POST PROCEDURE PROTOCOL FOR CERVICAL SPINE PROCEDURES
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No NSAIDS such as Advil, Motrin, ibuprofen, Naprosyn, and Aleve x 2 weeks.
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Pain: Tylenol for mild pain and if needed use mild narcotic provided.
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Bracing: If recommended, use sling during sleep the first 2 nights if able. Sleep is more
important so if you cannot sleep and use the sling, feel free to remove it. -
Driving restrictions: No driving until you can safely shift and steer the vehicle.
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Work restrictions: Depends on duration of lifting restrictions.
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Exercise restrictions: 2 weeks relative rest then 4 weeks progressive PT.
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Use soft collar for ____days, coming out for range of motion (without deep stretch) twice daily
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Avoid Rotation and Extension (looking up) and side bending at the neck for 2 days.
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Begin active stretching of scalene and trap by day 3 post injection
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NO ACTIVE lifting with arms above shoulder height x 3 days; may do PASSIVE RANGE OF
MOTION with shoulder and neck after day 2 -
Sleep with cervical neck support lying on back as much as possible for 3-5 days.
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f/u for PT in 4-7 days
Activities: In general, with all exercise and activities, keep pain level below 4/10.
First 2 Weeks:
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Strengthening/Motion: Isometrics and range of motion are good for muscles and pain control. PT will help with range of motion and home exercise plan.
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Walking: No restrictions.
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Cycling: May do gentle ride on stationary bike for 10-15 minutes without looking up, such as at a TV screen, then 30 minutes after week 1.
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Swimming: No swimming for the first 2 weeks.
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Throwing/rock climbing/tennis: None of these the first 2 weeks.
Weeks 2-4:
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Strengthening/Motion: Start gentle low load concentric/eccentrics with PT. Work on progressive motion and strengthening of shoulder and thoracic spine.
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Cycling: No restrictions except would stay on exercise bike until 4 weeks.
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Swimming: May begin gentle kicking and pool walking.
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Throwing/rock climbing/tennis: No rock climbing until after 6 weeks. Throwing can begin at 4 weeks
Weeks 4-6:
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Strengthening/Motion: Progress to moderate loading and progressive strengthening. Work on maintaining or regaining full range of motion by 4-6 weeks.
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Cycling: May do gentle road biking and trail biking; avoid mtn biking until 6 weeks.
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Swimming: May try some gentle breaststroke for a few laps. Use buoy for rest.
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Throwing/rock climbing: Can begin some pre-climbing/throwing exercises with PT. Anticipate return to gentle climbing and return to throwing program at 6 weeks.