Post-Operative Discharge Instructions

Surgery is just the beginning of your recovery journey. At Kelly Bridges Neurosurgery, we want every patient to feel informed, supported, and confident as they heal. The instructions on this page are designed to guide you through your post-operative recovery — please refer to the section that matches your specific procedure, and never hesitate to call our office at (208) 327-5600 if you have any questions or concerns.

Understanding Your Recovery Timeline

Although every procedure is different, most patients progress through several important stages during recovery.

First Two Weeks
The focus during this stage is protecting your surgical site while allowing your body to begin healing. You will typically be encouraged to walk frequently, care for your incision carefully, avoid heavy lifting, and attend your first follow-up appointment. Depending on your procedure, you may also continue wearing a brace or collar and follow specific medication guidelines.

Around Six Weeks
Many patients continue healing with gradual increases in activity. Your incision is usually more mature at this stage, and your surgical team may discuss scar care, showering or swimming guidelines, physical therapy progression, and whether braces or collars can begin to be discontinued.

Three Months and Beyond
As healing progresses, many patients begin returning to more normal daily activities while continuing to build strength. Depending on the procedure, activity guidelines may gradually be lifted over several months, with longer follow-up schedules for spinal fusion procedures.

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Quick Navigation — Jump to Your Procedure

General Instructions:
General Discharge Instructions

 

Procedure-Specific Instructions:
Cervical Spine Fusion
Cervical Laminectomy
Lumbar Laminectomy
Lumbar Fusion
Lumbar Discectomy
Spinal Cord Stimulator
Craniotomy/Craniectomy
Pituitary Tumor
Carpal Tunnel Release

 

⬇ Download Full Instructions (PDF)

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General Discharge Instructions

Incision Care

• Wash your hands before, after, and any time you touch the dressing or area around your incision.
• Keep the large dressing on for 2 days after surgery. If the dressing becomes soiled or dirty, replace it as needed. If there is no drainage after 2 days, you do not need to replace the dressing.
• If your incision is rubbed by a brace or clothing, you may keep your incision covered with a dressing or gauze to provide some padding.
• Ensure that your incision has an opportunity to get air by giving it time without a dressing.
• Keep the steri-strips in place. They will fall off over time. If the edges begin to lift and become bothersome, you can trim the edges with clean scissors.
• If the incision becomes soiled or dirty, clean with half strength hydrogen peroxide (mix equal parts water and hydrogen peroxide and dab lightly onto the incision). Do not scrub the incision or pick at debris.
• It is okay to shower 3 days after surgery, allowing water to trickle over the incision. Blot dry — do not rub. Use mild soap and shampoo (ex: Johnson & Johnson Baby Shampoo).
• If there is drainage from the incision, keep it covered with a clear dressing (ex: Press “n” Seal) when showering. Remove after showering, and redress with the dressings provided at discharge. Make sure your incision is dry before placing a new dressing.
• Do NOT soak or submerge your incision (no baths, saunas, hot tubs, or swimming pools) for 6 weeks.
• Your sutures are absorbable and will dissolve over time. You will not need them removed.
• Keep your bed sheets clean. Do not let pets sleep in the bed for the first 4-6 weeks while your incision is healing.
• Wash bed sheets at least weekly and launder clothes daily.
• Do not touch your incision nor scratch the area around the incision. Skin breakdown can increase the risk of developing an infection.
• You can apply ice packs to the incision site 20 minutes on, 20 minutes off, as needed for comfort. Do not apply ice directly to exposed skin.

Nutrition

• Eat plenty of fruits and vegetables to help prevent constipation.
• Keep hydrated.
• Do not drink alcohol for 3 days after anesthesia or while taking narcotic pain medicine.
• You may experience some difficulty swallowing after surgery. Eat soft foods and be cautious when drinking.

Medications

• Continue holding blood-thinning medications for 2 weeks after surgery unless your surgical team instructs otherwise.
• If you underwent a spine fusion, you CANNOT take any NSAIDs for at least 3 months after surgery. These inhibit bone healing and can result in failed fusion. Examples include naproxen, Aleve, Motrin, Ibuprofen, meloxicam, and indomethacin.
• Do not exceed the prescribed dose of narcotic pain medication.
• Take stool softeners any time you are taking narcotic pain medicine. Options include Senna-Docusate twice daily, Miralax 17g once or twice daily, or Milk of Magnesia as needed.
• You may need to use a suppository (ex: Dulcolax or glycerin) or an enema if you have not had a bowel movement within 3 days.
• Pain medicine can cause nausea and vomiting. Take with food and use sparingly to avoid this.
• Add Tylenol for mild pain. Follow dosing instructions on the bottle carefully and do not exceed this amount, which can cause liver failure and be fatal.
• Gradually decrease pain medications as your pain improves.
• Your neurosurgeon can prescribe refills to pain medicine, if appropriate, during the first 2 weeks after surgery. Following this, you will need all medication prescribed by your PCP or pain management physician with whom you have a pain contract.
• Lost or stolen medications cannot be refilled. Narcotics are not refilled during nights and weekends. Please contact our office during regular business hours at least 2 days before running out of medication.

Activity

• Mobilize frequently — this helps reduce blood clots and supports normal bowel and bladder function after surgery.
• Start with light activity for the first 3 days, taking short walks several times per day.
• Allow your body time to heal by resting for short periods during the day.
• Increase your activity daily, and increase the time you are up each day.
• Avoid contact sports, skating, or bike riding for 12 weeks.
• Avoid lifting more than 10 lbs for 6-12 weeks.
• Avoid bending over or twisting.
• Avoid sitting in soft chairs or slumping while seated.
• Stretch every 30 minutes while sitting.
• Your surgical team will likely order physical therapy following your 2-week post-operative visit.

Bracing

• You will be provided a brace or collar if needed. Please wear this as instructed by your surgical team, as the instructions will be specific to your procedure.

Driving

• Do not drive for at least 3 days after anesthesia.
• It is illegal to drive with narcotics in your system. Wait at least 24 hours after taking narcotics before driving.

Return to Work

• Your return to work will depend on your recovery and the type of work you do. Please discuss this with your surgical team before returning to work.

