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Patients undergo a complete history and physical examination.
Specific diagnostic imaging studies to determine the extent and level of the disc herniation are also obtained.
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Immediately after surgery, as anesthesia wears off, patients will usually feel tired and slightly disoriented, although the after-effects of anesthesia can vary greatly from patient to patient.
Post-operative pain will be present and may require over-the-counter or prescription medication to control the pain.
The patient is normally released from the hospital two to five days after surgery and can resume physical activities such as walking almost immediately.
Total recovery may take anywhere from six weeks to six months depending on how advanced the spinal stenosis and associated nerve involvement was at the time of surgery.
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NSAIDs
NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) are a group of drugs used to control pain. This category of medications includes both prescription and common over-the-counter painkillers such as ibuprofen. NSAIDs are effective for many types of pain that can occur because of inflammation of muscles, joints and bones. The drugs work quickly and people often notice some benefit within a few hours of taking the tablet. However, the complete effectiveness of the drug may not be realized for up to four weeks. For each individual, some varieties of NSAIDs are more effective than others. Often, patients will find that one or two varieties are helpful whereas others may not be as effective in controlling symptoms. It is usually necessary to try several brands and continue with the one that is most suitable. NSAIDs can be used to treat:
Pain resulting from inflammation or swelling.
Pain after injury.
Joint pain and arthritis.
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Nerve root injury that could result in partial or complete loss of function.
Risks during and after surgery include problems that may develop in relation to bleeding, the possibility of infection, and reactions to anesthesia.
Injury to blood vessels, or the development of blood clots.
Anesthesia and medical (heart, lung) complications.
The possibility of unforeseen complications.
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