple of days, and make sure you space the times, out like first thing in the morning then in the middle of the day lunch time and then in the evening. Make sure you have plenty of time to rest in between, your walking time! After 10 minutes for 2 days increase to 15 minutes for two days then increase it again to 20 minutes three time a day! After you get to 20 minutes then slowly start increasing how fast you walk, from small shuffling baby steps to slower regular steps, and as the days go by, keep increasing till you walk at a normal pace for 20 minutes three times a day. But by all means go slow and start off slow and go slow with only little increases. With lots of rest in between! At first you will be sore, but this is so important, it is so easy for patients to go down hill after surgery be cause they don't get up and slowly get back into moving! I do Know how difficult it is for you, but think positive anice " just say I can do this!" and take it slowly and you can, you will find over time this will help with your pain easing up too! You might even want to do your walking about 30 or so minutes after you take your pain med. That should help you be able to do it. Of course all this is just suggestions, and you will have to do what is best for you, but you are a nurse, so try to do what you think your patients should do, keeping in mind what the Doctor ordered!
I do wish you only the best, and hope you start feeling better!
Very gentle hugs to you my friend{{{{{{{{{{{anice}}}}}}}}}}}}}
 
Good Luck to You
Anice I also want to Thank-You for your nice post I appreciate it!
White Beard


  I'm Retired USAF, went back to school and became an RN, and now am on full disalbility!--Degenerative Disc (affecting mostly the thorasic disc but all levels involved), C6/7 laminectomy/diskectomy& fusion, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!) Medications: Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV

Post Edited (White Beard) : 5/1/2009 3:48:33 PM (GMT-6)


mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1228
   Posted 5/1/2009 7:16 PM (GMT -7)   
Anice,
I've had two back surgeries and the reasons that he wants you moving is, the longer that you are sitting, the blood is pooling in your legs, calves and feet- the higher the chance of developing blood clots. The same goes for any time you are spending too much time sitting.
He wants to start walking a minimum of 20 minutes three times a day- because you need to keep the rest of your muscles strong and functioning as best as they can be. The longer you sit, the more all of your muscles are wasting away, and it takes twice as long to build them back up again. If you wait too long to get up to the 20 minutes a day, three times a day, then it will take longer for PT to get you back on your feet as you should be once your back fully heals.
I know that it hurts, and I know that it won't get better, it will get worse if you don't get those minimal 20 minutes , three times a day done. It will be that much harder to get you back to being able to function at home , and better yet, at work.
You may be surprised to find that a tylenol added to your pain meds, if you are not on one that has tylenol will do wonders to boost the pain killers in them.
Ice and heat, now that you are healed up also help relieve some of the pain.
Do your best to get to those 20 minutes, they mean an awful lot to your recovering as you should and not having problems down the road.
Sandi
PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
Neurogenic Bladder and Bowel, bilateral numbness legs and feet
Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
On going back pain and neuropathic pain, failed back surgery, consult for scs, decided not to do that at this point.
Adhesive Arachnoiditis also......just what I didn't need..9/08- adding bilateral ulnar neuropathy with severe compression to the mix. They want me to see a surgeon for ulnar nerve surgery, but I'm not biting.
I've seen enough surgeons over the last few years.


golitho
Veteran Member


Date Joined Sep 2008
Total Posts : 1670
   Posted 5/1/2009 7:42 PM (GMT -7)   
Hi Anice, big hugs to you and keep your spirit up. I've not had back surgery but do have huge stiffness in the mornings due to my arthritis, mrsm has hit the button on the head...hot shower before you exercise. I go as hot as I can stand, then do my morning shuffle around the block, moving for me helps to somehow lubricate my joints, but the heat is the go for you, then after excercise, ice pack!!! I wrap it in a tea towel and sit for 5 minutes, it really helps with swelling or at the end of the day. Best of luck, get out there and do your shuffle. Look up at the sky, keep your head up, it helps lift your mind.

skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 5/1/2009 7:50 PM (GMT -7)   
Hi Anice,

Glad to hear that your post-op visit went well. I'd agree with what the others have said: start off slow & work your way up to the full 20 min 3X/day. You just had major surgery; nothing, not even the simplest activity like walking, is going to be easy! You can't expect to recover overnight. You have to take things slowly, and gradually work your way up to a functional level. I know that after all my shoulder surgeries, I would always have simple ROM exercise that I had to do post-op, and they were so hard and so painful at first! I could only move a few centimeters before I was in too much pain & exhausted. But after repeating those exercise multiple times a day, everyday, I was eventually able to regain much of my motion! I remember even just taking my arm out of the sling & letting it hang was torture! That and the shock from walking! You can only push yourself too far before you do harm, so listen to your body. You'll work your way up there eventually, but as long as you are trying your best & and moving some, throughout the day, you're doing just fine!

Skeye

anice
Veteran Member


Date Joined Apr 2009
Total Posts : 536
   Posted 5/2/2009 7:43 AM (GMT -7)   
Thank you all so much for your advice. It means alot to me as it always does. I think yesterday was another emotional day for me. It was my first day out since the surgery. It was my first day with clothes on. I have been wearing gowns and moomoos. The pants were elastic waist jeans. Somehow I got in severe pain quick. I took them off,put my gown on and took my pain meds and got in the bed. I stayed there until this morning. I got up to go to the bathroom and walk through the house a couple times,that was it.

