Clinical Hub,Patient Education,Health and Nutrition Facts For You,Orthopedics

Home Care Instructions after Spinal Hardware Removal (5127)

Home Care Instructions after Spinal Hardware Removal (5127) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Orthopedics


Home Care Instructions after
Spinal Hardware Removal

Surgical Date: ____________________________________________________________

Doctor: ____________________________________________________________

This handout will review the care you need to follow once you are home. If you
have any questions or concerns, please ask your nurse or doctor. Our staff is here
to help you. If you have questions after you are at home, please call the numbers at
the end of this handout.

Begin the walking program discussed by your doctor when you get home.
Walking is important. Set a time to walk, at least twice each day. Let pain be your
guide. As you get stronger, increase the distance you walk each day. You can
climb stairs.

Day 1 (at home)
Walk 1 block in the morning and 1 block in the afternoon or evening.

After Day 1
Increase the distance you walk daily to your comfort level. You should be walking
1 to 2 miles per day when you return for your next visit.

ξ No driving while taking narcotic pain medicine
ξ No lifting more than 10 lbs (about 1 gallon of milk) for the first 3 weeks
ξ No sports except the walking program until your first clinic visit

Sexual Activity
No sex for 2 week. After 1 week, you may resume sexual activity, if comfortable.

We strongly suggest you quit smoking, avoid tobacco products, and second hand
smoke. Smoking will delay bone healing. It is best not to smoke for at least 4-6
months after surgery.

You may sit for any length of time based on your comfort level. You should
change your position every 30 minutes.

You may shower 5 days after surgery. No tub baths for 2 weeks.

Sleep either on your side, stomach, or back. You may use pillows for support.
Place pillows behind your legs when lying on your back. Place pillows behind
your back and between your legs when lying on your side.

Compression Stockings (TEDS)
To improve blood flow and decrease the risk of getting a blood clot, you need to
wear elastic stockings (TEDS) until you are walking and back to your normal
activities. Remove the TEDS 2 times each day for one hour at a time. You should
sleep with them on. You may wash the TEDS with soap and water. Let air dry.

Incision Care
Proper care of the incision helps to prevent infection.
ξ If the incision is clean and without drainage, you may stop wearing the
dressing after 5 days.
ξ Keep the incision clean and dry.
ξ The incision is closed with sutures under the skin and covered with steri-
strips (small pieces of tape) on the skin. The steri-strips will slowly peel
off as they get wet when you shower. You may gently remove them after
10 days.
ξ Check the incision daily to be sure it is clean and dry. Change the
dressing every other day or as needed
ξ Check for redness, swelling, or drainage. Some redness and swelling is
ξ A small amount of clear or slightly blood tinged drainage from the
incision is normal.
ξ Do not wash directly over the incision. Wash around the incision
gently with soap and water and then let air dry.
ξ Do not use any creams, lotions, ointments, or alcohol near or on the

Take your temperature twice a day for 7 days.

Pain Management
You may have an increase in pain and numbness in the low back and legs during
the healing phase. This is normal and is caused by swelling of tissue in your low
back. To reduce the pain, there are many options to try.

ξ Ice the area for 15-20 minutes as often as needed. Do not put the ice directly
on the skin. Use a pre-made ice pack or put ice in a plastic bag then wrap
the ice pack or bag in a towel before you use it.
ξ Do not sit more than 15 to 30 minutes at a time for the next 48 hours.
ξ Reduce your activity for the next 48 hours (i.e. walking).
ξ Take the pain medicine as prescribed by your doctor.
ξ Do not exceed 3000mg of acetaminophen per day. Percocet® and Vicodin®
also contain Tylenol®. Do not take Tylenol® if you have liver disease
without checking with your doctor first.

The combination of surgery, narcotic pain medicine, decreased activity level, and a
change in your diet, can play a role in getting constipated. It is common to have a
problem with your bowels after surgery. Please see Health Facts for You
Constipation from Opioids (Narcotics) found in the Post-Operative
Orthopedic Spine Surgery Packet.

When to Call the Doctor
ξ Increased pain, swelling or redness in or around the incision area
ξ Sudden increase in pain or pain not relieved by medicine
ξ An increase in the amount of drainage, change in the color of drainage, or
any odor from the incision; Be ready to describe what the drainage looks
like, how it smells, and how much there is.
ξ A temperature above 100.5ºF or 38.1°C for 24 hours
ξ Problems urinating or having control of your bladder or bowel movements
ξ A “new” chest pain or “new” problem with breathing
ξ Redness, warmth or tenderness in the back of the calf of your leg(s)

Return to Work
When you return to work will depend on your recovery and the type of work you
do. Discuss with your doctor before you return to work.

The Spine Clinic staff will be working with you to balance pain medicine, pain
management, and activity. The goal is to taper you off of your pain medicine by 4
weeks after surgery. If you need a refill on your pain medicine, call the Spine
Clinic at (608) 265-3207, Monday through Friday, 8:00 a.m. to 4:00 p.m. and ask
for the nurse. Please call when you have at least a 3 to 4 day supply left of your
medicines. Be ready to give the name and phone number of the drugstore where
you want to pick up a refill.

Future Clinic Visits
The nursing staff will help you schedule your first clinic visit in 6 weeks. All other
clinic visits will be as needed.

Phone Numbers

If you have questions or concerns, please call the Spine Clinic.
Monday through Friday between 8:00 AM and 5:00 PM at (608) 265-3207

Nights and Weekends, call the paging operator at (608) 262-0486. If you live out
of the area, call 1(800) 323-8942. Ask for the “orthopedic resident on call”. Leave
your name and phone number with the area code. The doctor will call you back.

Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 4/2015. University of Wisconsin Hospital
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#5127