Fatigue 3 weeks after acdf surgery

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Taller Now
Regular Member


Date Joined Jun 2014
Total Posts : 290
   Posted 6/21/2014 5:48 PM (GMT -7)   
Hi,
I C4-7 acdf surgery 3 weeks ago and can't believe how fatigued I still am. I have cut down on meds, make myself take short walks, but find Myself napping about 4 hours a day. I am finally able to swallow easier and getting good nutrition. I am on the thin side. Struggling having To wear this hard collar 24/7. Even walking is fatiguing and I used to be in good shape. Is this normal?
Thanks, TN

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 6/21/2014 10:40 PM (GMT -7)   
Hello TN! Welcome to the CP forum!

My daughter just had this surgery as well a few weeks ago! Any surgery on the spine takes time, and it is natural to expect a quick recovery. If you have been on the pain meds prior to your surgery for a good long while, then it takes time for your body to get used to that as well, so I'm thinking that the reduction in pain meds might be part of the problem.

When you are eventually able to take the collar off, you will again possibly wear out easily, since those muscles will have to be strengthened again.

Also, you should be having seeing your surgeon again here shortly, and that would be a good time to ask him those questions and point out any other concerns.

Enjoy the forum!…and good luck!

SE
Moderator Chronic Pain Forum

Weekly Quote!

Most of us, swimming against the tides of trouble the world knows nothing about, need only a bit of praise or encouragement - and we will make the goal. ~Jerome Fleishman

Jim61938
Regular Member


Date Joined Apr 2014
Total Posts : 228
   Posted 6/21/2014 11:13 PM (GMT -7)   
Part of your problem is that you are still healing from the operation, and another part of your problem is cutting back on your pain meds.

Merrida
Forum Moderator


Date Joined Jul 2013
Total Posts : 4771
   Posted 6/22/2014 12:58 AM (GMT -7)   
TN,

Emphasizing again, you're still very, very fresh out of surgery! You're going to feel discomfort and fatigue for a while yet, so you're still in the beginning stages of this journey.

If you're already swallowing better, that's exceptional! Do not push yourself.....(many of us here learned the hard way).....








M.
Moderator Anxiety/Panic Forum


"My time for tears will be at my Victory...not at the start of the War." ~~Vickie

Abilene
Veteran Member


Date Joined Apr 2014
Total Posts : 945
   Posted 6/22/2014 9:39 PM (GMT -7)   
Yes, it is quite normal to feel tired. It was major surgery, possibly more so than what you've had before. You have to be patient and let your body heal. You seem to be doing well for only 3 weeks post-op. We do understand wanting to improve faster but it just does not work that way I'm sorry to say.

Did your doctor give you an idea of how long the recovery would be? Since you need to wear the brace longer that will also affect your recovery when it's finally removed, as Screaming Eagle said. So get prepared for that. Do you know if your doctor will have you in Physical Therapy then? I don't know what the routine is for that but I do know it will take time to get those muscles working again.

My neck surgery was very different but it helped that someone told me it would be a year long recovery. I didn't like hearing that, but it helped to remember that in those times when I got so discouraged.

Didn't you say you have osteoporosis and that's why you have to wear the brace for 3 months? My opinion is that you should allow yourself another 2 months after that, at least, for recovery. Your body is using all that energy you normally have to heal and napping is good for healing. Moving is good too, so keep that up, then rest some more. It's a hard recovery, but from what I've read here about failed fusions, we do not want to have that happen. So take care of yourself and try to be patient. I DO understand!
Posterior C3 - C7 laminectomy and fusion 2 rods and 10 screws, local bone graft from surgery site-lamina and other bony tissue.
Knee and foot surgery
Cataract surgery x2. Felt that I was looking through water post-op. Told it is floaters that I probably had before the surgery and just could not see. I disagree. It's very irritating, worse in bright light. Thankful for my husband of over 40 years