Follow Up

• Follow up with your surgical team approximately 2 weeks after surgery. This appointment may already have been scheduled. If not, please call the office to schedule.
• Follow up with your primary care physician for all medical issues.
• Please have someone with you for at least the first 24 hours after surgery.

When to Call or Seek Emergency Care

• For a medical emergency, call 911 — including chest pain, difficulty breathing, confusion, sudden weakness, or difficulty speaking.
• Call your doctor or go to the emergency room if you experience: excessive bleeding, incision coming apart, redness/swelling/odor at the incision site, fever above 101°F lasting more than 6-8 hours, no bowel movements for 3 days, persistent nausea or vomiting, new weakness in arms or legs, difficulty feeling your legs, difficulty walking, uncontrolled pain, loss of bowel or bladder control, or headaches in an upright position which resolve with lying down.

↑ Back to Menu

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Cervical Spine Fusion

Incision Care

• Wash your hands before, after, and any time you touch the dressing or area around your incision.
• Keep the large dressing on for 2 days after surgery. If the dressing becomes soiled or dirty, replace it as needed. If there is no drainage after 2 days, you do not need to replace the dressing.
• If your incision is rubbed by a brace or clothing, you may keep your incision covered with a dressing or gauze to provide some padding.
• Ensure that your incision has an opportunity to get air by giving it time without a dressing.
• Keep the steri-strips in place. They will fall off over time. If the edges begin to lift and become bothersome, you can trim the edges with clean scissors.
• If the incision becomes soiled or dirty, clean with half strength hydrogen peroxide. Do not scrub the incision or pick at debris.
• It is okay to shower 3 days after surgery, allowing water to trickle over the incision. Blot dry — do not rub. Use mild soap and shampoo (ex: Johnson & Johnson Baby Shampoo).
• If there is drainage from the incision, keep it covered with a clear dressing (ex: Press “n” Seal) when showering. Remove after showering, and redress with the dressings provided at discharge. Make sure your incision is dry before placing a new dressing.
• Do NOT soak or submerge your incision (no baths, saunas, hot tubs, or swimming pools) for 6 weeks.
• Your sutures are absorbable and will dissolve over time. You will not need them removed. If staples were placed, these will be removed at your two-week post-operative visit.
• Keep your bed sheets clean. Do not let pets sleep in the bed for the first 4-6 weeks while your incision is healing.
• Wash bed sheets at least weekly and launder clothes daily.
• Do not touch your incision nor scratch the area around the incision. Skin breakdown can increase the risk of developing an infection.
• You can apply ice packs to the incision site 20 minutes on, 20 minutes off, as needed for comfort. Do not apply ice directly to exposed skin.

Nutrition

• Eat plenty of fruits and vegetables to help prevent constipation.
• Keep hydrated.
• Do not drink alcohol for 3 days after anesthesia or while taking narcotic pain medicine.
• You may experience some difficulty swallowing after surgery. Eat soft foods such as shakes, soup, pasta, soft vegetables, meats, and breads. Warm liquids are usually easiest to swallow after surgery.
• A sore throat and softer voice is common for a month after surgery, but you should be able to swallow food without difficulty and not choke or cough while eating or drinking.

Medications

• Continue holding blood-thinning medications for 2 weeks after surgery unless your surgical team instructs otherwise.
• You CANNOT take any NSAIDs for at least 3 months after surgery. These inhibit bone healing and can result in failed fusion. Examples include naproxen, Aleve, Motrin, Ibuprofen, meloxicam, and indomethacin.
• Do not exceed the prescribed dose of narcotic pain medication.
• Take stool softeners any time you are taking narcotic pain medicine. Options include Senna-Docusate twice daily, Miralax 17g once or twice daily, or Milk of Magnesia as needed.
• You may need to use a suppository (ex: Dulcolax or glycerin) or an enema if you have not had a bowel movement within 3 days.
• Pain medicine can cause nausea and vomiting. Take with food and use sparingly to avoid this.
• Add Tylenol for mild pain. Follow dosing instructions on the bottle carefully and do not exceed this amount, which can cause liver failure and be fatal.
• Gradually decrease pain medications as your pain improves.
• Your neurosurgeon can prescribe refills to pain medicine, if appropriate, during the first 2 weeks after surgery. Following this, you will need all medication prescribed by your PCP or pain management physician with whom you have a pain contract.
• Lost or stolen medications cannot be refilled. Narcotics are not refilled during nights and weekends. Please contact our office during regular business hours at least 2 days before running out of medication.

Activity

• Mobilize frequently — this helps reduce blood clots and supports normal bowel and bladder function after surgery.
• Start with light activity for the first 3 days, taking short walks several times per day.
• Allow your body time to heal by resting for short periods during the day.
• Increase your activity daily, and increase the time you are up each day.
• Avoid contact sports, skating, or bike riding for 12 weeks.
• Avoid lifting more than 10 lbs over your head for 12 weeks.
• Avoid bending over or twisting.
• Avoid sitting in soft chairs or slumping while seated.
• Stretch every 30 minutes while sitting.
• Your surgical team will likely order physical therapy following your 2-week post-operative visit.

Bracing

• Your surgical team may provide both a hard collar and soft collar. Please wear this as instructed, as the instructions will be specific to your procedure.
• In most instances, for the first 2 weeks after surgery, you will wear your hard collar for the majority of the day and when sleeping. You may remove the brace for short periods of time when resting and when showering.
• There are some instances when the brace must be worn at all times, even when showering, and your surgical team will advise you of this.
• You cannot drive while wearing the hard or soft collars.

Driving

• Do not drive for at least 3 days after anesthesia.
• It is illegal to drive with narcotics in your system. Wait at least 24 hours after taking narcotics before driving.

Return to Work

• Your return to work will depend on your recovery and the type of work you do. Please discuss this with your surgical team before returning to work.

Follow Up

• Follow up with your surgical team approximately 2 weeks after surgery. This appointment may already have been scheduled. If not, please call the office to schedule.
• Follow up with your primary care physician for all medical issues.
• Please have someone with you for at least the first 24 hours after surgery.

