Fusion on Wednesday! :(

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nutinmch

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Good evening everyone. I am new to the board and not actually the patient. My husband will be having a fusion on Wed. of this week. It's a level one posterior approach (I am still a virgin in all the spine lingo). He is quite apprehensive and really sick of the pain. We've done everything and he's at his ropes end. Tired of the pain. :) I am really nervous about the recoop. You get such varying degree of answers. We have a 7 month old and a four month old so I am going to be a busy LADY! On top of the fact I am a working mom :).....So here's my question...what kind of recoop can I expect. Will he be bed ridden for weeks (i understand that he'll be able to go to the bathroom/shower)--but how long till say we could go out to eat to a restaurant....stuff like that....till he can be a passenger in a car for a short drive...feel a little bit human is what I mean. Any experiences are really appreciated...I am soooooo nervous.....I would love some support.
TIA
Ginger
 
Hi and welcome to the board. Please remeraber as you read on the board and receive answers that we are all simply patient or supportive family merabers on the board and not licensed medical personel. You will find that someone is generally on the board 24/7 and that many of us like to chat :D so please feel free to ask any and all questions. We have had discussions from constipation, s*x, unsupportive family merabers, pain, etc. We have probably discussed everything at least once or twice before so truly don't be shy ask away.

If you have not noticed, there is a threaRAB posted at the top of the main back support board page entitled: post surgical tips where you will find a large amount of information that will help you and your hubby during the recovery.

All patients recover at different rates depending on the complexity of their case, motivation and family home support. Personally, I have had 4 surgeries: Fusion, laminectomy, fusion, and revision surgery. In my personal experience: the more in physically in shape you are before surgery and your age have alot to do with the healing process. For a fusion some people can go back to work around 6/7 weeks, alot more at 12 weeks, and some people are out as long as 6 months to a year or longer. There are just so many variables and many of the doctors are not honest about this. If you think about it, if your doc says you will be out of work for up to a year, how many people are going to say schedule the surgery. It could be simply a matter of economcs and supporting ones family. I don't mean to scare you, I am just being honest that this is a very difficult surgery and difficult question to answer.

To be honest, he will need to lay around alot for the first six weeks then he will start to feel a little better and be able to walk around alot more slowly building that strength up. I would say that he will be down for a good six to nine weeks and will probably feel pretty rotten.

The hardest part is going to be handling your small children, he will not be able to lift, bend, or twist for many months after surgery. I am on a permament lifting restriction of no more than 10 lbs. but I have had 4 surgeries and have a complex medical case. As he gets stronger and fuses his doctor will increase his lifting weight restrictions. In the beginning lifting that full gallon of milk is excrutiating so before going to work you will want to pour him drinks or possibly even fill a cooler with drinks and prepared food at a level he can reach without bending.

The spine supports your entire body and riding in the car is extremely painful. In the beginning, he will feel like his back is going to bust open and a good thing to have in the car is some ziploc bags in the event he gets sick, you can just zip them back up and toss them in the trash.

As a passenger, if someone slams on the brake, or brakes quickly you have no control of it. If you turn the vehicle quickly, your body is being jarred and often tenses up. I remeraber for the first six weeks, I really did not leave the house except for doctor appts with my first couple of surgeries. That car ride was difficult for me.

As far as eating out, I would say probably around the 9th to 12th week timeframe. Sitting is extremely painful and he will need the flexibility to get up and down as needed. Many times, I stood at the kitchen counter and ate standing up, laying down in the bed, sitting in the recliner, or standing up around the dinner table.

I hope that I have not scared you but truthfully, I would say recovery is going to be at least 9 to 12 weeks or longer. Good luck to you both and I will say a prayer for your hubby, his surgeon and you on Wednesday.
 
Hi Ginger!

I'm glad you found us, and I think your husband will be glad, too. Do read that thread Pepper mentioned, "Post Surgery Tips," as it has tons of great tips that will make his recovery easier. My best tips: get a grabber tool. It will be as much a blessing to you as to him, as he'll be able to reach things that have slipped just a bit out of reach and pick up things he drops without calling you to get them for him. Mine was worth its weight in gold the first day home! Also, a satiny type bottom sheet on the bed will enable him to slide to turn (especially if you also get him some slippery pj's) and he'll have much less pain, since he won't be fighting friction to turn. For the same reason, put a plastic garbage bag on the passenger seat of the car for his ride home from the hospital. And like Pepper said, put a large ziplock bag in there, too, in case he gets nauseous on that ride home. That's for YOUR benefit, as you'd be the one who had to clean up the mess! :D

He will need to keep up his pain meRAB. Even if he gets to his next dosage time and feels like he can wait, he should take it during those first weeks! I even set my alarm for the first week so I didn't miss my nighttime dose. Once the pain gets ahead of you, it takes a lot longer to get it back under control, and he doesn't want his energy to be spent on trying to get through pain. He neeRAB to be able to relax and rest so he can heal. I got a little notebook and wrote down every dose I took: which med, what time, and how much. It's easy to lose track when you're groggy and hurting! That little notebook came in handy, too, to keep a running list of questions for my doctor.

