Post-Surgery Low-Grade Fever After Cervical Disc Treatment - Neurosurgery

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Cervical intervertebral disc compressing the nerve?


Hello, I would like to ask if it is normal to experience mild fever symptoms after undergoing cervical radiofrequency ablation for nerve block and epidural injection yesterday.
My temperature was around 37.2 to 37.7 degrees Celsius in the recovery room.
Thank you!

Sandy, 20~29 year old female. Ask Date: 2023/08/24

Dr. Zhang Junwei reply Neurosurgery


It should be fine.

Reply Date: 2023/08/24

More Info


After undergoing cervical disc treatment, experiencing a low-grade fever can be a common occurrence, particularly in the immediate postoperative period. It's important to understand the context of your symptoms and the potential reasons behind them.

Firstly, a low-grade fever, defined as a body temperature between 37.2°C (99°F) and 37.7°C (99.9°F), can be a normal physiological response following surgery. This response may be due to several factors:
1. Surgical Stress Response: Any surgical procedure, including cervical disc treatments, can induce a stress response in the body. This response can lead to the release of inflammatory mediators, which may result in a mild elevation in body temperature.

2. Anesthesia Effects: The use of anesthesia during surgery can also contribute to postoperative symptoms, including fever. Anesthesia can affect the body's thermoregulation, leading to transient changes in body temperature.

3. Infection: While a low-grade fever can be benign, it is essential to monitor for signs of infection, especially if the fever persists or is accompanied by other symptoms such as increased pain, redness, swelling at the surgical site, or systemic symptoms like chills or malaise. Infections can occur postoperatively, and early detection is crucial for effective management.

4. Inflammation: The procedure itself may cause localized inflammation, which can lead to a mild fever. This is often part of the healing process as the body responds to the surgical intervention.

5. Hydration and Activity Levels: Post-surgery, patients may experience changes in hydration status or activity levels, which can also influence body temperature. Ensuring adequate hydration and gradually increasing activity can help mitigate these effects.

In your case, since you mentioned that your temperature was recorded at 37.5°C in the recovery room and has been fluctuating between 37.2°C and 37.7°C, this is generally considered within the normal range for postoperative patients. However, it is crucial to keep an eye on your symptoms. If your fever persists beyond a few days, or if you develop additional symptoms, it would be advisable to contact your healthcare provider for further evaluation.


Recommendations:
- Monitor Symptoms: Keep track of your temperature and any accompanying symptoms. If you notice a significant increase in temperature (above 38°C or 100.4°F), or if you experience other concerning symptoms, seek medical attention.

- Stay Hydrated: Ensure you are drinking plenty of fluids, as dehydration can exacerbate feelings of malaise and contribute to fever.

- Rest: Allow your body to recover by getting adequate rest. Avoid strenuous activities until you receive clearance from your healthcare provider.

- Follow-Up: Attend any scheduled follow-up appointments with your surgeon or healthcare provider to discuss your recovery and any concerns you may have.

In conclusion, while a low-grade fever after cervical disc treatment can be a normal response, it is essential to remain vigilant for any signs of complications. If in doubt, do not hesitate to reach out to your healthcare provider for personalized advice and reassurance.

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