When to Call or Seek Emergency Care

• For a medical emergency, call 911 — including chest pain, difficulty breathing, confusion, sudden weakness, or difficulty speaking.
• Call your doctor or go to the emergency room if you experience: excessive bleeding, incision coming apart, redness/swelling/odor at the incision site, fever above 101°F lasting more than 6-8 hours, no bowel movements for 3 days, persistent nausea or vomiting, new weakness in arms or legs, difficulty feeling your legs, difficulty walking, uncontrolled pain, loss of bowel or bladder control, or headaches in an upright position which resolve with lying down.

↑ Back to Menu

---

Cervical Laminectomy

Incision Care

• Wash your hands before, after, and any time you touch the dressing or area around your incision.
• Keep the large dressing on for 2 days after surgery. If the dressing becomes soiled or dirty, replace it as needed. If there is no drainage after 2 days, you do not need to replace the dressing.
• If your incision is rubbed by a brace or clothing, you may keep your incision covered with a dressing or gauze to provide some padding.
• Ensure that your incision has an opportunity to get air by giving it time without a dressing.
• Keep the steri-strips in place. They will fall off over time. If the edges begin to lift and become bothersome, you can trim the edges with clean scissors.
• If the incision becomes soiled or dirty, clean with half strength hydrogen peroxide. Do not scrub the incision or pick at debris.
• It is okay to shower 3 days after surgery, allowing water to trickle over the incision. Blot dry — do not rub. Use mild soap and shampoo (ex: Johnson & Johnson Baby Shampoo).
• If there is drainage from the incision, keep it covered with a clear dressing (ex: Press “n” Seal) when showering. Remove after showering, and redress with the dressings provided at discharge. Make sure your incision is dry before placing a new dressing.
• Do NOT soak or submerge your incision (no baths, saunas, hot tubs, or swimming pools) for 6 weeks.
• Your sutures are absorbable and will dissolve over time. You will not need them removed. If staples were placed, these will be removed at your two-week post-operative visit.
• Keep your bed sheets clean. Do not let pets sleep in the bed for the first 4-6 weeks while your incision is healing.
• Wash bed sheets at least weekly and launder clothes daily.
• Do not touch your incision nor scratch the area around the incision. Skin breakdown can increase the risk of developing an infection.
• You can apply ice packs to the incision site 20 minutes on, 20 minutes off, as needed for comfort. Do not apply ice directly to exposed skin.

Nutrition

• Eat plenty of fruits and vegetables to help prevent constipation.
• Keep hydrated.
• Do not drink alcohol for 3 days after anesthesia or while taking narcotic pain medicine.
• You may experience some difficulty swallowing after surgery. Eat soft foods and be cautious when drinking.

Medications

• Continue holding blood-thinning medications for 2 weeks after surgery unless your surgical team instructs otherwise.
• If you underwent a spine fusion, you CANNOT take any NSAIDs for at least 3 months after surgery.
• Do not exceed the prescribed dose of narcotic pain medication.
• Take stool softeners any time you are taking narcotic pain medicine. Options include Senna-Docusate twice daily, Miralax 17g once or twice daily, or Milk of Magnesia as needed.
• You may need to use a suppository (ex: Dulcolax or glycerin) or an enema if you have not had a bowel movement within 3 days.
• Pain medicine can cause nausea and vomiting. Take with food and use sparingly to avoid this.
• Add Tylenol for mild pain. Follow dosing instructions on the bottle carefully and do not exceed this amount, which can cause liver failure and be fatal.
• Gradually decrease pain medications as your pain improves.
• Your neurosurgeon can prescribe refills to pain medicine, if appropriate, during the first 2 weeks after surgery. Following this, you will need all medication prescribed by your PCP or pain management physician with whom you have a pain contract.
• Lost or stolen medications cannot be refilled. Narcotics are not refilled during nights and weekends. Please contact our office during regular business hours at least 2 days before running out of medication.

Activity

• Mobilize frequently.
• Start with light activity for the first 3 days, taking short walks several times per day.
• Allow your body time to heal by resting for short periods during the day.
• Increase your activity daily, and increase the time you are up each day.
• Avoid contact sports, skating, or bike riding for 12 weeks.
• Avoid lifting more than 10 lbs over your head for 6-12 weeks (Dr. Bridges will provide specific recommendations for you).
• Avoid bending over or twisting.
• Avoid sitting in soft chairs or slumping while seated.
• Stretch every 30 minutes while sitting.
• Your surgical team will likely order physical therapy following your 2-week post-operative visit.

Bracing

• Your surgical team may provide both a hard collar and soft collar.
• In most instances, wear your hard collar for the majority of the day and when sleeping for the first 2 weeks. You may remove it for short periods when resting and when showering.
• You cannot drive while wearing the hard or soft collars.

Driving

• Do not drive for at least 3 days after anesthesia.
• It is illegal to drive with narcotics in your system. Wait at least 24 hours after taking narcotics before driving.

Return to Work

• Your return to work will depend on your recovery and the type of work you do. Please discuss this with your surgical team before returning to work.

Follow Up

• Follow up with your surgical team approximately 2 weeks after surgery. This appointment may already have been scheduled. If not, please call the office to schedule.
• Follow up with your primary care physician for all medical issues.
• Please have someone with you for at least the first 24 hours after surgery.

When to Call or Seek Emergency Care

• For a medical emergency, call 911 — including chest pain, difficulty breathing, confusion, sudden weakness, or difficulty speaking.
• Call your doctor or go to the emergency room if you experience: excessive bleeding, incision coming apart, redness/swelling/odor at the incision site, fever above 101°F lasting more than 6-8 hours, no bowel movements for 3 days, persistent nausea or vomiting, new weakness in arms or legs, difficulty feeling your legs, difficulty walking, uncontrolled pain, loss of bowel or bladder control, or headaches in an upright position which resolve with lying down.