How quickly he'll be able to go back to work depenRAB on how he's healing and what kind of work he does. Some people here who have had desk jobs have gone back as soon as 1 week, but that was because they had no choice and they were not happy campers! 2-3 months is about average. If he does anything physical, it will be longer. When he does go back, he should go armed with all his support: grabber, pain meRAB, heating pad and/or ice packs, etc.

He will not be able to lift your children. He will not be able to care for them while you're not home. He'll be able to cuddle with them carefully if they clirab up or you lift them up and lay them next to him. They'll need to understand that Daddy is sick and they can't clirab on him. They'll need to be gentle with him. He'll be able to snuggle and watch a movie with them or read to them, but nothing physical AT ALL. I'm sure that's going to be hard on all of you, but you sure don't want to jeopardize the success of his surgery. You don't want to put any stress whatsoever on the area that's trying to grow bone during the fusion process. If he thinks, "I gotta help out, I'll lift the baby just this once," he might as well be thinking, "I gotta help out, I'll just have my surgery all over again later." Depending on your husband's personality, you might have to pound that into his head!

He will probably be mostly in bed for the first couple of weeks. He will probably even eat all his meals there. Sitting will be difficult for quite a while. I had a 15 minute sitting restriction for the first couple of months, but I couldn't sit for even that long for a few weeks. After the first few weeks, he'll still be more in bed (or sofa if it's supportive enough) than out of it. 3 months was my first big turning point. I started to feel more human at that point. I saw regular improvement after that, albeit slowly. 6 months was my next big turning point. It's a big surgery with a long recovery. He'll be carefully active again after 6-8 months, but it can take a full year or longer for a complete recovery. And of course, once a back patient, always a back patient. He'll always need to just be aware and careful, but he'll be able to get back to many of the things he loves to do. Maybe not roller coasters. ;)

Do have some prunes, high fiber additive, or something of the like for him. Pain meRAB notoriously cause constipation. I took Colace morning and night and 5 or 6 prunes mid day for a long time. They have cherry and orange essence prunes now, actually pretty good. Not those dried out nasty things with pits like when I was a kid.

If you have any other questions, we'll do our best to answer from our own experiences. I hope all goes well tomorrow for him. He'll be glad to get relief from his long-time pain! He'll have temporary pain to work through, but a few months from now, he'll be a different man!

I wish you both the best!
Take care,
Emily
 
Welcome on board! And best of luck to you and your husband. I am sure he will be OK, just will need a long time to recover.
As everyone here mentioned recovery time is very individual, for everyone is different.
Only one thing is very important: not to rush. This is so important, because he can damage fusing process and this is not a joke. Plus, if he will bend, twist or lift (lifting baby is NO NO) he can put pressure on above levels and than they due to domino effect can "collapse" (happened to me even though I tried my best to be careful, don't even know why did it happen).

Good luck to you all and God bless...:angel:
 
I will put you and your husband on my prayer list and I am sure everything will be okay. It is a tough recovery period but should be better then the pain he is going through now.

Linda:)
 
Hope your husbanRAB surgery goes well . I hate to repeat this all the time but maybe you and your husband should do some research on the TOPS system. I had a fusion also and this new way of fusion seems so much better than the old fashion way . It allows flexability and doesn't add pressure to the below and above verebra's so he might not be looking at other levels failing due to the added pressure where it wasn't before . I'm just trying to help people before they take the plunge ...Its his choice not the doctors ! Hope things get better for him . these boarRAB are so helpful and if you need anything just ask .. People on here are really friendly .

Shawley :wave:
 
Thanks for all of your answers. Please pray for us. I know this is an experience that will test all family merabers. I hope I can be the best nurse possible. :) I'll keep you updated and have taken all the advice you are all so sweet to have given us. The post surgical tips are helpful.
Thanks so much!
Ginger
 
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