From the Research
After an endoscopic discectomy, patients should follow a structured recovery plan, prioritizing rest, pain management, and gradual return to activity, as supported by the most recent study on the topic 1. The recovery plan should include:
- Rest for the first 24-48 hours
- Gradually increasing activity while avoiding bending, lifting objects over 5 pounds, and twisting for 2-4 weeks
- Pain management with acetaminophen (500-1000mg every 6 hours) and NSAIDs like ibuprofen (400-600mg every 6-8 hours) for 1-2 weeks
- Prescription medications like tramadol (50mg every 6 hours) may be needed initially
- Keeping the incision site clean and dry for 48 hours, then showering normally but avoiding baths for 2 weeks
- Watching for signs of infection (increased pain, redness, drainage, fever) or nerve complications (new numbness, weakness, or bladder/bowel issues) Most patients can return to desk work within 1-2 weeks and more physical jobs in 4-6 weeks, as reported in a study on postoperative outcomes 2. Physical therapy often begins 2-4 weeks post-surgery to strengthen core muscles and improve flexibility, which helps prevent future disc problems by supporting the spine properly, as noted in a study on longitudinal outcomes 3. Proper hydration and nutrition also promote healing of the surgical site and surrounding tissues. It is essential to consider the patient's overall health, surgical factors, and anesthesiologist factors when determining the best anesthesia method for full-endoscopic lumbar discectomy, as discussed in a review of anesthesia methods 1.