Post-Surgery Pneumothorax: Can I Play Saxophone Again? - Pulmonology

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Post-pneumothorax surgery


Hello, I am a second-year music student.
Three months ago, I had a spontaneous pneumothorax (on the left side) and underwent surgery.
I would like to ask if I will be able to play the saxophone in the future, as it requires significant effort to exhale and overcome resistance, which involves a large volume of air.
Is there a risk of recurrence or could it lead to a pneumothorax on the right side?
Additionally, regarding my rehabilitation progress, if I start brisk walking now, begin jogging three months post-surgery, and if I can play instruments, gradually start practicing four months post-surgery, would that be too aggressive? I am very concerned about recurrence and am willing to take a more conservative approach to recovery, but I am unsure about the appropriate pace for rehabilitation.
I also do not understand how the strength of my lungs post-surgery compares to before the operation.
Thank you!

michael, 10~19 year old female. Ask Date: 2016/12/07

Dr. Zhou Ziguang reply Pulmonology


Hello: It is recommended to discuss with the surgeon who suggested the operation.
Additionally, you may ask the physician if there are any other pulmonary abnormalities, such as apical blebs, especially if a chest CT scan has been performed.

Reply Date: 2016/12/07

More Info


After undergoing surgery for a spontaneous pneumothorax, it is understandable to have concerns about returning to activities that require significant respiratory effort, such as playing the saxophone. The saxophone, like other wind instruments, demands a considerable amount of air pressure and control, which can be a concern for someone who has had lung surgery.

First and foremost, it is crucial to consult with your healthcare provider or a pulmonologist before resuming any strenuous activities, including playing the saxophone. They can assess your specific situation, including the extent of your surgery, your current lung function, and any potential risks associated with playing a wind instrument. Generally, after surgery for a pneumothorax, patients are advised to avoid activities that could increase intrathoracic pressure, as this could potentially lead to a recurrence of pneumothorax or other complications.

In terms of recovery, the timeline you mentioned—starting with brisk walking three months post-surgery, then gradually moving to jogging, and finally resuming saxophone practice four months after surgery—seems reasonable, but it is essential to listen to your body and proceed cautiously. The lung tissue takes time to heal, and while some patients may feel ready to return to their previous activities, others may need more time.
Regarding the strength of your lungs post-surgery compared to pre-surgery, it is common for lung function to be temporarily reduced following surgery. However, with proper rehabilitation and gradual return to physical activity, many patients can regain their lung capacity. Engaging in pulmonary rehabilitation exercises, which may include breathing exercises and cardiovascular conditioning, can help strengthen your lungs and improve your overall respiratory function.

It is also important to monitor for any signs of complications, such as shortness of breath, chest pain, or any unusual symptoms when you start playing the saxophone again. If you experience any discomfort or symptoms that concern you, it is best to stop and consult your healthcare provider.

In summary, while it is possible to return to playing the saxophone after surgery for a pneumothorax, it should be done cautiously and under the guidance of your healthcare provider. They can help you develop a safe and effective rehabilitation plan that considers your unique circumstances and ensures that you can enjoy playing music without compromising your health.

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