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832-932-9300
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Houston: Galleria Area: 4141 Southwest Freeway, Suite 490, Houston, TX 77027
Houston: SE: 12835 I-45 S., Houston, TX 77034
The Woodlands: 25440 I-45 N., Suite 200, Spring, TX 77386
Beaumont: 6025 Metropolitan Dr., Suite 210, Beaumont, TX 77706
Port Arthur: 2501 Jimmy Johnson Blvd., Suite 301, Port Arthur, TX 77640

After Your Surgery

Recovery takes time. Accepting what has happened can be hard for you and your loved ones.
You may feel more tired than usual for a few months or even a year.
Coming to terms with your emotions can help ease the process. If you feel sadness or depression, talk with a member of your healthcare team. Depression is common and can be treated. Sharing your emotions with your family can also help. It is normal to have fears or feel angry during recovery.

When To Call the Doctor
Call your surgeon at once if you have any of the following:
-Increased drowsiness
-On-going nausea or vomiting
-Extreme headaches
-Seizure
-Increased muscle weakness
-Shortness of breath
-Pain and swelling in a leg
-Fever of 101.3° or greater
-Burning during urination
-Clear nasal drainage after cranial surgery
-Redness or drainage from the incision or an IV site

Rehabilitation

Therapy may be prescribed and therapists can work with you to improve balance, strength, speech,
and daily living skills. If you are having problems with strength or movement, your therapist may suggest installing hand rails in hallways or bathrooms at home.

If Other Treatment is Needed

After a craniotomy, medications are often prescribed to treat side effects and help you feel better. If you had surgery for a brain tumor, you may also have chemotherapy or radiation.

After Your Hospital Stay

You may be able to go home as soon as you can walk, eat and drink normally. Back home, family
and friends may offer help and support. Accept help when needed, but it's important to strike a balance. Keep in mind that you're striving to become independent again.

Keep Follow-up Visits

You may have an office visit seven to ten days afterwards. At this time, any remaining stitches or staples may be removed. You can expect to meet with your surgeon about every four weeks for the first few months. You may also have follow-up imaging tests to ensure your condition is stable. Start by Walking Walking is a great way to rebuild your strength. Start out with short, frequent walks then gradually try walking greater distances.

Adjusting to Daily Life

Say "yes" when people offer to help with housework and activities. Have friends and family give rides and attend school activities. If you are not able to drive at this time, get help setting up rides. Talk with your social worker, case manager, or discharge planner. Ask your employer about reducing your work hours if your schedule is too tiring, or try working at home where you can pace yourself.


Your Family's Role
After treatment, the Professional team will want to see how well the surgery worked. Waiting for answers can be long and tiring. You may choose to let some people go home and rest. Then other family members can wait for news. You will be shown a nearby room where you can wait during surgery. A craniotomy, for example, often takes three to five hours, or more. If possible, be sure one person is
always in the waiting room to receive news. The doctor will talk with you when surgery is over. You'll also be told when you can visit your loved one.

If you Need Medications
Brain conditions often cause symptoms and your treatment is likely to produce side effects. To help you feel better, your doctor may prescribe medications. Ask your doctor or pharmacist about possible interaction with other medications. Always take them as directed.

Steroids
Steroids reduce brain swelling. Do not stop steroids without your doctor's approval. Side effects can include water retention, weight gain, hair growth, insomnia, stomach ulcers, increased risk of infection, and mood changes.

Anticonvulsants
Anticonvulsants help prevent seizures or convulsions. You will have blood tests to make sure you get the right dosage. Call the doctor right away if you have any of these side effects:
-trouble breathing
-rash,
-trouble balancing
-dizziness

Other Medications
You may need other medications to manage side effects and symptoms. Talk with your doctor if you have problems with nausea, stomach acid, or pain.
Medications may include:
- Antiemetics to control nausea
-Antacids to control stomach acid
-Laxatives or stool softeners to treat constipation
-Medications to control pain
Hormones to replace the ones that your body isn't producing or to treat certain types of tumors

Exercises
keeping the muscles in your legs, buttocks, and abdomen strong and limber helps reduce stress on your back after back surgery. Here are some simple stretching and strengthening exercises.
Your doctor or physical therapist will tell you how often to exercise and how many repetitions are needed.
For safe and effective exercise, breathe normally, avoid twisting, bending or arching your spine, and stop if you feel sharp pain.

Buttocks Squeeze
Strengthens buttocks muscles.
Lie on your back with your spine aligned.
Squeeze your buttocks muscles together.
Count to five, then relax.

Partial Sit-Up
Strengthen the abdominal muscles.
DO NOT do partial sit-ups unless your doctor or physical therapist says you can.
Lie on your back, spine aligned and knees bent.
Brace your abdominal muscles and squeeze the buttocks muscles together.
Reach your hands toward your thighs and tighten your abdominal muscles to lift your shoulders off the floor. Focus your eyes on the ceiling; don't bend your neck toward your chest.
Work up to holding for one minute, several times a day.

Heel Raise
Help to strengthen calf muscles.
Stand with your spine balanced. Hold on to a counter, table, sturdy chair, or railing.
Rise on your toes, then lower your heels to the floor.

Calf Stretch
Helps make standing and turning easier.
Stand with your spine balanced. Step forward with one foot.
Place your hands on a wall or the back of a sturdy chair.
Keep both heels on the floor.
Bend your front leg until you feel the stretch in your back leg.
Count to 20, then switch feet.
DO NOT arch your back.

