the Lockman Decompression System After Disc Surgery - Neurosurgery

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Postoperative Lumbar Decompression System


Hello Doctor: Due to long-term heavy lifting, I have a herniated disc at L3/L4 that is compressing the nerve, so I underwent a discectomy.
The doctor recommended the installation of a Lockman spinal decompression system (out-of-pocket expense).
I would like to inquire how this system is fixed in place, whether I can receive massages or manual therapy after the installation, how long I should wait before riding a motorcycle, and if there are any special precautions I need to take.
Thank you.

DSH, 50~59 year old female. Ask Date: 2020/10/15

Dr. Zhao Shaoqing reply Neurosurgery


Hello: For professional inquiries, please visit the Neurosurgery outpatient clinic at Changhua Hospital, Ministry of Health and Welfare, for assistance.

Reply Date: 2020/10/15

More Info


The Lockman Decompression System is a relatively new approach to spinal surgery, particularly for patients who have undergone disc surgery, such as a discectomy. This system is designed to provide additional support and stabilization to the spine after the removal of a herniated disc. The primary goal of this system is to alleviate pressure on the spinal nerves and promote healing while maintaining spinal alignment.


Understanding the Lockman Decompression System
The Lockman Decompression System typically involves the implantation of a device that helps to stabilize the vertebrae and maintain the proper spacing between them. This device is usually made from biocompatible materials that integrate well with the body and promote bone growth around it. The procedure for implantation usually involves a minimally invasive surgical technique, which means that the recovery time can be shorter compared to traditional open surgery.


Post-Surgery Care and Considerations
After the implantation of the Lockman Decompression System, there are several important considerations to keep in mind:
1. Activity Restrictions: Initially, you will need to limit certain activities to allow your body to heal properly. It is generally advised to avoid heavy lifting, twisting motions, or any activities that could strain your back for at least six weeks post-surgery.
2. Massage and Physical Therapy: While gentle massage and physical therapy can be beneficial for recovery, it is crucial to consult your surgeon or physical therapist before starting any massage or manipulation techniques. They can provide guidance on when it is safe to begin these treatments and what types are appropriate for your condition.

3. Driving and Riding: As for riding a motorcycle or driving a car, this typically depends on your pain levels and mobility. Most surgeons recommend waiting at least 4-6 weeks post-surgery before resuming driving, but this can vary based on individual recovery. Always consult your healthcare provider for personalized advice.

4. Signs of Complications: Be vigilant for any signs of complications, such as increased pain, swelling, or neurological symptoms (like numbness or weakness in your legs). If you experience any of these, contact your healthcare provider immediately.

5. Follow-Up Appointments: Regular follow-up appointments with your surgeon are essential to monitor your recovery and the effectiveness of the Lockman Decompression System. These visits will help ensure that the device is functioning as intended and that your spine is healing properly.

6. Long-Term Care: After the initial recovery phase, engaging in a structured physical therapy program can help strengthen the muscles around your spine, improve flexibility, and reduce the risk of future injuries.

Conclusion
The Lockman Decompression System can be an effective solution for stabilizing the spine after disc surgery, especially for patients with a history of disc herniation. However, it is essential to follow your surgeon's recommendations regarding activity restrictions, rehabilitation, and follow-up care to ensure a successful recovery. Always communicate openly with your healthcare team about any concerns or symptoms you experience during your recovery process. This proactive approach will help you achieve the best possible outcome and return to your normal activities safely.

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