Taller Now
Regular Member


Date Joined Jun 2014
Total Posts : 290
   Posted 6/23/2014 8:17 AM (GMT -7)   
Thanks all, my husband reminded me that it will be 3 weeks this Thursday so it has been just a bit over two weeks. I have a 6 inch vertical scar and the doctor said he had to do a lot of work since two vertebrate were forward and two pushing on my spinal cord along with the nearly absent disks (he said vertebrate grinding on each other) and lots of spurring and had a lot of cleaning to do to on pinch nerves on both sides of my foraminal areas. I see the doctor on Wednesday this week for my first post op. And the day after I wrote the above question I took three short walks instead of two and also tried to eat pizza (which I think irrated my esophagus) and I was down with horrific pain which I could barely control with my pain meds. So it was a real shocker and lesson learned. Obviously I have lots of questions for my neurosurgeon this week. And yes, he expects a long healing time since before my surgery I asked him about taking a trip to Alaska in Sept. 2015 and he said "one day at a time". But that is my goal is to get well enough to take that trip. This is such a hard surgery, I thought I could tough it through like my past ones, but it is kicking my behind! I sure need to come to terms with it mentally.
C4-7 ACDF
Osteoporosis
L5/S1 laminectomy / Discectomy
Hysterectomy

White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3673
   Posted 6/23/2014 2:49 PM (GMT -7)   
Taller Now, It will get better, I know it is hard, but you really are at an early stage in your healing! You have had allot done, I am sure this is not like your other surgeries! It might be difficult to come to terms with it, but be patient and gentle with yourself and you'll do it! It is especially hard if your used to being active, but by refraining from over doing things now....... will pay out big time in the future! Take that from one who knows first hand!

Sounds like you had some major problems going on before your surgery, remember  that besides the healing from the fusions and the surgery, your body is also trying to heal the damage done before your surgery. This can also take time~

We are all here for you, so when you get really frustrated, come here and vent, we will listen....... and we do understand!  Remember you not alone in dealing with this!

White Beard
Moderator Chronic Pain
I retired from the USAF, in Sept, 1991. I went back to school and became a licensed RN in 1994, I worked on Oncology and Med Surg , I became disabled in late 1999 and was approved SSD in early 2002! Diagnosed with: DDD, herniated Disk at T12, L3/4; C3/4 Posterior Articular Joint fusion Nov 2010; C5/6 ACDF Sep 2009; C6/7 ACDF Mar 1985; Ulcerative colitis; Chronic Pain; Complex Sleep Apnea; and host of other things! I am White Beard with a White Beard!

Post Edited (White Beard) : 6/23/2014 3:52:22 PM (GMT-6)


Taller Now
Regular Member


Date Joined Jun 2014
Total Posts : 290
   Posted 6/23/2014 3:14 PM (GMT -7)   
White Beard, thank you for to the encouragement. I am usually the tough person who gets through stuff and mentally I am struggling right now. I think I would be in a wheel chair down the road if I did not have surgery. I still have left leg sciatica from a failed L5/S1 surgery, but the shot of steroids they gave me at surgery has calmed that down a a bit too. I am thankful that my preop pain for the most part is gone. I do have the bouts of muscle spasm and some nerve pain down my arm shoulder when I over do it (which is minor stuff, but obviously too much). Did you have a bone stimulator? It seems to really make my neck ache. I have to wear it 4 hours a day. I also worry about non fusion since I have osteopororosis (non smoker and health nut my whole life - they don't know why). Doctor said when he put the screws in the vertebrate the 4 on the left side went into soft bone. The 4 on the right were fine. Thanks to all who have replied. I am thankful for this place to vent and ask questions.
C4-7 ACDF with 6 " vertical incision
Osteoporosis / DDD all levels
Failed L5/S1 laminectomy / Discectomy (scar tissue tethered to S1 nerve)
Hysterectomy
Been a fit, health nut my whole life.
Blessed to be with my husband for 38 years.

Taller Now
Regular Member


Date Joined Jun 2014
Total Posts : 290
   Posted 6/23/2014 3:19 PM (GMT -7)   
I should add my neuro said I am a "complicated case" and that while they fused C4-7 my neck is jacked from C2-T1 and he said he was sure he could get my pain down to a manageable level. And biggest deal is getting my bones to fuse. Any suggestions on that too like diet or whatever let me know.
C4-7 ACDF with 6 " vertical incision
Osteoporosis / DDD all levels
Failed L5/S1 laminectomy / Discectomy (scar tissue tethered to S1 nerve)
Hysterectomy
Been a fit, health nut my whole life.
Blessed to be with my husband for 38 years.

Taller Now
Regular Member


Date Joined Jun 2014
Total Posts : 290
   Posted 6/23/2014 3:23 PM (GMT -7)   
And White Beard, thanks for your service for our country. My son-in-law (married to my surgical RN daughter) is a pilot in USAF and currently deployed.