↑ Back to Menu

---

Lumbar Laminectomy

Incision Care

• Wash your hands before, after, and any time you touch the dressing or area around your incision.
• Keep the large dressing on for 2 days after surgery. Replace if soiled. If no drainage after 2 days, no need to replace.
• If your incision is rubbed by a brace or clothing, you may keep your incision covered with a dressing or gauze to provide some padding.
• Ensure that your incision has an opportunity to get air by giving it time without a dressing.
• Keep the steri-strips in place. Trim lifting edges with clean scissors if bothersome.
• Clean with half strength hydrogen peroxide if soiled. Do not scrub.
• Okay to shower 3 days after surgery. Blot dry — do not rub. Use mild soap and shampoo.
• If there is drainage from the incision, keep it covered with a clear dressing (ex: Press “n” Seal) when showering. Remove after showering, and redress with the dressings provided at discharge. Make sure your incision is dry before placing a new dressing.
• Do NOT soak or submerge your incision for 6 weeks.
• Your sutures are absorbable and will dissolve over time.
• Do not let pets sleep in the bed for the first 6 weeks.
• Wash bed sheets at least weekly and launder clothes daily.
• Do not touch your incision nor scratch the area around the incision. Skin breakdown can increase the risk of developing an infection.
• Ice packs 20 minutes on, 20 minutes off as needed. Never directly on exposed skin.

Nutrition

• Eat plenty of fruits and vegetables to help prevent constipation.
• Keep hydrated.
• No alcohol for 3 days after anesthesia or while taking narcotic pain medicine.
• Eat soft foods and be cautious when drinking.

Medications

• Continue holding blood-thinning medications for 2 weeks after surgery unless instructed otherwise.
• If you underwent a spine fusion, you CANNOT take any NSAIDs for at least 3 months.
• Do not exceed the prescribed dose of narcotic pain medication.
• Take stool softeners any time you are taking narcotic pain medicine. Options include Senna-Docusate twice daily, Miralax 17g once or twice daily, or Milk of Magnesia as needed.
• You may need to use a suppository (ex: Dulcolax or glycerin) or an enema if you have not had a bowel movement within 3 days.
• Pain medicine can cause nausea and vomiting. Take with food and use sparingly to avoid this.
• Add Tylenol for mild pain. Follow dosing instructions carefully and do not exceed this amount, which can cause liver failure and be fatal.
• Gradually decrease pain medications as your pain improves.
• Your neurosurgeon can prescribe refills to pain medicine, if appropriate, during the first 2 weeks after surgery. Following this, you will need all medication prescribed by your PCP or pain management physician with whom you have a pain contract.
• Lost or stolen medications cannot be refilled. Narcotics are not refilled during nights and weekends.

Activity

• Mobilize frequently.
• Start with light activity for the first 3 days, taking short walks several times per day.
• Allow your body time to heal by resting for short periods during the day.
• Increase your activity daily, and increase the time you are up each day.
• Avoid contact sports, skating, or bike riding for 12 weeks.
• Avoid lifting more than 10 lbs for 6 weeks.
• Avoid bending over or twisting. If necessary, bend at the knees to reach objects.
• Avoid soft chairs or slumping while seated.
• Sit no longer than 15-20 minutes at a time. Sitting puts pressure on your back.
• Stretch every 30 minutes while sitting.
• Your surgical team will likely order physical therapy following your 2-week post-operative visit.

Sleeping

• Do not sleep on your stomach. Use pillows to support under your knees if lying on your back, or between your knees when lying on your side.
• Do not rise from bed by bending your waist upwards. Log roll to your side, lower your legs off the bed, and push up on your elbows and arms in a smooth motion.

Bracing

• Your surgical team may provide a brace. In most instances, wear your brace whenever you are out of bed. You can put it on and take it off at the edge of your bed.

Driving

• Do not drive for at least 3 days after anesthesia.
• It is illegal to drive with narcotics in your system. Wait at least 24 hours after taking narcotics before driving.

Return to Work

• Your return to work will depend on your recovery and the type of work you do. Please discuss this with your surgical team before returning to work.

Follow Up

• Follow up with your surgical team approximately 2 weeks after surgery. This appointment may already have been scheduled. If not, please call the office to schedule.
• Follow up with your primary care physician for all medical issues.
• Please have someone with you for at least the first 24 hours after surgery.

When to Call or Seek Emergency Care

• For a medical emergency, call 911.
• Call your doctor or go to the emergency room if you experience: excessive bleeding, incision coming apart, redness/swelling/odor at incision site, fever above 101°F lasting more than 6-8 hours, no bowel movements for 3 days, persistent nausea or vomiting, new weakness in arms or legs, difficulty feeling your legs, difficulty walking, uncontrolled pain, loss of bowel or bladder control, or headaches in an upright position which resolve with lying down.

↑ Back to Menu

---

Lumbar Fusion

Incision Care

• Wash your hands before, after, and any time you touch the dressing or area around your incision.
• Keep the large dressing on for 2 days after surgery. Replace if soiled. If no drainage after 2 days, no need to replace.
• If your incision is rubbed by a brace or clothing, you may keep your incision covered with a dressing or gauze to provide some padding.
• Ensure that your incision has an opportunity to get air by giving it time without a dressing.
• Keep the steri-strips in place. Trim lifting edges with clean scissors if bothersome.
• Clean with half strength hydrogen peroxide if soiled. Do not scrub.
• Okay to shower 3 days after surgery. Blot dry — do not rub. Use mild soap and shampoo.
• If there is drainage from the incision, keep it covered with a clear dressing (ex: Press “n” Seal) when showering. Remove after showering, and redress with the dressings provided at discharge. Make sure your incision is dry before placing a new dressing.
• Do NOT soak or submerge your incision for 6 weeks.
• Your sutures are absorbable and will dissolve over time.
• Do not let pets sleep in the bed for the first 4-6 weeks.
• Wash bed sheets at least weekly and launder clothes daily.
• Do not touch your incision nor scratch the area around the incision. Skin breakdown can increase the risk of developing an infection.
• Ice packs 20 minutes on, 20 minutes off as needed. Never directly on exposed skin.

Nutrition

• Eat plenty of fruits and vegetables to help prevent constipation.
• Keep hydrated.
• No alcohol for 3 days after anesthesia or while taking narcotic pain medicine.
• Eat soft foods and be cautious when drinking.

