Post back surgery recovery phase

Hello all!

Hope you're all having a wonderful week so far.

One thing I didn't get to talk about last year was post surgery recovery. I haven't had any major surgeries before, aside from wisdom teeth removal surgery, but back surgery is considered major as it does involve going right into the nerves, muscles and vertebrae. 

Everyone goes through different symptoms post surgery, but I will talk about my experience, now that we are almost 4 months post-op.

The surgery occurred in the early afternoon on a Tuesday. I was home by dinner time on Tuesday evening.

The first thing I did? I went and sat on the chair. I had a bunch of iodine on my back (given I had sensitivity to Chlorhexidine), so the dried iodine remained on my back around the wound site. Hubby went to clean my back with some water and a towel. He was speaking with my parents while doing the cleaning.

Within seconds, I recall their voices getting more and more distorted, sounding further and further away. It was very muffled. I was confused why I was experiencing that. And then it hit me. I started getting really dizzy. I don't know how loud I was talking at that time, but I remember telling them I don't feel so good, and I need to sit on the couch. I asked them to pass me the blood pressure monitor and to put it on my arm.

I remember pressing the button and waiting for the reading. 80/47. A normal blood pressure reading in a healthy individual is 120/80 (reference point). My usual reading is about 100's/60's give or take. So for a reading of 80/47, that was considerably low. I was basically crashing at that point. This is due to a combination of dehydration (no fluids since 9am that morning), and the combination of anesthesia. 

Thankfully I did not vomit or experience a seizure, as laying down did help to get the blood flow going again. I was given some water and soup to help with the pressures. Eventually it did start going up slowly in the 90's and I started to feel better. Once I felt better, I took a quick walk around the house to ensure movement and prevent any clots from happening. 

The next day, I felt very achy in the back. Not pain, just muscle ache. And this is normal. Bending, lifting or twisting is a no-no at this point. Using the bathroom was a challenge. You'd have to be very careful to lower yourself without bending or twisting. At that point I just wished I could hold my bladder forever or put an in-dwelling catheter in myself but that is already risky in itself. This is also when I realize we all take the little things in life for granted. Something as simple as putting socks on, or going to the bathroom.

The site of incision was still covered with a dressing but as the day progressed, I could see the blood start spreading slightly. It wasn't enough that it pooled blood, but it definitely had to be changed at the end of the day.

One thing I also noticed during this time is...my hunger went into hyperdrive. You know the feeling you get when you get really hungry - your stomach growls and hurts at the same time? Yeah, I was getting that every day, at every hour, for about 2 weeks straight. I would eat from the morning all the way to the very early morning the next day. I felt like a pregnant woman (although I really don't know what it feels like), but I was just ALWAYS hungry.

I would be eating, and my stomach would still be growling in pain. It was very strange. I'd eat small meals, large meals, snacks in between. But I was still hungry.

This was the body's way of telling the brain that it needed to repair and recover quick. Even though the incision was about an inch and a half in length, this was not a "natural" part of the body so instead of being normal, it went into hyperdrive and demanded all these nutrients to be consumed so it could repair itself quickly.

For 2 weeks, I ate like I had a baby inside of me. After 2 weeks passed, the hunger did die down quite a lot so I was not eating as much anymore. But man, that was torture.

The no shower part. Yeah it sucked. I was not allowed to have a shower for minimum 72 hours (or 3 days), but after that, I can shower - as long as the wound dressing did not get wet. Considering I was still having some bleeding on day 3, I figured to play it safe and not shower for a few more days. Only thing I could do was a sponge bath on myself. 

By the time day 6 came along, the bleeding had stopped. My hair was more oily that P. Diddy's baby oil supply - I just wanted to shower. That first shower felt super fresh. However I made the mistake of not asking someone to help me because I nearly fell out of the shower. I wasn't really able to bend my legs properly as it would affect my back muscles so when I did that a bit too fast, the pain hit and I nearly lost my balance trying to get out. So yeah, lesson learned - always ask for help, especially at your most vulnerable. 

By the end of the first week, I was able to walk daily for 30 minutes if not a bit more. They say the more walks you can do, the better. But the key thing is, do not just lay there and not do anything. 

Entering the second week was a bit torturous as this was also the menstruation time. Given my history, I was expecting a lot of pain and being in bed all day. However, the anti inflammatory medications I was taking for the back definitely helped with the pain and flow. If anything, it almost stopped the flow. I felt so relieved I didn't have to deal with cramps and back aches during this crucial recovery time. 

I tried to increase my daily walks to hourly everyday, if not more. It was the only thing I could do peacefully without injuring myself. I used a walker to walk around the house, not because I couldn't walk but I didn't want to get dizzy from walking in circles and falling down. Outside of the house, a cane was used for extra balance.

The first two weeks, I was told to not drive or get into a car as a passenger, unless it was for a short trip to an appointment. Otherwise no car rides. I extended this to about 6 weeks of no driving. In between, I did do short trips as a passenger to appointments or to a grocery store but otherwise it was very limited. Considering how bad our roads are (and our drivers), any bumps or accidents on the road is a risk to the recovery period.

After the 2 week period, which I call this the very crucial period, things started to slowly get better. The numbness in my leg that I felt all these years were slowly going away. But of course, the restriction of no bending/twisting/lifting was still in place. I was not able to start formal physiotherapy yet as it was too early. So I stuck with just doing daily walks and light leg stretches. 

By week 4, I had an appointment with the family doctor for a check in, and for some paper works to be completed for my work place. My stitches were looking great. I saw a new physiotherapist to try and see if I could begin some more back stretches as per the surgeon's recommendation. It was only very light back exercises to try and start with the core, nothing too crazy.

By week 6, the formal physiotherapy training began. I also went to see the surgeon for a follow up appointment. The stitches had dissolved by this time and the incision looked beautiful. Restrictions on back to work remained in place, with no nursing duty until summer of 2026. 

By week 9, I gradually returned back to work on desk duty with many restrictions in place. It was still a bit of a challenge because if I sat too long in a chair, my back would start aching. If I walked too long, the back would ache and I'd have to sit and rest. With time though, it would get better, especially with constant physiotherapy.

What I've learned during this phase is to take advantage of these physio stretches and exercises. I couldn't do any of them before, hence why I started losing muscle mass. Now that I can move more, I'm taking advantage of the exercises to work on the muscle strengthening. They also help a lot when my back starts really aching during the day. By the time I get home from work, I have to shower and stretch it out, and it feels a lot better. Movement is the key. 

Although I feel much better than I did 2 weeks post operation, I am always paranoid about slipping or falling, or something suddenly jumping out to scare me. It is very easy to throw one's back out now even if it's 4 months post op. 

The winter weather also doesn't help. Given we had 20 something days of negative weather, this really played against me. My back muscles were always so tight, and it doesn't help I have a sedentary job. Both of those combined together resulted in constant muscle aches, no matter how much I tried to stretch myself. Eventually I brought out the heat pad on my back during the night and it seemed to improve a bit. However, movement is still the key. So this remains an on-going battle.

My motto is, if the surgeon says it takes 3 months to recover, you double it, if not triple it. Don't rush recovery. Your body will thank you.