Opposite Hand-Knee Push
Strengthens the muscles in your abdomen and thighs.
Sit with your spine in a neutral position. You may want to use a lumbar support.
Tighten your lower abdomen.
Lift your left knee and push against it with your right hand for 20 counts.
Don't arch your back. Do the exercise again, using the left hand on the right knee.

Wall Slide
Help to strengthen your thighs.
Stand with your back against a smooth wall.
Put your feet 18-24 inches away from the wall and slightly apart.
Relax your shoulders.
If needed, place a rolled-up towel behind your lower back to keep your spine in a neutral position. Slide slowly down until you're halfway between sitting and standing. Hold for at least ten counts, then slide back up.

Hamstring Stretch
Stretches the muscles in the back of your thigh.
Lie on your back with one knee bent.
Tighten your abdominal muscles.
Put a towel or your hands around the back of the thigh of the straight leg.
Slowly pull the towel toward you, keeping the knee straight.
Hold for ten counts, then switch legs. Raise the leg a little higher each day.
If you feel tingling or pain in your back or legs, you're not yet ready to do this exercise.

Quadriceps Stretch
For the muscle on the front of the thigh.
Stand with your feet shoulder-width apart.
To keep your balance, hold on to the back of a sturdy chair
or a nearby wall with your right hand. Grasp your left ankle with your hand.
Pull your left heel toward your buttocks. Don't arch your
back or lean sideways.
Hold for 20 counts, then switch legs.

Chest-Shoulder Stretch
Relaxes the chest and shoulders.
Stand facing a corner with your back in a neutral position.
Put one foot slightly in front of the other. With arms bent at right angles, place your hands on the walls. Keep the elbows at shoulder height. Gently lean toward the corner. Feel the stretch across your upper chest. Don't arch your back.

Pelvic Tilt
Strengthens abdominal muscles.
Lie on your back with your knees bent and your feet flat.
Tighten your stomach and buttocks, and gently press your low back into the bed. This tilts your pelvis. Hold for five seconds. Repeat 10 times. Do this twice a day.

Tips for Daily Living after Spine Surgery
Standing puts less strain on your back than sitting so make sure to get up and move around often during the day. These tips can show you how to stand and turn without twisting your back. Use these tips to make grooming and kitchen work safer.
-Getting Dressed Putting on and taking off socks, slacks, and underwear may be easier to do lying on your back.
- A tool called a dressing reacher can be of help.
- To make dressing and undressing easier, wear loose clothes and slip-on shoes with closed backs.

Getting Ready to Lie Down

Make sure that you have the things you need within reach before you lie down.
Gather items such as:
-Medications
-Reading Glasses
-Reading material
-Remote Controls
-Other things you may want

Make sure to place items where you won't have to twist your back to reach them.
If you aren't able to gather the items yourself, ask a family member or friend to help.


Other General Tasks

Washing at the Sink
While standing at the sink keep your back in neutral position and bend your knees and hips.

Showering
To avoid arching your back, use a hand-held shower to wash your hair or bend at the knees and hips under the shower head. Use a long-handled scrub brush to avoid bending. Use liquid soap to avoid having to pick up a bar of soap from the floor.

Working in the Kitchen
Store food and any items you use often on the counters or the middle shelves of the refrigerator.

Sitting
At first, avoid sitting as much as possible. Sitting puts more pressure
on your spine than lying or standing. As your back heals, you can sit for longer periods of time.

Driving or Riding in a Car
Adjust the seat so that your knees are level with or just below your hips. To get out of the car, pivot on your buttocks and swing your legs out, keeping your knees together. Don't twist your spine. Use your leg muscles to stand. To get into the car, do the reverse.

Doing Desk Work
Ask your physical therapist how to arrange your desk and workspace
to protect your back whenever you are ready to return to work.

Eating

Slide your chair as far under the table as possible. Don't lean
forward or put your elbows on the table.

Using the Toilet:
Try using a toilet seat riser or portable commode. You can buy these at a drugstore or medical supply store.

Bending and Lifting
The first weeks after surgery, avoid bending and lifting as much as possible. If you are not sure whether a task if safe to do or not, ask for help. You'll learn safer ways to bend, learn the proper way to
lift and find exercises to stretch your legs, so that you can use them to lift instead of using your back.

Grocery Shopping
Purchase small amounts of groceries each time. Ask the checker to bag lightly and to use bags with handles. Put the shopping bags on the car seat, not in the trunk or on the floor. Ask for help taking the groceries to your vehicle.

Child Care

If you have small children, arrange for help while you're still recovering.
Put the changing table on a raised surface, or adjust it to waist height.
Use a reacher to pick up small objects, such as toys, from the floor.
If you must lift a baby from a crib, lower the railing of the crib.
Bring the child close to your body. Follow the lifting instructions.

Pushing and Pulling

Pulling is harder on your spine than pushing. So whenever possible, push, don't pull. Also, avoid pushing anything heavy. The best thing to do is ask for help until you are comfortable with your daily activities.

Referring Physicians

It is our promise that each treatment step will be communicated to you and the patient will be returned to your care as soon as is appropriate. view more

New Patients

We look forward to serving you. Click on our patient information to view everything needed for your initial appointment.view more

Office Locations:

Houston: Galleria Area: 4141 Southwest Freeway, Suite 490, Houston TX 77027

Houston: Southeast: 12835 Gulf Freeway, Houston, TX 77034

Beaumont: 6025 Metropolitan Dr., Suite 210, Beaumont, TX 77706

Port Arthur: 2501 Jimmy Johnson Blvd., Suite 301, Port Arthur, TX 77640

Mailing Address:
PO box 271463, Houston, TX 77277

Phone: 832-932-9300

409-833-BACK (2225)

Fax: 1-855-790-3974

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