I am a biologist so know just enough to be dangerous when it comes to medical stuff :-)
C4-7 ACDF with 6 " vertical incision
Osteoporosis / DDD all levels
Failed L5/S1 laminectomy / Discectomy (scar tissue tethered to S1 nerve)
Hysterectomy
Been a fit, health nut my whole life.
Blessed to be with my husband for 38 years.

White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3673
   Posted 6/23/2014 5:31 PM (GMT -7)   
No... Taller Now I never did have a bone stimulator for any of my fusions. I think my first fusion at C6/7 was the hardest, as far as recovery goes! They took the bone for the graft from my Iliac Crest on my right side,I thought that was very painful! Also at that time they did not use any hardware to hold it all together, so I had to wear a soft cervical collar for many many months! Talk about having to be careful, it was in the winter in Alaska, and they were so afraid that I would slip and fall on the ice! I also lost my voice right after that surgery and could not talk for around three months. It was a real experience! LOL My other fusions they used cadaver bone for the graft and brackets and screws to hold it all together and that was allot better.

I am sure the most painful one was when they went in through the back of my neck and fused the articular joints at C3/4. I had a long vertical incision from the base of my skull to the top of my shoulder area, forty seven staples I believe! With rods and pins holding it all together! Taller Now you mentioned that you had a six inch vertical scar, is this on the back of your neck? For me that incision was really difficult!

Anyway Hang in there! Were all supporting YOU!

White Beard
Moderator Chronic Pain
I retired from the USAF, in Sept, 1991. I went back to school and became a licensed RN in 1994, I worked on Oncology and Med Surg , I became disabled in late 1999 and was approved SSD in early 2002! Diagnosed with: DDD, herniated Disk at T12, L3/4; C3/4 Posterior Articular Joint fusion Nov 2010; C5/6 ACDF Sep 2009; C6/7 ACDF Mar 1985; Ulcerative colitis; Chronic Pain; Complex Sleep Apnea; and host of other things! I am White Beard with a White Beard!

alize
New Member


Date Joined Jun 2014
Total Posts : 1
   Posted 6/23/2014 6:24 PM (GMT -7)   
Thank you for all your feedback. I had a Anterior and posterior C5-T1 decompression and fusion 2 months ago. This was a result of the first surgery I had last year. This time my pain is terrible and I am codeine for the past two months. My surgeon told me I need to taper it down and stop it by the end of next month. I am worried what I can take for the pain? Tylenol is not strong enough. I also have migraines which trigger off with the pain.
Also since my first surgery I have been dizzy when I walk. I thought this would go away after the second surgery but the doctors are still confused why I have developed dizziness when I walk.
Is anyone else experiencing the same symptoms?
I pray to God that no one goes through any spine related surgeries!

Taller Now
Regular Member


Date Joined Jun 2014
Total Posts : 290
   Posted 6/23/2014 9:02 PM (GMT -7)   
White Beard, I am sorry for all you have had to go through. Yes, icy conditions could be a neck surgery patients worst nightmare! And losing your voice. But I have heard that the posteior approach is much more painful than anterior. My doctor contemplated doing anterior and posterior due to the extensive damage of my spine and then decided to do an extensive anterior approach. I think he is doing that in part in case I don't fuse and he has to go back in, then it would be posterior. Or if my C3/4 gets worse.... But what you went through sounds terrible. How do you deal with the mental
part? I pray, have great friends and family but still find myself pretty bummed out and frustrated instead of being happy that I think he has fixed me .

Alize, I have not had dizziness except when I am on a lot of pain meds. You might try switching pain meds? Codeine will do that to me, so perhaps a different pain med will help you. Try going to a pain management doctor to help you. I have a wonderful one who works with all my pains from my neck stuff pre surgery, to my low back and sciatica, to migraines. And he is the one who finally convinced me to have neck surgery and referred me to one of the best surgeons in my area.

Best wishes - TN

Post Edited (Taller Now) : 6/23/2014 10:06:25 PM (GMT-6)


Abilene
Veteran Member


Date Joined Apr 2014
Total Posts : 945
   Posted 6/24/2014 10:16 AM (GMT -7)   
Taller Now, you certainly did have a lot of work done in your neck! I hope and pray it is fixed for good now! I have no experience with a bone stimulator that you wear for 4 hours a day. Would you describe what that is please? I'm also watching to see if there are any comments about other things that will help fusion to happen. I'm doing well, but if there is any change in diet that would help that, I'd want to do it.