Medications

• Continue holding blood-thinning medications for 2 weeks after surgery unless instructed otherwise.
• You CANNOT take any NSAIDs for at least 3 months after surgery. These inhibit bone healing and can result in failed fusion.
• Do not exceed the prescribed dose of narcotic pain medication.
• Take stool softeners any time you are taking narcotic pain medicine. Options include Senna-Docusate twice daily, Miralax 17g once or twice daily, or Milk of Magnesia as needed.
• You may need to use a suppository (ex: Dulcolax or glycerin) or an enema if you have not had a bowel movement within 3 days.
• Pain medicine can cause nausea and vomiting. Take with food and use sparingly to avoid this.
• Add Tylenol for mild pain. Follow dosing instructions carefully and do not exceed this amount, which can cause liver failure and be fatal.
• Gradually decrease pain medications as your pain improves.
• Your neurosurgeon can prescribe refills to pain medicine, if appropriate, during the first 2 weeks after surgery. Following this, you will need all medication prescribed by your PCP or pain management physician with whom you have a pain contract.
• Lost or stolen medications cannot be refilled. Narcotics are not refilled during nights and weekends.

Activity

• Mobilize frequently.
• Start with light activity for the first 3 days, taking short walks several times per day.
• Allow your body time to heal by resting for short periods during the day.
• Increase your activity daily, and increase the time you are up each day.
• Avoid contact sports, skating, or bike riding for 12 weeks.
• Avoid lifting more than 10 lbs for 12 weeks.
• Avoid bending over or twisting. If necessary, bend at the knees.
• Avoid soft chairs or slumping while seated.
• Sit no longer than 15-20 minutes at a time.
• Stretch every 30 minutes while sitting.

Sleeping

• Do not sleep on your stomach. Use pillows to support under your knees or between your knees.
• Log roll to rise from bed — never bend straight up from the waist.

Bracing

• Wear your brace whenever you are out of bed as instructed by your surgical team.

Driving

• Do not drive for at least 3 days after anesthesia.
• Wait at least 24 hours after taking narcotics before driving.

Return to Work

• Discuss with your surgical team before returning to work.

Follow Up

• Follow up with your surgical team approximately 2 weeks after surgery. This appointment may already have been scheduled. If not, please call the office to schedule.
• Follow up with your primary care physician for all medical issues.
• Please have someone with you for at least the first 24 hours after surgery.

When to Call or Seek Emergency Care

• For a medical emergency, call 911.
• Call your doctor or go to the emergency room if you experience: excessive bleeding, incision coming apart, redness/swelling/odor at incision site, fever above 101°F lasting more than 6-8 hours, no bowel movements for 3 days, persistent nausea or vomiting, new weakness in arms or legs, difficulty feeling your legs, difficulty walking, uncontrolled pain, loss of bowel or bladder control, or headaches in an upright position which resolve with lying down.

↑ Back to Menu

---

Lumbar Discectomy

Incision Care

• Wash your hands before, after, and any time you touch the dressing or area around your incision.
• Keep the large dressing on for 2 days after surgery. Replace if soiled. If no drainage after 2 days, no need to replace.
• If your incision is rubbed by a brace or clothing, you may keep your incision covered with a dressing or gauze to provide some padding.
• Ensure that your incision has an opportunity to get air by giving it time without a dressing.
• Keep the steri-strips in place. Trim lifting edges with clean scissors if bothersome.
• Clean with half strength hydrogen peroxide if soiled. Do not scrub.
• Okay to shower 3 days after surgery. Blot dry — do not rub. Use mild soap and shampoo.
• If there is drainage from the incision, keep it covered with a clear dressing (ex: Press “n” Seal) when showering. Remove after showering, and redress with the dressings provided at discharge. Make sure your incision is dry before placing a new dressing.
• Do NOT soak or submerge your incision for 6 weeks.
• Your sutures are absorbable and will dissolve over time.
• Do not let pets sleep in the bed for the first 4-6 weeks.
• Wash bed sheets at least weekly and launder clothes daily.
• Do not touch your incision nor scratch the area around the incision. Skin breakdown can increase the risk of developing an infection.
• Ice packs 20 minutes on, 20 minutes off as needed. Never directly on exposed skin.

Nutrition

• Eat plenty of fruits and vegetables to help prevent constipation.
• Keep hydrated.
• No alcohol for 3 days after anesthesia or while taking narcotic pain medicine.
• Eat soft foods and be cautious when drinking.

Medications

• Continue holding blood-thinning medications for 2 weeks after surgery unless instructed otherwise.
• If you underwent a spine fusion, you CANNOT take any NSAIDs for at least 3 months.
• Do not exceed the prescribed dose of narcotic pain medication.
• Take stool softeners any time you are taking narcotic pain medicine. Options include Senna-Docusate twice daily, Miralax 17g once or twice daily, or Milk of Magnesia as needed.
• You may need to use a suppository (ex: Dulcolax or glycerin) or an enema if you have not had a bowel movement within 3 days.
• Pain medicine can cause nausea and vomiting. Take with food and use sparingly to avoid this.
• Add Tylenol for mild pain. Follow dosing instructions carefully and do not exceed this amount, which can cause liver failure and be fatal.
• Gradually decrease pain medications as your pain improves.
• Your neurosurgeon can prescribe refills to pain medicine, if appropriate, during the first 2 weeks after surgery. Following this, you will need all medication prescribed by your PCP or pain management physician with whom you have a pain contract.
• Lost or stolen medications cannot be refilled. Narcotics are not refilled during nights and weekends.

Activity

• Mobilize frequently.
• Start with light activity for the first 3 days.
• Allow your body time to heal by resting for short periods during the day.
• Increase your activity daily, and increase the time you are up each day.
• Avoid contact sports, skating, or bike riding for 12 weeks.
• Avoid lifting more than 10 lbs for 12 weeks.
• Avoid bending over or twisting. Bend at the knees if necessary.
• Sit no longer than 15-20 minutes at a time.
• Stretch every 30 minutes while sitting.

Sleeping

• Do not sleep on your stomach.
• Log roll to rise from bed.

Bracing

• Wear your brace whenever you are out of bed as instructed.

Driving

• Do not drive for at least 3 days after anesthesia.
• Wait at least 24 hours after taking narcotics before driving.

Return to Work

• Discuss with your surgical team before returning to work.

Follow Up

• Follow up with your surgical team approximately 2 weeks after surgery. This appointment may already have been scheduled. If not, please call the office to schedule.
• Follow up with your primary care physician for all medical issues.
• Please have someone with you for at least the first 24 hours after surgery.

