How Long after a Microdiscectomy Can I Fly?

Flying after Microdiscectomy: When Is It Safe to Travel?

Microdiscectomy, a minimally invasive surgical procedure to relieve nerve compression in the spine, is one of the most common surgeries performed for herniated discs. While the procedure itself has a relatively short recovery period compared to traditional open surgery, patients often wonder when they can safely resume normal activities, particularly air travel, which presents unique challenges for those recovering from back surgery.

The question “How long after a microdiscectomy can I fly?” is multifaceted, involving medical considerations, comfort factors, and individual recovery rates. In this article, you will learn about general recommendations, potential risks, and practical strategies to help you plan safe air travel following your microdiscectomy.

Understanding Microdiscectomy & Initial Recovery

A microdiscectomy (also called microdecompression) is a surgical procedure that removes a small portion of the herniated disc material that presses on a nerve root or the spinal cord. Unlike traditional open surgeries, it uses a special microscope and smaller incisions, resulting in less tissue damage and typically faster recovery times.

The initial recovery phase after microdiscectomy involves:

• First 24–48 hours - Rest with minimal movement, often with an overnight hospital stay
• First few weeks - Gradual return to light activities, avoiding lifting, bending, and twisting
• Next several weeks - Progressive increase in activity levels as pain and mobility improve

During this period, the surgical wound heals and inflammation begins to subside. However, internal healing of the disc and surrounding tissues continues for several months after surgery.

General Recommendations

Most spine surgeons recommend waiting at least a few weeks before flying after an uncomplicated microdiscectomy. This recommendation is based on several medical considerations:

• Risk of deep vein thrombosis (DVT) - Surgery itself increases the risk of blood clots, and prolonged immobility during flights further elevates this risk.
• Wound healing - The surgical incision should be completely healed before flying to minimize infection risk.
• Pain management - Postsurgical pain can be exacerbated by the confined seating and potential turbulence during flights.
• Emergency access - Medical assistance is limited during flights if complications arise.

While microdiscectomy is less invasive than traditional spine surgery, patients should still exercise caution when planning air travel. The seated position places more pressure on the lumbar spine than standing or lying down, which can aggravate the surgical site if attempted too soon after surgery.

Factors Affecting Wait Time

The recommended waiting period may vary based on:

• Surgical complexity - Straightforward procedures may allow earlier travel than complicated cases.
• Individual recovery rate - Some patients heal faster than others.
• Flight duration - Longer flights (>4 hours) typically require longer recovery before travel.
• Presence of complications - Any postsurgical complications will extend the waiting period.

Medical Clearance Requirements

Before flying after a microdiscectomy, you should:

• Consult with your surgeon - Obtain specific clearance based on your recovery progress.
• Get documentation - Request a medical note describing your recent surgery and any medical necessities.
• Verify insurance - Ensure travel insurance covers your postsurgical status.
• Plan for your medications -  Arrange for sufficient medication for the entire trip plus contingencies.

Most airlines do not have specific policies regarding passengers who have undergone microdiscectomy but may require medical clearance for travel within 6 weeks of any surgery.

Packing Considerations

When preparing for your flight after microdiscectomy:

• Pack light - Avoid lifting heavy luggage that could strain your back.
• Use wheeled luggage - Opt for luggage with four wheels that can be pushed rather than pulled.
• Request assistance - Arrange for airport assistance in advance for luggage handling and transportation within terminals.
• Compression stockings - Consider wearing medical-grade compression stockings to reduce DVT risk.
• Comfort items - Bring a lumbar support pillow and neck pillow.

Medical Preparations

• Pain management - Time your pain medication to provide maximum relief during the flight.
• Medical supplies - Pack extra medications and any wound care supplies in your carry-on.
• Emergency contacts - Have your surgeon’s contact information readily available.
• Medical alert card - Consider carrying a card that explains your recent surgery.