It will be interesting to hear what your doctor says tomorrow. I wonder if it's possible to know if fusion has started before 3 months post-op. That's when I had my first x-rays. Now that I think about it, even then my dr did not say fusion-he just said everything is where I left it. Then at 6 months he could see fusion happening.

Your Alaska trip sounds like a wonderful goal. Is that a cruise?
Posterior C3 - C7 laminectomy and fusion 2 rods and 10 screws, local bone graft from surgery site-lamina and other bony tissue.
Knee and foot surgery
Cataract surgery x2. Felt that I was looking through water post-op. Told it is floaters that I probably had before the surgery and just could not see. I disagree. It's very irritating, worse in bright light. Thankful for my husband of over 40 years

Abilene
Veteran Member


Date Joined Apr 2014
Total Posts : 945
   Posted 6/24/2014 10:24 AM (GMT -7)   
Welcome alize,
Our moderators always ask new members to introduce themselves by clicking on Post New Topic near the top of this page. Then you can explain about your surgery a year ago and more about your recent surgery. Both anterior and posterior....that sounds awful. I'm glad you are able to come here. It's a wonderful place to be encouraged by people who understand. So start your new topic so others will see it and welcome you.
Posterior C3 - C7 laminectomy and fusion 2 rods and 10 screws, local bone graft from surgery site-lamina and other bony tissue.
Knee and foot surgery
Cataract surgery x2. Felt that I was looking through water post-op. Told it is floaters that I probably had before the surgery and just could not see. I disagree. It's very irritating, worse in bright light. Thankful for my husband of over 40 years

Taller Now
Regular Member


Date Joined Jun 2014
Total Posts : 290
   Posted 6/24/2014 11:51 AM (GMT -7)   
Hi Abilene,
Yes, my neck was / is quite the mess. And I will be interested to hear more details about whet they did and what they had to leave as is and what they expect for future pain management. See link to bone stimulator. My insurance wouldn't even pay for it so my doctor got a slightly used one for free. Thankfully since they are about $5000! It seems to increase my pain but not sure if it is the awkwardness of the stimulator or the fact that it is stimulating the bone and perhaps causing pain? I read some articles on bone growth and the first stage is inflammation which brings in the osteoblasts which then lay the way for osteocytes and then the building of bone. And inflammation seems to usually equal pain so who knows? There is controversy about their effectiveness but neurosurgeon is top-notch so I will trust he thinks it is worth it and especially since he went to great lengths to get me one without cost to me. Are you in a collar? Is your pain low at this point? I did also read that the real bone takes a minimum of 6-9 months to be made by the body. And I also read that it takes calcium (and associated vitamins like D, potassium etc) and protein to grow bone. I hope the best for your healing. When was your surgery?
http://www.orthofix.com/products/spine_cervstim.asp
C4-7 ACDF with 6 " vertical incision with plate and 8 screws
Osteoporosis / DDD all levels / lots of herniated disks
Failed L5/S1 laminectomy / Discectomy (scar tissue tethered to S1 nerve)
Hysterectomy
Been a fit, health nut my whole life.
Blessed to be with my husband for 38 years.

Abilene
Veteran Member


Date Joined Apr 2014
Total Posts : 945
   Posted 6/25/2014 9:29 AM (GMT -7)   
It does sound like your doctor is doing all he can for your complicated case. Hope your day is going well with answers to all your questions.

My surgery was last December. I was only in a collar for 2 1/2 weeks, then started gentle PT at 3 months. I started feeling better at close to 4 months. I could not be upright for over 15 minutes without serious pain but getting back to my recliner resolved it. Working in the kitchen for even a short time caused pain-it seemed the head bent over position would get locked in and I could not get it to move until I relaxed in my chair. I do most of our cooking now and only sometimes have to take a break in mid-preparation. My pain level is much better than before surgery. At my 6 month check up recently I told my dr about trying to walk thru a store, my neck gets very tight, stiff and I have to sit down. He started me on muscle relaxers and anti-inflammatory again and that has seemed to help. Just yesterday I made my first grocery trip without a break. I still do not have great stamina but it's getting better. I don't have to nap during the day but I certainly do have to sit and relax often.
Posterior C3 - C7 laminectomy and fusion 2 rods and 10 screws, local bone graft from surgery site-lamina and other bony tissue.
Knee and foot surgery
Cataract surgery x2. Felt that I was looking through water post-op. Told it is floaters that I probably had before the surgery and just could not see. I disagree. It's very irritating, worse in bright light. Thankful for my husband of over 40 years

