What should I do or not do after a nucleoplasty procedure?
Side effects to expect: Numbness over the skin from the anaesthetic for up to 16 hours. Pain and stiffness over the injection can last a few days. There might be a bit of bruising or bleeding and back stiffness. The steroid component of the injection can cause elevated blood pressure, insomnia, and transient change in your monthly cycle and flow.
Red flags: If you have a fever, weakness, difficulty controlling your bladder or bowel or walking, please contact us immediately. Proceed to the nearest emergency clinic if it is after office hours.
Rest: For the first 3 days, limit sitting or walking to 10-15 mins at a go, and rest in between. Find a comfortable position in which to lie down.
Driving: Avoid driving on the day of the procedure and the day after.
Lifting: Limit any carrying to 3-4 kg at max. It is preferable to not carry anything over 1 kg if possible.
Activity: Minimise any bending or twisting movements.
Exercise: After the first week, it is important to walk at a normal pace of about 20 min a day to maintain your core muscle tone so that it can continue to do its work of supporting the spine.
Shower: You may shower as per normal, but avoid public pools because of the risk of infection.
Dressings: You may remove them after a day without replacement.
Chiropractor: Avoid any manipulation or massage for the first fortnight.
Travelling: Avoid travelling for the first few weeks, as you may need to sit in an uncomfortable position for a long period in the place or in the car. The back muscles may become exhausted and unable to support and offload your weight from your spine.
Medications: Take your medications as prescribed, even if your pain has disappeared. Some medications are important in controlling nerve sensitivity.
Compresses and packs: You can use hot or cold packs 15-20min at a time with an equal time off. It is best to place towel in between the pack and the skin. Avoid using the packs over areas of numbness.
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