Seating Options

The right seat can significantly impact your comfort:

• Aisle seats - Allow easier standing and movement without disturbing others
• Extra legroom - Consider premium economy or bulkhead seating for more space.
• Avoid middle seats - These restrict movement and may increase discomfort.
• Front of cabin - Minimizes walking distance to restrooms

Movement Protocol

To reduce stiffness and decrease DVT risk:

• Stand every 30–60 minutes - Set a timer to remind yourself to get up and move.
• Simple stretches - Perform approved stretches in the aisle or at your seat.
• Ankle pumps - Flex and point your feet frequently while seated.
• Hydration walks - Combine restroom visits with short walks when the seatbelt sign is off.

Posture Maintenance

• Lumbar support - Use a small pillow or rolled towel behind your lower back.
• Avoid slouching - Maintain neutral spine alignment as much as possible.
• Recline when permitted - Taking pressure off your spine by reclining slightly can help.
• Avoid overhead bin use - Request assistance when placing or retrieving items.

Postflight Recovery

The effects of flying may not be immediately apparent. Plan for:

• Rest day - Schedule at least one day of rest after arrival before undertaking activities.
• Gentle walking - Resume walking gradually to overcome stiffness.
• Ice/heat therapy - Use as needed for pain management.
• Medical follow-up - Know how to access medical care at your destination if needed.

Special Considerations for Long-Haul and International Flights

For flights exceeding 6 hours:

• Consider layovers - Breaking up long journeys allows movement periods.
• Premium seating - The investment in business or first class may be justified for the additional space.
• Sleep aids - Consult your doctor about appropriate sleep aids if necessary.
• DVT prevention - Additional measures such as prescribed blood thinners might be recommended.

International travel is particularly challenging after spine surgery. The combination of prolonged sitting, potential for dehydration, and time zone changes can exacerbate recovery challenges. 

When to Postpone Your Trip

Consider postponing your flight if you experience:

• Persistent or increasing pain not controlled by prescribed medication
• Signs of infection, including fever, redness, swelling, or drainage from the incision
• Neurological symptoms such as new weakness, numbness, or bladder/bowel issues
• Recent changes in your postoperative care plan

Emergency Situations during Travel

While rare, know how to respond to potential emergency situations:

• Severe pain - Use prescribed breakthrough medication and seek medical attention.
• Signs of DVT - Swelling, pain, or warmth in the calf requires immediate medical attention.
• Wound issues - Any opening of the incision should be evaluated by a healthcare provider.
• Neurological changes - New or worsening numbness, weakness, or function loss warrants emergency care.

Flying after a microdiscectomy requires careful timing and preparation. While most patients can safely fly after a few weeks following an uncomplicated procedure, individual recovery varies. The decision should always be made in consultation with your surgeon, taking into account your specific circumstances, recovery progress, and flight duration.

By following appropriate precautions—including strategic timing, proper seating, regular movement, and adequate support—most patients can navigate air travel safely after microdiscectomy. Remember that a successful recovery is a marathon, not a sprint, and sometimes the best travel decision is waiting until you are fully ready for the journey.

Always prioritize your recovery and consult your healthcare provider for personalized advice before making travel plans after spine surgery.

Back surgery recovery time varies among individuals and depends on factors such as whether the patient has a large hole in the outer ring of the disc after surgery. If the hole in the disc is larger than a standard pencil eraser, the patient has a significant risk of experiencing a reherniation. Patients with a large hole in the outer ring of the disc are more than twice as likely to reherniate after surgery. These reherniations often require additional surgery or even a larger spinal fusion operation. Barricaid is a bone-anchored device shown to reduce reherniations by closing the hole in the disc after a discectomy, and 95 percent of Barricaid patients did not undergo a reoperation due to reherniation in a 2-year study timeframe. This treatment is done immediately following the discectomy—during the same operation—and does not require any additional incisions or time in the hospital. 

If you have any questions about the Barricaid treatment or how to get access to Barricaid, you may ask your doctor or contact us today.
For full benefit/risk information, please visit: https://www.barricaid.com/instructions.