When to Call or Seek Emergency Care

• For a medical emergency, call 911.
• Call your doctor or go to the emergency room if you experience: excessive bleeding, incision coming apart, redness/swelling/odor at incision site, fever above 101°F lasting more than 6-8 hours, no bowel movements for 3 days, persistent nausea or vomiting, new weakness in arms or legs, difficulty feeling your legs, difficulty walking, uncontrolled pain, loss of bowel or bladder control, or headaches in an upright position which resolve with lying down.

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Spinal Cord Stimulator

Incision Care

• Wash your hands before, after, and any time you touch the dressing or area around your incision.
• Keep the large dressing on for 2 days after surgery. Replace if soiled. If no drainage after 2 days, no need to replace.
• If your incision is rubbed by a brace or clothing, you may keep your incision covered with a dressing or gauze to provide some padding.
• Ensure that your incision has an opportunity to get air by giving it time without a dressing.
• Keep the steri-strips in place. Trim lifting edges with clean scissors if bothersome.
• Clean with half strength hydrogen peroxide if soiled. Do not scrub.
• Okay to shower 3 days after surgery. Blot dry — do not rub. Use mild soap and shampoo.
• If there is drainage from the incision, keep it covered with a clear dressing (ex: Press “n” Seal) when showering. Remove after showering, and redress with the dressings provided at discharge. Make sure your incision is dry before placing a new dressing.
• Do NOT soak or submerge your incision for 6 weeks.
• Your sutures are absorbable and will dissolve over time.
• Do not let pets sleep in the bed for the first 4-6 weeks.
• Wash bed sheets at least weekly and launder clothes daily.
• Do not touch your incision nor scratch the area around the incision. Skin breakdown can increase the risk of developing an infection.
• Ice packs 20 minutes on, 20 minutes off as needed. Never directly on exposed skin.

Nutrition

• Eat plenty of fruits and vegetables to help prevent constipation.
• Keep hydrated.
• No alcohol for 3 days after anesthesia or while taking narcotic pain medicine.
• Eat soft foods and be cautious when drinking.

Medications

• Continue holding blood-thinning medications for 2 weeks after surgery unless instructed otherwise.
• Do not exceed the prescribed dose of narcotic pain medication.
• Take stool softeners any time you are taking narcotic pain medicine. Options include Senna-Docusate twice daily, Miralax 17g once or twice daily, or Milk of Magnesia as needed.
• You may need to use a suppository (ex: Dulcolax or glycerin) or an enema if you have not had a bowel movement within 3 days.
• Pain medicine can cause nausea and vomiting. Take with food and use sparingly to avoid this.
• Add Tylenol for mild pain. Follow dosing instructions carefully and do not exceed this amount, which can cause liver failure and be fatal.
• Gradually decrease pain medications as your pain improves.
• Your neurosurgeon can prescribe refills to pain medicine, if appropriate, during the first 2 weeks after surgery. Following this, you will need all medication prescribed by your PCP or pain management physician with whom you have a pain contract.
• Lost or stolen medications cannot be refilled. Narcotics are not refilled during nights and weekends.

Activity

• Mobilize frequently.
• Start with light activity for the first 3 days, taking short walks several times per day.
• Allow your body time to heal by resting for short periods during the day.
• Increase your activity daily, and increase the time you are up each day.
• Avoid contact sports, skating, or bike riding for 12 weeks.
• Avoid lifting more than 10 lbs for 12 weeks.
• Avoid bending over or twisting. Bend at the knees if necessary.
• Sit no longer than 15-20 minutes at a time.
• Stretch every 30 minutes while sitting.
• Your surgical team will likely order physical therapy following your 2-week post-operative visit.

Sleeping

• Do not sleep on your stomach. Use pillows to support under your knees or between your knees.
• Log roll to rise from bed — never bend straight up from the waist.

Driving

• Do not drive for at least 3 days after anesthesia.
• Wait at least 24 hours after taking narcotics before driving.

Return to Work

• Discuss with your surgical team before returning to work.

Follow Up

• Follow up with your surgical team approximately 2 weeks after surgery. This appointment may already have been scheduled. If not, please call the office to schedule. The spinal cord stimulator representative will usually be present at that appointment to assess and adjust the settings of your system.
• Follow up with your primary care physician for all medical issues.
• Please have someone with you for at least the first 24 hours after surgery.

When to Call or Seek Emergency Care

• For a medical emergency, call 911.
• Call your doctor or go to the emergency room if you experience: excessive bleeding, incision coming apart, redness/swelling/odor at incision site, fever above 101°F lasting more than 6-8 hours, no bowel movements for 3 days, persistent nausea or vomiting, new weakness in arms or legs, difficulty feeling your legs, difficulty walking, uncontrolled pain, loss of bowel or bladder control, or headaches in an upright position which resolve with lying down.

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Craniotomy/Craniectomy

Incision Care

• Wash your hands before, after, and any time you touch the dressing or area around your incision.
• Keep the large dressing on for 2 days after surgery. Replace if soiled. If no drainage after 2 days, no need to replace.
• If the incision is rubbed by a brace, helmet, or furniture, keep it covered with gauze for padding.
• Ensure that your incision has an opportunity to get air by giving it time without a dressing.
• Clean with half strength hydrogen peroxide if soiled. Do not scrub.
• Okay to shower 3 days after surgery. Blot dry — do not rub. Use mild soap and shampoo.
• If there is drainage from the incision, keep it covered with a clear dressing (ex: Press “n” Seal) when showering. Remove after showering, and redress with the dressings provided at discharge. Make sure your incision is dry before placing a new dressing.
• Do NOT soak or submerge your incision for 6 weeks.
• Your sutures are absorbable and will dissolve over time. If staples were placed, these will likely be removed at your 2-week post-operative visit.
• Do not let pets sleep in the bed for the first 4-6 weeks.
• Wash bed sheets at least weekly and launder clothes daily.
• Do not touch your incision nor scratch the area around the incision. Skin breakdown can increase the risk of developing an infection.
• Ice packs 20 minutes on, 20 minutes off as needed. Never directly on exposed skin.

Nutrition

• Eat plenty of fruits and vegetables to help prevent constipation.
• Keep hydrated.
• No alcohol for 3 days after anesthesia or while taking narcotic pain medicine.
• Eat soft foods and be cautious when drinking.

