OTA-209 BACK DISORDERS SUPPLEMENTAL HANDOUT - DONNING A TLSO - BACK PRECAUTIONS FOLLOWING SURGERYAlways wear your back brace whed are in en upright position. ‘Always put on / take off your back brace while laying down. ‘Make sure the back brace is on-snug be tight to offer the support you 2. With: -the concave side of the brace t. patient's back -the point of the brace toward th head -the curve of the brave over the patients hip the lower side of the brace is slid under the patient until the brace i centered on the patients back ( the brace should be in fine with spine). 3. Patient rolls onto other side to allow assistant to farther center brace. 4: Patient rolls onto back: 5. Front part of brace is placed on stomach with the point facing d flat part up. ~ 6, Front part of brace goes over back!portion, 7. Line up curves of back and front portion. - * 8. Pull straps from bottom over top ahd thread through buckles on other side, 9. Pull tight and fasten. HOVE IFrlaue you * Reverse steps to take brace off. ly. Itneeds to need. fe patients I pushed middle of Patients ents and the’3 purora Health Cares For Your Well Being eww. AuroraHealthCare.org Post Surgical Spinal Precautions - Lumbar Surgery 1, Do not bend forward at the waist more than 90° or raise knees higher than hips. 2. Do not lift more than 10 pounds. 3. Do not fwist trunk while performing any activity. Continued ise Gor ODEAHE SePost Surgical Spinal Precautions, Page 2 4, Do not eross knees or ankles while sitting, standing or lying 5. Always log roll out of bed. Have a for comfort and to help maintain Tip: Change positions often and alternate rest (sitting and lying down) with activity (walking and exercise) to increase comfort. Avoid sitting and standing for long periods of time. The information presented i Intended for general information and educational purposes. It is not intended to replace the advice of your health care provider. Contact your health care provider if you believe you have a health problem. ‘Aurora Health Cars a nt-for profit health care previder and a national leader in efor to improve the quality of health care. OSGI Ree AMVOIC sme‘Understanding Back Precautions Spinlal Fusion Surgery, logrolling, walk Page 1 of 9 HealthPages.org | Health Information You Can Use FitnessExercise, Fitness ¢ NutritionWeight Management Health A- i Healthy LivingHealthy Lifestyle Tips Self CareSelf-care Tips « Health CareHealth Resources si ari [Cicgh Custer Search __]fSeareh: + Email « RSS Understanding Back Precautions for Spinal Fusion Lumbar Spinal Fusion Table of Contents http://healthpages.org/lumbar-spingl-fusion/understanding-precautions-spinal-fusion/ 11/72013,Understanding Back Precautions Spinal Fusion Surgery, logrolling, walk Page 2 of 9 Lumbar Spinal Fusion Most Common Causes of Lumbar Back Pain Your Visit With The Surgeon Getting Yourself Ready For Surgery| ‘Understanding Back Precautions Making Arrangements For Surgery Your Hospital Visit Lumbar Spinal Fusion Surgery Recovery At Home When To Call Your Surgeon Long Term Care For Your Back ‘More Information: Lumbar Spine Structure and Function Back Precautions Do's Your spinal fusion has a limited ran; following surgery, you must follow precautions will prevent injury to yol team will remind you often of your these precautions until your surgeon| + Do keep a balanced, aligned positi between your knees and at your back {e of safe motion while it is healing, For about four months ipecial back precautions to protect your new fasion. Your, back br back until it heals. While you are in the hospital, your healthcare jack precautions. Once you get home, you must remember to follow [approves motion beyond that described in the back precautions. in of comfort at all times. When lying on your side, place a pillow + Do arrange work areas so they are 4bove your hips and below your shoulders to prevent bending, stooping, or reaching. + Do lie down when you rest. Lying + Do walk as much as a mile cach da} + Do go up and down steps, unless y + Do pace your activities so you don} http://healthpages.org/lumbar-spinal lown puts less stress on your back than sitting. . You can walk outside, but be careful not to fall. pur surgeon tells you not to. Go slowly, and hold onto the hand rails. it get too tired. 