i am now in On my way! Week 4 after a L4/5 spinal fusion and a total disc replacement of L5S1
my pre operative condition : I had sever degeneration of L4/5 and moderate degeneration of L5/S1 and have been going through chronic sciatic pain mostly down the left side and pack pain for about 4 years. Sitting can trigger pain symptoms and I Ve had spinal injections iacet joint injections or nerve root injections which were only providing me short term pain relief. I had a discectomy 2 years ago which didn't help much
post operative rcovery
i am now in week four after the spinal fusion .. the surgery was performed in a private hospital in Randwick, Sydney, Australia, by a very good neuroscience surgeon. Theirs is anterior approach to spine -approach through the stomach.. I have a 12cm long incision from my navel downwards , through which the degenerated discs were removed and implant placed and fused plus total disc replacdment for l5
I was in the hospital for 6 days.
week 1: I was on morphine IV for 5 days to manage the stomach pain and back pain. Also, started to walk using a walker the next day. From day 3 onwards I was walking unassisted, but the pain, mostly in the tummy was still there, making it difficult .. I didn't feel much back pain.
walking gets better day by day and the pain symptoms have started improving
week 2 and 3 at home: assisted by palexia (pain killer similar to oxycodone) and few panadols, mobillity and sleep improved, but had been advised to be very careful and not to Bend, twist or lift anything.
those medicated can wear you out and i felt really tired for few days and my energy levels were very low in week 1 and 2.gradually,
sleep improved , energy levels and the bowel movements improved with some stool softeners. I was constipated for the first 4days in the hospital due to heavy medication, which is expected
there have been infrequent nerve pain on my left leg , hip, glute as well with increased mobility, which is not uncommon.
my walking improved and I have been walking 2-3kms everyday.. just be careful, downhill walking can be tricky as I I felt bit unstable... the last thing you need here is a fall, and you are on your way back to the hospital again.. so be careful
my tummy wound has healed well and now I have started doing aqua therapy-gentle walks in the swimming pool.. this makes a huge difference, and I felt great after couple of sessions and I continue with it 3days a week plus my walks.
i have now reduced my palexia dosage to just50 mg per day and have been feeling ok.
my back is still stiff and sore sometimes, I will only starting Physio after 6 weeks. No other excercises are allowed, no sitting for more than say 20-30 mins.. feel a bit sore after that.. and I rest twice during the day by lying down and a bit of snooze.
if you have any questions, I am happy to answer