Medications

• Continue holding blood-thinning medications for 2 weeks after surgery unless instructed otherwise.
• You may be prescribed steroids or anti-seizure medication. Please take as prescribed. Dosing will be reviewed at your 2-week post-operative visit.
• Do not exceed the prescribed dose of narcotic pain medication.
• Take stool softeners any time you are taking narcotic pain medicine. Options include Senna-Docusate twice daily, Miralax 17g once or twice daily, or Milk of Magnesia as needed.
• You may need to use a suppository (ex: Dulcolax or glycerin) or an enema if you have not had a bowel movement within 3 days.
• Pain medicine can cause nausea and vomiting. Take with food and use sparingly to avoid this.
• Add Tylenol for mild pain. Follow dosing instructions carefully and do not exceed this amount, which can cause liver failure and be fatal.
• Gradually decrease pain medications as your pain improves.
• Your neurosurgeon can prescribe refills to pain medicine, if appropriate, during the first 2 weeks after surgery. Following this, you will need all medication prescribed by your PCP or pain management physician with whom you have a pain contract.
• Lost or stolen medications cannot be refilled. Narcotics are not refilled during nights and weekends.

Activity

• Mobilize frequently.
• Start with light activity for the first 3 days, taking short walks several times per day.
• Allow your body time to heal by resting for short periods during the day.
• Increase your activity daily, and increase the time you are up each day.
• Avoid contact sports, skating, or bike riding for 12 weeks.
• Avoid lifting more than 10 lbs for 12 weeks.
• Avoid bending over or twisting.
• Avoid sitting in soft chairs or slumping while seated.
• Stretch every 30 minutes while sitting.
• Your surgical team will likely order physical therapy following your 2-week post-operative visit.

Driving

• Wait at least 2 weeks after surgery before driving.
• If you have had a seizure, do not drive until cleared by your neurologist.
• It is illegal to drive with narcotics in your system. Wait at least 24 hours after taking narcotics before driving.

Return to Work

• Discuss with your surgical team before returning to work.

Follow Up

• Follow up with your surgical team approximately 2 weeks after surgery. This appointment may already have been scheduled. If not, please call the office to schedule.
• Follow up with your primary care physician for all medical issues.
• If you had a brain tumor removed, you may need to see a medical oncologist, neuro-oncologist, or radiation oncologist. Your surgical team will discuss this with you if needed.
• Please have someone with you for at least the first 24 hours after surgery.

When to Call or Seek Emergency Care

• For a medical emergency, call 911.
• Call your doctor or go to the emergency room if you experience: excessive bleeding, incision coming apart, redness/swelling/odor at incision site, fever above 101°F, seizure activity or jerking/twitching of the face/arms/legs, worsening dizziness, difficulty or discomfort moving your neck, no bowel movements for 3 days, persistent nausea or vomiting, new weakness in arms or legs, difficulty feeling your legs, difficulty walking, or uncontrolled pain/headache.

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Pituitary Tumor

Incision Care

• You will not be able to see the incision in your nose. Nose or facial swelling, bruising, old bloody drainage, and nose pain are normal after surgery.
• You may have a headache and sinus congestion, which can last several days or sometimes weeks after surgery.
• Apply saline nasal spray at least 5 times per day. Do NOT put anything else in your nose.
• Your ENT doctor will provide follow-up instructions and monitor your nasal cavity after discharge.
• Do not submerge your head (no hot tubs, baths, swimming pools, saunas) for at least 6 weeks.

Nutrition

• You can expect a decrease in your ability to taste or smell. This usually improves in a few weeks but can take several months.
• Eat plenty of fruits and vegetables to help prevent constipation.
• Keep hydrated.
• No alcohol for 3 days after anesthesia or while taking narcotic pain medicine.
• Eat soft foods and be cautious when drinking.

Medications

• Continue holding blood-thinning medications for 2 weeks after surgery unless instructed otherwise.
• You may be prescribed steroids. Please take as prescribed. This medication will be monitored by your Endocrinologist.
• Do not exceed the prescribed dose of narcotic pain medication.
• Take stool softeners any time you are taking narcotic pain medicine. Options include Senna-Docusate twice daily, Miralax 17g once or twice daily, or Milk of Magnesia as needed.
• You may need to use a suppository (ex: Dulcolax or glycerin) or an enema if you have not had a bowel movement within 3 days.
• Pain medicine can cause nausea and vomiting. Take with food and use sparingly to avoid this.
• Add Tylenol for mild pain. Follow dosing instructions carefully and do not exceed this amount, which can cause liver failure and be fatal.
• Gradually decrease pain medications as your pain improves.
• Your neurosurgeon can prescribe refills to pain medicine, if appropriate, during the first 2 weeks after surgery. Following this, you will need all medication prescribed by your PCP or pain management physician with whom you have a pain contract.
• Lost or stolen medications cannot be refilled. Narcotics are not refilled during nights and weekends.

Activity

• Sleep with your head elevated at least 30 degrees for 10 days after surgery if there was a CSF leak at the time of surgery.
• Avoid blowing your nose as much as possible.
• It is important to cough when necessary to avoid getting pneumonia. For 3 months after surgery, avoid hard coughing or holding your breath.
• Do not bend over or lower your head more than 20-30 degrees for 3 months.
• Avoid lifting more than 10 lbs or anything involving holding your breath for 3 months.
• If needed, use a humidifier at night to keep your nasal membranes moist.
• Mobilize frequently. Start with light activity for the first 3 days, taking short walks several times per day.
• Allow your body time to heal by resting for short periods during the day.
• Increase your activity daily, and increase the time you are up each day.
• Avoid contact sports, skating, or bike riding for 12 weeks.
• Avoid lifting more than 10 lbs for 12 weeks.
• Avoid bending over or twisting.
• Stretch every 30 minutes while sitting.

Driving

• Wait at least 2 weeks after surgery before driving.
• If you have had a seizure, do not drive until cleared by your neurologist.
• It is illegal to drive with narcotics in your system. Wait at least 24 hours after taking narcotics before driving.

Return to Work

• Discuss with your surgical team before returning to work.