11/7/2013 fusion/understanding-precautions-spinal-fusion/Understanding Back Precautions Spinal Fusion Surgery, logrolling, walk Page 3 of 9 * Do limit visitors. Too many visitors can be very stressful. + Do bend your hips and knees when]lifting, don’t bend at the waist. Lift with your legs, not with your back. Back Precaution Don’ts + Don’t twist your spine when tuning; tum your whole body. + Don’t pull on the side rails of the hbspital bed; this will strain your back. + Don’t reach, stoop, or bend forward at the waist or from side to side. + Don’t lit anything heavier than 5 ylounds (a gallon of milk); hold objects close to your body. + Don’t strain your abdomen as in edughing, sneezing, or using the toilet. (If constipation is a problem, talk with your surgeon.) + Don’t do excessive physical activity until your surgeon says it is OK. Logrolling Changing body positions while lying down helps blood circulation, prevents pressure sores, relieves muscle tension, and reduces pressure on your surgical site. Right after surgery the nurses will “logroll” ‘you while you remain passive by ketping your body stiff and not “helping” the nurses turn you. Then. ‘You will be shown how to “logroll” fo change positions while lying down and to change from lying down to sitting up. Logrolling prevents bending, twisting, and straining of your spine which could cdsrupt the surgical repair. Avoiding bending, twisting, and straining will protect your fusion while it heals. Bone healing starts at about 6|weeks and substantial healing occurs at about 6 months. Special Equipment Following your back precautions cah hinder daily activities such as dressing and bathing. However, there is special equipment to help yu. The following items will make it easier and safer for you while you heal. & Pain After Lumbar Fusion? www.SWoint.com/Lumbar-Pain Watch Webinar about How Lumbar Surgery May Affect the SI joint. + A sock donner helps you put on spcks without bending over too far. + A dressing stick helps you pull elbthing up over your head. + A long handled shoe horn allows|you to put on your shoes without bending over too far. http://healthpages.org/lumbar-spinal-fusion/understanding-precautions-spinal-fusion/ 11/72013‘Understanding Back Precautions Sp} + Elastic shoe laces can tum your lad + A grabber helps you pick up thing use the grabber to reach items abo shelves, jnal Fusion Surgery, logrolling, walk Page 4 of 9 ge up shoes into slip-ons. which are on the floor without bending over too far. You can also your head, such as from high cabinets in the kitchen or closet + A long handled sponge makes it edsier to wash while taking a shower or bath. + A walker allows you to walk by walker if you need one. Precautions While Sitting Your back precautions affect where position. A good rule to remember This will reduce the amount of stres favorite sitting areas at home. Sit on} + your favorite chair + the seat of your car + the side of your bed + the toilet + the sofa Are your hips higher than your knee} hips. You can buy or rent a raised to} When you return home, sit in chairs up from a sitting position scoot your! pushing yourself up with your legs. Lying down puts the least stress on Reclining is somewhere between lyit Therefore, your surgeon will tell yo ‘time you spend sitting can last up to for as long and as often as you feel jurself. The physical therapist can teach you how to walk with a and how you should sit, and how you should get up from a sitting fhen sitting is “always sit with your hips higher than your knees” on your back as you stand up. So, before surgery, check out your 1? If not, add a firm pillow to your seat to raise the level of your ilet seat that has arms, that have straight backs, firm seats, and sturdy arms, When getting Ihips to the edge of the seat, push up on the chair arms while four back, Standing puts more stress on your back than lying down. hg down and standing up. Sitting puts the most stress on your back. how long and how often you may sit after surgery. Limiting the yur months. However, you can recline, lie down, stand, and walk mu can. ‘Your surgeon will tell you when you can drive or ride with others. Also, since sitting puts the most stress on your back, avoid sitting for and getting in and out can put extra vehicles that are high off the ground http:/Mhealthpages.org/lumbar-spinal llong car trips. Avoid sitting in sports cars; the seats are usually low pressure on your back. Also, avoid vans, trucks, or sports utility land hard to get into and out of. fusion/understanding-precautions-spinal-fusion/ 11/72013