Post-operative bone cement procedure?
Hello, my mother has undergone vertebroplasty for a compression fracture of the spine and it has been half a month since the procedure.
Initially, our family was very happy because her quality of life had improved.
However, today she suddenly complained of pain again.
She usually wears a back brace, even while sleeping, but suddenly turning over caused her discomfort.
The attending physician won't be available for a few days, and I really feel helpless.
Lin, 40~49 year old female. Ask Date: 2016/07/06
Dr. Shi Guozheng reply Orthopedics
You can lie down and rest for a while, and if necessary, take pain relief medication.
If you are still feeling very uncomfortable, it is advisable to go to the emergency room for evaluation and treatment.
Reply Date: 2016/07/06
More Info
Post-procedure pain management after vertebroplasty can be challenging, especially when unexpected pain arises after an initial period of improvement. It’s important to understand that while vertebroplasty can significantly alleviate pain associated with vertebral compression fractures, some patients may still experience discomfort due to various factors, including muscle strain, improper body mechanics, or even the healing process itself.
Firstly, it’s crucial to assess the nature of the pain your mother is experiencing. If the pain is localized to the area of the vertebroplasty, it could be due to muscle spasms or strain from movements, especially if she was wearing a brace and then moved suddenly. In such cases, gentle stretching and relaxation techniques may help alleviate muscle tension. Applying heat to the affected area can also provide comfort and promote blood flow, which may aid in healing.
Since your mother is already using a back brace, ensure that it is fitted correctly and provides adequate support. Sometimes, adjustments may be necessary as the body heals and changes. If she is experiencing pain while wearing the brace, it may be worth consulting with a physical therapist or the medical team to ensure that the brace is not too tight or improperly positioned.
In terms of medication, if your mother has been prescribed pain relief medications, ensure she is taking them as directed. Over-the-counter options like acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs) can also be considered, but it’s essential to consult with her physician before making any changes to her medication regimen. If her pain is severe and not managed by her current medications, it may be necessary to reach out to her healthcare provider for advice on adjusting her pain management plan.
Physical therapy can be beneficial in the recovery process. A physical therapist can provide tailored exercises that strengthen the muscles supporting the spine, improve flexibility, and teach proper body mechanics to prevent further injury. It’s important to start with gentle movements and gradually increase intensity as tolerated.
If the pain persists or worsens, it may be necessary to seek an earlier appointment with her physician or a pain management specialist. They can perform a thorough evaluation, including imaging studies if needed, to rule out any complications such as hardware issues or new fractures.
In summary, managing post-procedure pain after vertebroplasty involves a combination of proper medication, physical therapy, and lifestyle adjustments. Encourage your mother to communicate openly about her pain levels and any changes she experiences. This will help her healthcare team provide the most effective care and support her recovery journey. Remember, patience is key, as healing can take time, and it’s important to monitor her progress closely.
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