I will walk today. I plan on doing what the dr.said. It was just the 20 minutes that he said just seem impossible. I know it isn't. I just still hurt pretty bad. I am taking my meds every 4 hours. He did change me to Lortab. It has helped. My body was just used to the percocet.I am getting up and walking around pretty often. Today I will try to put clothes on again and take a stroll. I will probably not make the 20 minutes at first. But I will do it in a couple days.

All this is so hard for me. I went from being so active-working full time,kids, cleaning etc... to this. This is just surgery pain but it is horrible. I just didn't know how long this would last.The pain I was in is gone. I am glad for that. That was nerve pain.Nothing I did helped. I know this will get better in time. I am just being impatient.
Anice

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 5/2/2009 1:31 PM (GMT -7)   
Anice,
Just keep focused on the fact you don't want to do anything to damage your successful surgery! As one who's surgery wasn't successful, I can speak to that!

Also, when I had my fusion, I bought some clothes at the dollar store - very loose fitting that I could kind of slide down around my waiste. And some of the low rise jeans - which used to be big and now barely fit! It took me awhile to be able to wear normal waist clothes. But it will pass soon.

PaLady

anice
Veteran Member


Date Joined Apr 2009
Total Posts : 536
   Posted 5/3/2009 9:45 AM (GMT -7)   
I did walk twice yesterday for 10 minutes. It hurts but I did it. I know I must get moving. It is just hard. It is raining today,but I will walk through the house as much as I can. I don't want to do anything to damage my surgery. I will follow directions-I promise. I want to heal and get better. I will keep working at it as hard as I can. I have to push myself because I hurt and don't want to do it. But I know walking will help in the long run in so many ways.

mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1228
   Posted 5/3/2009 12:04 PM (GMT -7)   
Anice,
You will get better, you just have to wait out the post op swelling, and work steadily on increasing your strength and keeping the muscles from wasting away. 10 minutes is good!!! You did really well for the first day of getting around, and walking around the house counts, too, even if you find yourself going around in circles. The good news is that walking will help ease some of the swelling too, in a few days. I know, at first, it seemed to make mine worse, but eventually, it did help to ease it.
Push yourself to make sure that you do walk, but not so far that you wind up hurting yourself.
It's a fine balance.
Hang in there Anice, you are doing really well.
Sandi
PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
Neurogenic Bladder and Bowel, bilateral numbness legs and feet
Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
On going back pain and neuropathic pain, failed back surgery, consult for scs, decided not to do that at this point.
Adhesive Arachnoiditis also......just what I didn't need..9/08- adding bilateral ulnar neuropathy with severe compression to the mix. They want me to see a surgeon for ulnar nerve surgery, but I'm not biting.
I've seen enough surgeons over the last few years.


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 5/3/2009 12:17 PM (GMT -7)   
Anice,
I was just thinking - remember walking and bending, etc. with the kids are two different motions! I hope you're not overdoing the bending or twisting. It is a fine balance, very true. Balance around taking your meds (usually about half hour before you're going to walk if possible) and then maybe using ice or heat afterwards for awhile.

I also can't sit in recliners at all. Put my neck in the most horrible position. So take a close look at how you're supporting your back in the recliner and make sure you've got good lumbar support in the correct area.

And some things we just have to endure!

Hugs,

PaLady

cshelp
Regular Member


Date Joined Mar 2009
Total Posts : 96
   Posted 5/3/2009 8:45 PM (GMT -7)   
Anice,

Are you using pillows under your legs while laying down, that takes pressure off the lumbar spine? Your body is going to tell you what you can do as it heals. Hand in there I am glad your surgeon said everything went well, thats always a good sign. Take care

cshelp

anice
Veteran Member


Date Joined Apr 2009
Total Posts : 536
   Posted 5/4/2009 2:08 AM (GMT -7)   
I am doing very minimal household anything. Husband and son will fuss at me for doing just about anything. I am proud of the both of them. They are doing really well and working together everyday. Son is still not too crazy about all of these extra things he is now a big part of. I think I am seeing a closeness form between them,too. I am very glad of that. I am proud of them. Daughter (age 4) is still quite destructive. She is like a little hurricane!!Huge messes. I hear son and husband fussing at her. She is starting to pick up her things so mommy won't fall. That in it's self is a big step for her,too.

I am using pillows between my knees when laying down. I can't lay on my back but for a couple minutes. It still hurts way too bad. So I lay from one side to the other side. I have a big problem with my mattress. It is the kind you can put air in from both sides to control the sided you are on. It was an expensive mattress. But only after a short time, the valves broke and they won't hold air now.I was stupid enough to buy the showroom model because it was such a good deal...I see why now.So there was no manufacturer warranty with it. The store I bought it from told me that this particular mattress is not made anymore,so we can't just replace the valves like husband thought we might could do. It is a Serta and I paid about $1200 for it. It makes me sooo mad. But the fact that they sold a $3000 mattress for $1200 should have been a huge red flag to me.So the bed has become sunk in so to speak. Husband flipped it last night. The bottom is firm. Too firm for me. That is why I am awake so early. I contacted Serta before and they wouldn't do anything. I am going to contact them again a little later today. This is ridiculous. I have to have a comfortable mattress. Too expensive to just go out and buy one right now. My income is about to be cut to 60 percent.Husband is going to buy a thick foam cover tomorrow. He just tried thinking it would be better. He loves the firmness. I can't sleep on it. If that doesn't work,and Serta won't do anything then we'll have to come up with something else.
Anice

Post Edited (anice) : 5/4/2009 3:12:30 AM (GMT-6)

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