Post-Operative Symptoms After Anterior Cervical Discectomy: What to Expect?

Q: Post-Operative Symptoms After Anterior Cervical Discectomy: What to Expect?

Hello： A few individuals may suggest starting rehabilitation first. <br>Wishing you all the best. <br>// Dr. <br>Chao-Kang Lai, Department of Spine Surgery

Inquire about the postoperative sequelae of anterior cervical discectomy?

Hello Doctor: My father is currently in his 50s and has experienced an inability to move his neck up and down or side to side.
After visiting the hospital, the doctor recommended surgery, and he underwent posterior cervical foraminotomy from C3 to C7 on March 6 and anterior cervical discectomy on March 12.
After the first surgery on the posterior cervical spine, he only experienced pain with no other discomfort, and his limb mobility was largely unaffected.
However, after the second surgery on the anterior cervical spine, my father developed weakness and soreness in the proximal muscles of both arms (upper arms) and shoulders.
The surgeon explained that the postoperative X-rays did not show any signs of nerve swelling or damage, so it is suspected that the positioning during the anterior cervical surgery may have caused muscle tightness and weakness in the shoulder area.
I would like to ask if these symptoms are normal and whether regular rehabilitation exercises would help improve his condition.

H, 20~29 year old female. Ask Date: 2018/03/19

Dr. Lai Zhaokang reply Neurosurgery

Hello: A few individuals may suggest starting rehabilitation first.
Wishing you all the best.
// Dr.
Chao-Kang Lai, Department of Spine Surgery

Reply Date: 2018/03/19

More Info

Post-operative symptoms following an anterior cervical discectomy can vary widely among patients, and it is not uncommon for individuals to experience discomfort or unusual sensations after surgery. In your father's case, the symptoms he is experiencing—specifically weakness and discomfort in the proximal arms and shoulders—are not unusual, especially after undergoing significant surgical procedures on the cervical spine.

Understanding Post-Operative Symptoms
1. Surgical Positioning: The positioning during surgery can lead to temporary muscle tightness or strain. During anterior cervical discectomy, the patient is often placed in a position that may put stress on the shoulders and upper back. This can result in muscle soreness or weakness post-operatively, which may take time to resolve.

2. Nerve Irritation: Although the X-rays may not show any nerve swelling or damage, it is possible that the nerves could still be irritated from the surgical manipulation. This irritation can lead to sensations of weakness or discomfort in the arms and shoulders.

3. Muscle Recovery: After surgery, the muscles around the surgical site may be weak or fatigued due to disuse or the surgical procedure itself. This can lead to feelings of weakness or discomfort, particularly when performing activities that require shoulder and arm strength.

4. Rehabilitation: Engaging in a structured rehabilitation program is crucial. Physical therapy can help strengthen the muscles around the neck and shoulders, improve range of motion, and alleviate discomfort. It is essential to follow the rehabilitation plan provided by the healthcare team, which may include exercises to enhance flexibility, strength, and overall function.

Recommendations for Management
1. Physical Therapy: Encourage your father to participate in physical therapy sessions. A physical therapist can provide tailored exercises that focus on strengthening the shoulder and arm muscles, improving posture, and enhancing overall mobility.

2. Pain Management: If your father is experiencing significant discomfort, discussing pain management options with his healthcare provider is essential. This may include medications, ice/heat therapy, or other modalities to help alleviate pain.

3. Monitoring Symptoms: Keep track of any changes in symptoms. If the weakness or discomfort worsens or if new symptoms arise, it is crucial to consult with the surgeon or a neurologist to rule out any complications.

4. Gradual Return to Activities: Encourage your father to gradually return to his normal activities as tolerated. It is important to listen to his body and avoid overexertion, which could exacerbate symptoms.

5. Follow-Up Appointments: Regular follow-up appointments with the surgeon or healthcare provider are essential to monitor recovery and address any concerns. These visits can help ensure that the healing process is on track and that any necessary adjustments to the rehabilitation plan can be made.

Conclusion
In summary, the symptoms your father is experiencing after his anterior cervical discectomy are not uncommon and can often be attributed to surgical positioning, nerve irritation, and muscle recovery. Engaging in a comprehensive rehabilitation program, monitoring symptoms, and maintaining open communication with healthcare providers will be vital in managing his recovery. With time and appropriate care, many patients see significant improvements in their symptoms and overall function.

Similar Q&A

Post-Surgery Recovery: Understanding Symptoms After Cervical Spine Surgery

Hello Dr. Chiu, I have been experiencing tremors in my right hand while writing and pain in the palm that prevents me from holding a pen for about ten years. Earlier this year, I began to have sharp pain in the little fingers of both hands, along with a tingling and burning sens...

Dr. Qiu Yushu reply Neurosurgery
Hello: Please visit the outpatient clinic for an examination to confirm the level of recovery. Wishing you good health!

Managing Post-Surgery Complications After Cervical Disc Replacement

Hello Doctor, I have a herniated disc at the C5-C6 level, which has caused severe pain and numbness radiating from my left shoulder, back, arm, and fingers. After undergoing artificial disc replacement surgery, the symptoms on the left side were immediately relieved. However, I a...

Dr. Zhang Junwei reply Neurosurgery
After surgery, the emergence of new symptoms usually indicates that there may be an issue in certain areas. It is advisable to discuss any subsequent treatment for your condition with the original surgeon, as other physicians typically do not intervene in such cases.

Understanding Post-Surgery Symptoms After Cervical Spine Surgery

Hello Doctor: I have seen many doctors, but in fact, each doctor's opinion is different. In March 2016, I sustained an injury during a chiropractic session, and the next day, when I tilted my head down and tried to lift it, I experienced shaking. An MRI showed mild cervical ...

Dr. Lai Zhaokang reply Neurosurgery
Hello: 1. It is recommended to follow up with a cervical spine MRI. 2. If there are concerns about lumbar spondylolisthesis, a dynamic X-ray evaluation of the lumbar spine in extension should be performed. Best wishes, Dr. Lai Chao-Kang, Neurosurgeon.

Post-Surgery Complications: Persistent Pain and Numbness After Spinal Surgery

Hello Doctor: I underwent surgery due to calcification of the posterior longitudinal ligament in my cervical spine, specifically at the C3-4-5 levels, where an artificial disc was placed at the C4 level. It has been nearly four and a half months since the surgery, and during this...

Dr. Lai Zhaokang reply Neurosurgery
Hello: I am not the doctor who performed your original surgery. I would like to help you, but your description is too brief for a professional assessment. I recommend that you first consult with the surgeon who performed your initial procedure. If you do not receive the explanati...