Follow Up

• Follow up with your surgical team approximately 2 weeks after surgery. This appointment may already have been scheduled. If not, please call the office to schedule.
• Follow up with your Endocrinologist as soon as possible — they will manage your sodium levels, urine output, steroid prescriptions, and all hormone/endocrine-related needs.
• Follow up with your ENT/Otolaryngologist as advised for any nasal symptoms.
• See your Ophthalmologist regularly — possibly soon after surgery for a post-operative vision assessment.
• Follow up with your primary care physician for all medical issues.
• Please have someone with you for at least the first 24 hours after surgery.

When to Call or Seek Emergency Care

• For a medical emergency, call 911.
• Call your doctor or go to the emergency room if you experience: excessive bleeding, water-like fluid persistently dripping from your nose, a salty taste in your mouth or liquid running down the back of your throat, headaches in an upright position which resolve with lying down, double/blurred/impaired vision, intense thirst accompanied by frequent urination, fever above 101°F, no bowel movements for 3 days, persistent nausea or vomiting, new weakness, or uncontrolled pain.

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Carpal Tunnel Release

Incision/Wound Care

• Wash your hands before, after, and any time you touch the dressing or area around your incision.
• Keep the dressings in place for 2 days after surgery. Replace if soiled. If no drainage after 2 days, no need to replace.
• Once you remove your wrap, keep the incision covered with bandaids for the first 2 weeks prior to suture removal.
• Ensure that your incision has an opportunity to get air by giving it time without a dressing.
• Clean with half strength hydrogen peroxide if soiled. Do not scrub.
• Okay to shower 3 days after surgery. Blot dry — do not rub. Use mild soap and shampoo.
• If there is drainage from the incision, keep it covered with a clear dressing (ex: Press “n” Seal) when showering. Remove after showering, and redress with the dressings provided at discharge. Make sure your incision is dry before placing a new dressing.
• Do NOT soak or submerge your incision for 6 weeks. You can use calf bags from a supply store to cover your arm when around water.
• Your sutures are NOT absorbable. They will be removed at your 2-week post-operative visit.
• Do not let pets sleep in the bed for the first 4-6 weeks.
• Wash bed sheets at least weekly and launder clothes daily.
• Do not touch your incision nor scratch the area around the incision. Skin breakdown can increase the risk of developing an infection.

Ice/Elevation

• Keep your hand elevated above your heart as much as possible for at least 2 days after surgery.
• For the first 3 days, apply an ice pack every hour for 20 minutes at a time. Put a thin towel between the ice and your skin.
• After the first 3 days, apply ice 2-3 times daily until swelling goes down.
• Do NOT use heat.

Wrist Brace

• The removable wrist brace is very important to prevent wrist flexion. Wear as instructed by your surgical team.
• Wrist flexion (forward bending) is not allowed for a total of 6 weeks post-operatively.
• Wear the wrist brace every night for 6 weeks.
• During the first 2 weeks, wear the brace most of the time during the day.
• During weeks 3 and 4, wear the brace approximately half the time.
• No heavy lifting, gripping, or grasping until 6 weeks after surgery.

Medications

• Continue holding blood-thinning medications for 3 days after surgery unless instructed otherwise.
• Do not exceed the prescribed dose of narcotic pain medication.
• Take stool softeners any time you are taking narcotic pain medicine. Options include Senna-Docusate twice daily, Miralax 17g once or twice daily, or Milk of Magnesia as needed.
• You may need to use a suppository (ex: Dulcolax or glycerin) or an enema if you have not had a bowel movement within 3 days.
• Pain medicine can cause nausea and vomiting. Take with food and use sparingly to avoid this.
• Add Tylenol for mild pain. Follow dosing instructions carefully and do not exceed this amount, which can cause liver failure and be fatal.
• Gradually decrease pain medications as your pain improves.
• Your neurosurgeon can prescribe refills to pain medicine, if appropriate, during the first 2 weeks after surgery. Following this, you will need all medication prescribed by your PCP or pain management physician with whom you have a pain contract.
• Lost or stolen medications cannot be refilled. Narcotics are not refilled during nights and weekends.

Nutrition

• Eat plenty of fruits and vegetables to help prevent constipation.
• Keep hydrated.
• No alcohol for 3 days after anesthesia or while taking narcotic pain medicine.
• Eat soft foods and be cautious when drinking.

Scar Management

• Light scar massage can begin 2-3 days after sutures are removed — 5 minutes, 5 times per day.
• Apply bacitracin/Neosporin or vitamin E oil. Do not use lotion.

Swelling Control

• Manage swelling with compression, elevation, icing, and finger mobilization to stimulate venous and lymphatic flow.
• Keep the hand elevated during the initial 2-3 day recovery phase.

Mobilization

• Begin active motion of the thumb, fingers, and wrist immediately after surgery to prevent joint stiffness and ensure tendon and nerve glide in the carpal tunnel.

Strengthening

• Strengthening begins at 3-4 weeks as wounds heal and inflammation resolves.
• More intensive strengthening or a work-hardening program can begin at 4 weeks as tolerated.
• Do not squeeze a tennis ball or similar objects early on. Soft squeezes are allowed at 5-6 weeks.

Carpal Tunnel Release Home Exercise Program

• Carpal tunnel syndrome is compression of the nerve that gives sensation to the thumb, index, and middle fingers. Surgery releases the ligament causing the compression.
• Perform Tendon Gliding Exercises — 10 repetitions, 5 times per day — to prevent scar tissue from building up around the tendons and nerve.

When to Call or Seek Emergency Care

• For a medical emergency, call 911.
• Call your doctor or go to the emergency room if you experience: excessive bleeding, incision coming apart, change in color (blue or dusky fingers), numbness, tingling, coldness or increased pain in the arm or hand, redness/swelling/odor at incision site, fever above 101°F lasting more than 6-8 hours, no bowel movements for 3 days, persistent nausea or vomiting, new weakness, or uncontrolled pain.

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If you have any questions about your post-operative instructions or your recovery, please do not hesitate to reach out to our team. We are here to support you every step of the way. Contact Kelly Bridges Neurosurgery at (208) 327-5600 or visit our office at 6140 W Curtisian Ave, Suite 400, Boise, Idaho 83704.