Range of Treatments
Treatment Methods
X-ray-guided infiltration therapy (facet joint block, periradicular therapy PRT)
Microsurgical disc and decompression surgery
Endoscopic thermoablation (obliteration) of the facet joints
Endoscopic disc and decompression surgery
Tumor resection with intraoperative electrophysiological monitoring to monitor spinal cord and nerve function
Implantation of disc prostheses
Spondylodesis/stabilization surgery in all sections of the spine
Inpatient Treatments and Surgeries
Hospital Stay
The hospital stay after surgery is approximately 3 days following microsurgical/endoscopic decompression surgery as well as anterior surgery on the cervical spine, and approximately 5 to 7 days following stabilization surgery.
Rehabilitation Treatment
As a rule, rehabilitation treatment is not required. At the patient’s request, this can be arranged through the social services department of the respective hospital during the inpatient stay. Follow-up rehabilitation treatment begins (depending on the extent of the surgery) between 4 and 6 weeks after the operation.
Pain Medication
Pain medication needed beyond the hospital stay is prescribed through the practice. Your doctor will discuss the details with you.
Follow-up Examinations
Follow-up examinations at the practice take place for the first time 1 to 2 weeks after the operation, then after a further 6 weeks, and thereafter as individually arranged.
Wound Care
The surgical wounds are usually closed with adhesive strips or sutured with self-dissolving thread, so that no stitch removal is required. Until the first check-up, the dressings should be changed regularly, and special waterproof shower dressings should be used for showering. Please do not use any ointments or creams on the wound.
Physical Strain
For 6 weeks after surgery, avoid heavy lifting (more than 5 kg) as well as strong rotational or bending movements.
Positions
Change regularly between sitting, standing, and lying positions.
Physiotherapy/Exercises
Physiotherapy should begin approximately 1 to 2 weeks after the operation, starting with gentle movement exercises and initial stabilizing exercises. In addition, back school (structured exercise training) helps with reintegration into daily life. You will receive the corresponding prescription at your first follow-up appointment at the practice.
Activities/Sport
General and sporting activities are gradually increased over the first 4 to 12 weeks after the operation, depending on the extent of the surgery and the goals being pursued.
Driving
When you are allowed to drive again after an operation depends on many factors, such as the extent of the surgery, the course of healing (pain/mobility), any residual neurological deficits, and medication use. We recommend waiting at least 3 to 6 weeks before actively participating in traffic again, initially with shorter distances and slower speeds. Until then, you should use public transportation, though you may travel as a passenger earlier.