Taller Now
Regular Member


Date Joined Jun 2014
Total Posts : 290
   Posted 6/25/2014 12:06 PM (GMT -7)   
Hi Abilene,
I just got back from my first post op. It will be 3 weeks tomorrow. He said all my fatigue and pain was normal and said he has had people with just one level complain and take more meds than me. And that the fatigue and pain will continue for the next 3-4 months. He said I have good reason for pain since they removed bone from right and left foraminal areas at 4 levels, plus shaved a lot of bone between vertebrate and in front on vertebrate for spacer and plate prep. That I had extensive spurring and no disks left betwen my vertebrate and they had to move 4 vertebrate to line up like they are supposed to and stretched my neck an inch in height to do that. Because the removed so much bone 100% of the bone for fusing is mine.

They used used 6mm spacer with 100% of my bone between each vertebrate (C4-7) then 8 - 3/4" screws and 2" plate. Bone density was poor on the left side.

He said my difficulty swallowing is not only due to trauma and swelling from surgery but because my esophagus actually rubs against the plate they put in and always will, but is will eventually get used to it. And they had to cut a lot of stuff to do all that. So he said it is okay, take more pain meds and muscle relaxers. Incision looked good, and I guess it is unusual for acdf patients to have the vertical incision like I had but he had to do that since he had to get to both sides of the vertebrate behind the spinal cord.

I must stay in my hard collar 24/7 for the next 3 months and depending on fusion rate may have to wear longer. But because my bones were soft and the extensive work they did it needs to stay immobilized. So no driving in car as passenger for that long either except for short trips as I can tolerate it.

I was also surprised to learn that I should be sleeping on no or very flat pillow only and to keep my head aligned straight with my body. That will be more uncomfortable than my recliner position I have made with pillows...

So I am sure this is way more than you wanted to know..... But maybe it will help someone else who goes through this. I actually feel like I turned a corner yesterday as far as feeling a bit better 😄

Thanks for everyone's input and support and I am here for anyone too. TN
C4-7 ACDF with 6 " vertical incision with plate and 8 screws
Osteoporosis / DDD all levels / lots of herniated disks
Failed L5/S1 laminectomy / Discectomy (scar tissue tethered to S1 nerve)
Hysterectomy
Been a fit, health nut my whole life.
Blessed to be with my husband for 38 years.

Abilene
Veteran Member


Date Joined Apr 2014
Total Posts : 945
   Posted 6/25/2014 1:29 PM (GMT -7)   
This is very good to read. I'm glad you shared it all. I hope it leaves you feeling fully validated to be told by your dr that you have plenty of reason for your pain. You knew that, we knew it, but now your dr has told you the same thing. So are you going to increase your medication that you have been trying to decrease?

I have found a very flat pillow to be most comfortable for me but I thought that was weird. So this is good to know.

I'm so very glad you feel you have turned a corner. That's great! Just be prepared that your recovery may still go back and forth before it's consistently going forward. At least that is my experience.

When do you see your dr again? Thank for all the info.
Posterior C3 - C7 laminectomy and fusion 2 rods and 10 screws, local bone graft from surgery site-lamina and other bony tissue.
Knee and foot surgery
Cataract surgery x2. Felt that I was looking through water post-op. Told it is floaters that I probably had before the surgery and just could not see. I disagree. It's very irritating, worse in bright light. Thankful for my husband of over 40 years

Taller Now
Regular Member


Date Joined Jun 2014
Total Posts : 290
   Posted 6/25/2014 2:45 PM (GMT -7)   
I see him the end of August when he will do an X-ray to look how well my bones are fusing. At that time they will determine my collar status. I don't plan on increasing my meds but may not take them with such reluctance :-) and you are correct, he told me about the back and forth in recovery. He Looked my husband straight in the eye and said "there may be sudden moments when she looks at you out of the blue and says "I have today down" and that will happen for months to come". I sure hope you can keep recovering well!
C4-7 ACDF with 6 " vertical incision with plate and 8 screws
Osteoporosis / DDD all levels / lots of herniated disks
Failed L5/S1 laminectomy / Discectomy (scar tissue tethered to S1 nerve)
Hysterectomy
Been a fit, health nut my whole life.
Blessed to be with my husband for 38 years.

