Post-Surgery Recovery: Why Can't My Father Get Out of Bed?

Q: Post-Surgery Recovery: Why Can't My Father Get Out of Bed?

Hello： Generally, improvement occurs gradually within 3 to 6 months post-surgery. <br>If it has been nearly 3 months since November and the improvement is limited despite rehabilitation exercises, it is advisable to discuss with your physician whether to pursue follow-up imaging

There has been improvement after the surgery, but the patient is still unable to get out of bed?

Last September, my father underwent spinal surgery due to a car accident, which involved two vertebrae slipping and one fractured.
During the procedure, screws and bone cement were used.
About 1 to 2 weeks after being discharged, my father kept complaining of severe pain in his right leg.
He consulted several doctors and even went to the emergency room, but no one could identify the cause.
After another two weeks of pain, he finally saw a doctor who diagnosed that the screws were pressing on a nerve, causing the pain in his right leg.
Consequently, he underwent a second surgery in November of the same year to remove the screws.
Post-surgery, the pain did improve significantly, but now, in January, my father still cannot get out of bed or sit comfortably.
He complains daily of back and leg soreness.
The doctor has advised him to engage in physical rehabilitation.
I would like to ask—post-surgery soreness is expected, right? However, it shouldn't be to the extent that he cannot get out of bed or be self-sufficient.
What steps can be taken to alleviate his condition, and how long might it take for the soreness to improve?

Chen, 60~69 year old female. Ask Date: 2024/01/04

Dr. Lai Zhaokang reply Neurosurgery

Hello: Generally, improvement occurs gradually within 3 to 6 months post-surgery.
If it has been nearly 3 months since November and the improvement is limited despite rehabilitation exercises, it is advisable to discuss with your physician whether to pursue follow-up imaging to assess the details of internal healing.
Wishing you a speedy recovery.
By Dr.
Lai Chao-Kang, Changhua Hospital.

Reply Date: 2024/01/04

More Info

Post-surgery recovery, especially after spinal surgery, can be a complex and challenging process. Your father's situation, where he continues to experience significant pain and is unable to get out of bed several months after surgery, raises several important considerations.

Firstly, it is not uncommon for patients to experience pain after spinal surgery, particularly if there were complications such as nerve compression from hardware (like screws or rods) used during the initial procedure. The fact that your father underwent a second surgery to remove hardware suggests that there was a significant issue that needed addressing. While it is positive that his pain has improved since that surgery, the ongoing inability to get out of bed and persistent discomfort in his back and legs could be attributed to several factors.

1. Postoperative Pain Management: After spinal surgery, patients often experience pain due to inflammation, muscle spasms, and the healing process itself. Pain management is crucial during this phase. If your father is still experiencing significant pain, it may be necessary to revisit his pain management plan with his healthcare provider. This could involve adjusting medications, incorporating physical therapy, or exploring alternative pain relief methods.

2. Physical Therapy and Rehabilitation: The recommendation for physical therapy is standard after spinal surgery. Rehabilitation is essential for regaining strength, flexibility, and mobility. If your father has not yet started physical therapy or if he is not compliant with the prescribed exercises, this could hinder his recovery. A physical therapist can provide tailored exercises that are safe and effective for his condition, helping to alleviate pain and improve function.

3. Psychological Factors: Pain and the inability to move can also lead to psychological factors such as anxiety and depression, which can further impede recovery. It is important to address these aspects as well. Encouraging your father to engage in light activities, even if they are not physically demanding, can help improve his mood and outlook on recovery.

4. Underlying Conditions: It is also essential to consider whether there are any underlying conditions that could be contributing to his pain and immobility. Conditions such as arthritis, nerve damage, or even complications from the surgery itself (like infection or improper healing) could be factors. If his pain persists, further imaging studies or evaluations may be necessary to rule out these issues.

5. Timeframe for Recovery: Recovery from spinal surgery can vary widely among individuals. While some may start to feel better within weeks, others may take months to regain their strength and mobility. It is essential to have realistic expectations and understand that recovery can be a gradual process. Regular follow-ups with his healthcare provider will help monitor his progress and make necessary adjustments to his treatment plan.

In conclusion, your father's inability to get out of bed and ongoing pain should be taken seriously. It is crucial to maintain open communication with his healthcare team, ensure he is receiving adequate pain management, and actively participate in physical therapy. Encouragement and support from family members can also play a significant role in his recovery journey. If his condition does not improve, it may be necessary to seek a second opinion or further evaluation to address any underlying issues.

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