How Long Does Stiffness Last after a Microdiscectomy?

How Long Will I Feel Stiffness after Microdiscectomy Surgery? 

Microdiscectomy is a common surgical procedure used to treat herniated discs, usually in the lower back. While it often provides relief from pain and other symptoms, many patients experience stiffness as part of the recovery process. In this article, you will learn how long stiffness typically lasts after a microdiscectomy and what you can expect during your recovery journey.

Understanding Microdiscectomy and Post-Operative Stiffness

Microdiscectomy is a minimally invasive surgical procedure that removes part of a herniated disc to relieve pressure on the spinal nerves. While the surgery itself is relatively quick, lasting between 30 to 60 minutes, the microdiscectomy recovery process can take several weeks to months.

One of the most common postoperative symptoms is stiffness in the back. This stiffness is a normal part of the healing process and is typically caused by:

• Surgical trauma - Although minimally invasive, a microdiscectomy involves separating muscle tissue to access the herniated disc, which can lead to inflammation and stiffness.
• Muscle guarding - The surrounding muscles may tighten to protect the surgical site, contributing to reduced flexibility.
• Scar tissue formation - Over time, scar tissue may develop around the surgical area, which can limit movement temporarily.
• Reduced activity - Patients often limit physical activity immediately after surgery, which may lead to stiffness as muscles and joints become less mobile.

The Timeline of Post-Microdiscectomy Stiffness

The duration of stiffness after a microdiscectomy can vary from person to person. However, there is a general timeline many patients experience:

• Immediate postoperative period (0–2 weeks)

In the first two weeks after surgery, stiffness is often at its peak. During this time, you can expect:

• Significant back stiffness and soreness
• Difficulty sitting or standing in one position for extended periods
• The need for pain medication and possibly muscle relaxants

• Early recovery (2–6 weeks)

As you enter the second phase of recovery, you may notice:

• A gradual reduction in stiffness
• Improved ability to perform daily activities
• Decreased reliance on pain medication
  

• Mid-recovery (6–12 weeks)

By this stage, many patients experience:

• Significant improvement in back flexibility
• Ability to return to most regular activities
• Continued reduction in stiffness, though some may persist

• Long-term recovery (3–6 months and beyond)

While most patients see substantial improvement by the 3-month mark, it is important to note that:

• Some degree of stiffness may persist for up to 6 months
• Full recovery and return to all activities typically occurs within 3–6 months

Factors Affecting the Duration of Stiffness

The length and severity of post-microdiscectomy stiffness can be influenced by several factors:

• Age - Older patients may experience longer recovery times and more persistent stiffness.
• Overall health - Patients with better general health often recover more quickly.
• Adherence to postoperative instructions - Following your surgeon’s guidelines for activity and rest can significantly impact recovery speed.
• Physical therapy participation - Engaging in prescribed exercises and physical therapy can reduce stiffness more quickly.
• Preexisting conditions - Patients with chronic back issues or other health conditions may experience prolonged stiffness.

Managing Post-Microdiscectomy Stiffness

While some degree of stiffness is inevitable, there are several strategies you can employ to manage and potentially reduce its duration:

• Follow your surgeon’s instructions

Adhering to your doctor’s postoperative care plan is crucial. This typically includes:

• Limiting bending, lifting, and twisting for at least 6 weeks
• Gradually increasing activity levels as advised
• Taking prescribed medications as directed

• Engage in gentle movement

While rest is important, some movement can reduce stiffness:

• Start with short, gentle walks as soon as your surgeon allows
• Gradually increase the duration and intensity of your walks
• Perform any prescribed exercises or stretches consistently
  

• Use cold and heat therapy

Alternating between cold and heat can help you manage stiffness:

• Use ice packs in the first few days to reduce inflammation
• After the initial period, apply heat to relax muscles and increase blood flow

• Maintain proper posture

Good posture can reduce strain on your back:

• Use supportive chairs when sitting
• Avoid prolonged periods of sitting or standing
• Use proper body mechanics when moving or lifting objects
  

• Participate in physical therapy

Working with a physical therapist can be invaluable in your recovery:

• Learn exercises to strengthen the muscles around your spine
• Increase flexibility and range of motion
• Receive guidance on proper body mechanics and posture

When to Seek Medical Attention

While some stiffness is normal, there are situations where you should contact your healthcare provider:

• Severe or worsening pain
• New or increasing numbness or weakness
• Signs of infection (fever, redness, or drainage from the incision site)
• Difficulty with bladder or bowel function

The Long-Term Outlook

It is important to remember that recovery from microdiscectomy is a gradual process. While stiffness can be frustrating, it typically improves significantly within the first few months. By the 6-month mark, most patients have returned to their normal activities with little to no residual stiffness.

However, it is crucial to maintain good back health even after full recovery. This includes:

• Regular exercise to maintain core strength
• Proper lifting techniques
• Good posture habits
• Maintaining a healthy weight

Stiffness after a microdiscectomy is a common and normal part of the healing process. While it can last for several weeks to months, most patients see significant improvement within the first 3 months post-surgery. By following your surgeon’s instructions, engaging in appropriate physical therapy, and practicing patience, you can navigate the recovery process successfully and return to your normal activities.

Remember, everyone’s recovery journey is unique. If you have concerns about your progress or the duration of your stiffness, do not hesitate to reach out to your healthcare provider, who can offer personalized advice and ensure your recovery is on track.

Pain levels and back surgery recovery time vary among individuals and depend on factors such as disc height and the size of the hole left 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 microdiscectomy, 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 microdiscectomy—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.