Abilene
Veteran Member


Date Joined Apr 2014
Total Posts : 945
   Posted 6/26/2014 9:48 PM (GMT -7)   
I have a couple more questions. I just reread your note and understand that your own bone scraped off during the surgery was reused for the graft. Is that correct? So that would be the same as my local bone graft using the lamina, thus saving us from having another incision in the hip for bone graft.

Where is your incision? I assume off center but I'm still curious. You are the 2nd one on here now with an anterior vertical incision. Therabidweasle is 7 months post op and having an awful time now.
Posterior C3 - C7 laminectomy and fusion 2 rods and 10 screws, local bone graft from surgery site-lamina and other bony tissue.
Knee and foot surgery
Cataract surgery x2. Felt that I was looking through water post-op. Told it is floaters that I probably had before the surgery and just could not see. I disagree. It's very irritating, worse in bright light. Thankful for my husband of over 40 years

Taller Now
Regular Member


Date Joined Jun 2014
Total Posts : 290
   Posted 6/26/2014 10:06 PM (GMT -7)   
Yes, they removed a lot of bone spurs, prepped the plating area, and bone that had built up between the vertebrate since I had bone on bone and the body reacts by building bone when you lose the cartlage. At first he thought I would only have 85% of my own bone and the rest donor, but it turned out he had plenty to use 100% of my own bone to use. So, yes, better than donor bone. My incision in on the right side of my throat, it angles like your tendons do (further out toward jaw at top and near center of neck at the bottom) in the neck but starts just under my chin(which us completely numb now) and angles towards the middle of my neck to the top of my clavicle. about 6" long. My collar rubs on it at the top so I have to keep it covered even once healed up more. I will look up the other person. Thanks.
C4-7 ACDF with 6 " vertical incision with plate and 8 screws
Osteoporosis / DDD all levels / lots of herniated disks
Failed L5/S1 laminectomy / Discectomy (scar tissue tethered to S1 nerve)
Hysterectomy
Been a fit, health nut my whole life.
Blessed to be with my husband for 38 years.

Abilene
Veteran Member


Date Joined Apr 2014
Total Posts : 945
   Posted 7/2/2014 2:18 PM (GMT -7)   
Hi there,
Hope this finds you continuing to improve, however slowly that may be.
There's another person here facing neck surgery and she has osteoporosis already from taking IV steroids for autoimmune disease for years. Poplar grove expects to have posterior surgery, probably in August if she agrees to this surgery.
Posterior C3 - C7 laminectomy and fusion 2 rods and 10 screws, local bone graft from surgery site-lamina and other bony tissue.
Knee and foot surgery
Cataract surgery x2. Felt that I was looking through water post-op. Told it is floaters that I probably had before the surgery and just could not see. I disagree. It's very irritating, worse in bright light. Thankful for my husband of over 40 years

Taller Now
Regular Member


Date Joined Jun 2014
Total Posts : 290
   Posted 7/3/2014 3:21 PM (GMT -7)   
Thanks for checking in and I will continue to post my progress. I will start a new thread with the title of 4 weeks post op acdf so check that and hopefully it will help others. I think this surgery is BIG and much more than what I thought that is for sure. I hope Abilene that you are doing better.

alepatmat
New Member


Date Joined Jun 2015
Total Posts : 2
   Posted 6/22/2015 6:29 PM (GMT -7)   
Hello,
I just had acdf surgery June 1st on levels 4-7. I enjoyed reading your post as I can relate to being fatigued at this stage. I was told that I was very early in my recovery and to rest when my body tells me. I find when I do this, I feel better. My follow up appointment is in two days so I can see how it's fusing. I am required to wear a bone stimulator for 4 hours a day so hopefully it's working! Does anyone know when it is safe to get out of the sitting up position for sleep? I am starting to have trouble sleeping again, and the soft collar which I have been given permission to use for sleep doesn't feel safe enough for me. I am worried about bending too much without knowing it. I am on Tylenol right now about twice a day, but am noticing more hand, arm and shoulder pain today I am still walking daily, and almost up to 2 miles. When is it safe to stretch those muscles?
Thanks for reading,
Laura
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