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 is expected within 3 to 6 months post-surgery. <br>If it has been nearly 3 months since November and there has been limited improvement despite rehabilitation exercises, it is advisable to discuss with your physician the possibility of follow-up imag

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 vertebra.
During the surgery, screws and bone cement were used.
About 1 to 2 weeks after being discharged, my father continuously complained of severe pain in his right leg.
He consulted several doctors and even went to the emergency room, but no cause was identified.
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; however, as of January, my father is still unable to get out of bed or sit comfortably.
He complains daily of soreness in his back and legs.
The doctor has recommended physical rehabilitation, and 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 care for himself.
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: 2024/01/05

Dr. Lai Zhaokang reply Neurosurgery

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

Reply Date: 2024/01/05

More Info

Post-surgery recovery, especially after spinal surgery, can be a complex and challenging process. Your father's situation, involving two slipped discs and a fractured vertebra, along with the surgical interventions he has undergone, requires careful consideration and management.

Firstly, it is important to understand that pain after spinal surgery can be multifactorial. The initial pain he experienced in his right leg was likely due to nerve compression caused by the hardware (screws) used during the first surgery. The subsequent surgery to remove the screws was a necessary step to alleviate that specific pain. However, even after the removal of the hardware, it is not uncommon for patients to experience ongoing pain and discomfort as they recover.

1. Pain Management: Post-operative pain can persist for several reasons, including inflammation, muscle spasms, and the healing process itself. It is crucial to manage this pain effectively. This may involve medications such as non-steroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, or even nerve pain medications like gabapentin or pregabalin. If your father is still experiencing significant pain, it may be worth discussing with his physician the possibility of adjusting his pain management regimen.

2. Physical Therapy: The recommendation for physical therapy is standard after spinal surgery. Rehabilitation plays a vital role in recovery, helping to strengthen the muscles that support the spine, improve flexibility, and enhance overall mobility. If your father is unable to get out of bed, it may be beneficial to have a physical therapist assess his condition and develop a tailored rehabilitation program. They can also provide guidance on safe movements and exercises that can be performed while in bed.

3. Psychological Factors: Recovery from surgery can also be influenced by psychological factors. Anxiety about movement, fear of pain, or even depression can hinder recovery. Encouragement and support from family members can be invaluable. It may also be beneficial for your father to speak with a mental health professional if he is feeling overwhelmed or anxious about his recovery.

4. Timeframe for Recovery: Recovery after spinal surgery varies significantly from person to person. While some may start feeling better within weeks, others may take several months to regain their strength and mobility. It is essential to have realistic expectations and understand that healing takes time. Regular follow-ups with his healthcare provider will help monitor his progress and make necessary adjustments to his treatment plan.

5. Lifestyle Modifications: Encouraging your father to engage in light activities, as tolerated, can be beneficial. Simple movements, such as shifting positions in bed or performing gentle stretches, can promote circulation and prevent stiffness. Additionally, ensuring he has a comfortable and supportive environment can help ease his discomfort.

6. Follow-Up Care: If your father's condition does not improve or if he experiences new symptoms, it is crucial to follow up with his healthcare provider. They may consider imaging studies to assess the healing process and rule out any complications, such as infection or further nerve compression.

In summary, while post-surgery pain and difficulty in mobility are common, it is essential to address these issues through a comprehensive approach that includes pain management, physical therapy, psychological support, and regular follow-up care. With time and appropriate interventions, your father can work towards regaining his independence and improving his quality of life.

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Hello: I would like to answer your question directly, but your records indicate that the surgeries were performed at other hospitals, so I cannot provide you with a definitive answer. Wishing you all the best.