Healing and Recovery
Healing is the body's
natural process of restoring its damaged tissues to a normal or nearly
normal state. Although healing may be improved by general good health,
proper nutrition, rest, and physical fitness, it will occur without
your having to work at it.
Recovery is the
process during which you work to become well. It requires a gradual
but persistent effort to increase physical strengths and minimize weaknesses.
You must concentrate on what is improving, rather than on what symptoms
remain. This focus on progress that has been made, combined with the
constant effort to improve, make up the positive attitude that will
speed your return to normal daily activity.
Hospital Recovery
It is normal to have pain after the operation, especially in the incision
area. This does not mean that the procedure was unsuccessful or that
your recovery will be slow. Pain in the neck or arms is also not unusual,
caused by inflammation of the previously compressed nerve. It will slowly
lessen as the nerve heals. Medication will be given to control pain.
Moist heat and frequent repositioning may also help.
Numbness or tingling sensations are often the last symptoms to leave.
Numbness, which lingers in parts of the arm or fingers usually is no
cause for worry and should gradually go away.
You may move about in bed and rest in any comfortable position when
you have recovered from anesthesia. Walking may begin within several
hours. The easiest way for you to get out of bed is to raise the head
of the bed as far as it will go, and then swing your legs to the floor.
Avoid pulling up from a flat position.
Gradually increase
the amount of walking you do each day. Since it may at first be painful,
try making short trips. Begin with a trip to the bathroom, then to the
door, and later out into the corridor. Sitting and standing also require
a gradual pace. If discomfort occurs, change positions frequently.
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Usually you may take a shower the day after surgery. This will make
you feel better and should be done with the dressing left in place to
protect the incision. Your nurse will change the dressing afterwards.
Intravenous (I.V.) fluids will be ordered during the early recovery
period and continued until you can tolerate regular liquids without
nausea or vomiting. Your diet will then be adjusted back to normal as
your appetite returns. Constipation will be treated with laxatives and
a diet of whole grain cereals, fruits, and fruit juices.
It is normal to feel discouraged and tired for several days after surgery.
These feelings may be your body's natural reaction to the cutback of
extra hormones it put out to handle the stress of surgery. Although
emotional let-down is not uncommon, it must not be allowed to get in
the way of the positive attitude essential to your recovery and return
to normal activity.
The hospital stay for anterior cervical fusion patients usually lasts
1 or 2 days. This will be determined by your progress and by the amount
of comfort and help available to you at home.
Home Recovery
Daily walking is the best exercise. Try to increase your distance a
little each day, setting a pace that avoids fatigue or severe pain.
You may climb stairs when you feel able.
Sexual relations
may be resumed during the recovery period, but positions that cause
pain should be avoided.
"Listen" to your
body. Discomfort is normal while you gradually return to normal activity,
but pain is a signal to stop what you are doing and proceed more slowly.
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Your doctor will help determine when you can return to work and with
what limitations. If a work release is required, it will be given to
you during the first post-operative visit.
Drive a car only when you have recovered full coordination and are experiencing
minimal pain. Do not drive after taking pain medication.
You should gradually use less pain medication while recovering at home.
This can be accomplished by increasing the amount of time between taking
pills, then by reducing the number taken each time. A certain amount
of discomfort and pain can be expected until the inflammation and nerve
sensitivity have subsided. Heat, exercise, massage, and short rest periods
will also help relieve pain.
If the skin sutures were removed before your discharge from the hospital,
it is not necessary to keep the incision covered. Unless instructed
otherwise, you may take a daily shower or tub bath, which will help
you feel better. Let the water run over the incision, but do not scrub
or rub over it. Pat it dry. After bathing, massage lotion over the tightened
neck muscles.
If you notice increased redness, swelling, or any drainage around the
incision after leaving the hospital, notify your doctor.
A well balanced diet is necessary for proper healing. Include foods
from each basic food group: dairy products, meats, vegetables, and fruits.
Since you will be less active during recuperation, avoid rich, heavy
foods and those high in calories but low in nutrients.
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