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POST OPERATIVE SPINAL SURGERY PATIENT INFORMATION BOOKLET THIS IS MODERN MEDICINE
Post operative Spinal Surgery Patient Information Booklet INDIVIDUAL PATIENT NOTES Consultant Name Date of Surgery Weight Bearing Status Walking Device Date for Removal of Sutures Stitches or Staples Clips Other Recommendations
Contents Introduction Anatomy The Di erent Types Of Spinal Surgery Preparing For Admission Managing Your Pain Physiotherapy General Recommendations Discharge Instructions Potential Complications Follow Up Conclusion 4 5 6 10 11 12 13 14 24 25 29 30 31 32 33 34 35 3
Post operative Spinal Surgery Patient Information Booklet Introduction This information booklet is to help you to understand your symptoms explain the relevant operation you had and most of all help you to recover afterwards It contains advice based on the latest research and it is suitable for people with a range of spinal surgeries We hope the information provided will empower you to be proactive prior to your surgery to ensure a smooth pre operative post operative and discharge experience Throughout your stay in Beacon Hospital you will receive continuous advice and support from all members of the team 4
Post operative Spinal Surgery Patient Information Booklet Anatomy Your entire spine is made up of bony blocks called vertebrae These are stacked upon each other which allows the spine to move as well as protect the spinal cord In between each vertebra is a disc Discs give the spine its flexibility and act as a shock absorber Stability of the spine is achieved by various spinal ligaments and muscles surrounding the vertebrae The nerves originating at the cervical spine supply the movement and sensation to the neck shoulders arms and hands The nerves originating at the thoracic spine supply the movement and sensation to the trunk or abdomen There are five lumbar and five sacral spinal nerves in your lower back and they supply the movement and sensation to the hips legs and feet These nerves also supply your bladder and bowel which is why you will be asked about your bladder and bowel function after surgery Cervical Thoratic Lumbar Sacrum Coccyx 5
Post operative Spinal Surgery Patient Information Booklet The Di erent Types Of Spinal Surgery A Lumbar Decompression Most common reason for this surgery Lumbar spine stenosis occurs where there is narrowing of the spinal canal which may result in compression of spinal nerves and the spinal cord It is generally a disease of the aging population and can be caused by osteoarthritis disc degeneration and thickening of the ligaments and facet joints Symptoms you may experience include back pain leg cramping numbness and tingling in your legs Surgery Explained The aim of this surgery is to decompress the nerves that are causing your symptoms by removing either pieces of bone some disc material bone spurs and or ligaments This may include a procedure called a Laminectomy Laminotomy or a Foraminotomy Laminectomy Before procedure After procedure Nerve pinched Nerve no longer pinched Entire lamina removed Entire lamina removed Spine Spine cord 6
Post operative Spinal Surgery Patient Information Booklet B Lumbar Decompression Most common reason for this surgery Disc protrusion herniation It is important to know that discs don t slip they just bulge a little and not all bulges require surgery When a disc bulge becomes a protrusion or herniation the fibrous ring that surrounds the disc no longer contains it and the disc material can impinge on the nerve possibly creating painful symptoms in your legs and may indicate surgery Surgery Explained The aim of this surgery is to take the pressure o the nerve causing your symptoms 80 90 of people with disc problems get good relief of their leg pain Most but not all will get some improvement in their back pain also If the nerve has been under pressure for a long time there may be some irritation at the nerve For some people this could mean a longer recovery and may continue to have some symptoms after surgery A lumbar discectomy is a procedure to remove a part of the disc material Your operation is performed through a small 1 1 inch incision in the midline of the low back First the back muscles are lifted to one side so the surgeon can see the spine The surgeon is then able to enter the spine by removing a membrane over the nerve roots ligamentum flavum and uses either operating glasses or an operating microscope to see the nerve root Nerves are sensitive but tough and can be moved to the side so that the disc material is removed from under the nerve root A final check to make sure the nerve is lying free and that nothing is pressing on it and that s the job done All that remains is to let the muscles fall back into position and close the wound with clips or stitches 7
Post operative Spinal Surgery Patient Information Booklet If an endoscopic discectomy is performed this is a minimally invasive spinal procedure where an even smaller incision is created less than 1 inch which minimizes the amount of trauma sustained to the lower back muscles to reach the disc in question Your surgeon will advise if this minimally invasive version of the surgery is appropriate for your specific case C Lumbar Fusion Most common reason for this surgery In severe cases of herniated discs and osteoarthritis causing symptoms of pain pins and needles numbness and lack of power in your legs feet a lumbar fusion may be warranted as a treatment option Surgery Explained Fusion surgery is where one or more of your vertebrae in your back are fused together The fusion is achieved either by using bone grafts or instrumentation plates screws and rods which are placed between your vertebrae Lumbar Fusion Your fusion heals in a similar way to a fractured wrist where the two vertebras join together The fusion can be a prolonged recovery and may take six or more months to heal After surgery 80 of people will get an 80 reduction in their back pain 8
Post operative Spinal Surgery Patient Information Booklet D Kyphoplasty Vertebroplasty Most common reason for a Vertebroplasty surgery Vertebroplasty is a procedure used to treat vertebral compression fractures and abnormal alignment typically caused by osteoporosis This minimally invasive technique has high success rates for reducing pain caused by fractures stabilizing the bone and restoring some or all vertebral body height lost due to compression Surgery Explained The procedure involves making a small incision behind the target area so that a narrow tube can be inserted into the fractured portion of the vertebrae A cement like material is inserted into the cavity through a high pressure injection The material hardens quickly stabilizing the bone Most common reason for a Kyphoplasty surgery Kyphoplasty is another procedure used to treat vertebral compression fractures and abnormal alignment typically caused by osteoporosis Surgery Explained The procedure involves making a small incision behind the target area so that a narrow tube can be inserted into the fractured portion of the vertebrae A special balloon is then inserted through the tube and inflated This elevates the fracture restoring a more natural shape while also compacting the soft inner bone to create a cavity in the center of the vertebrae After deflating and removing the balloon a cement like material is inserted into the cavity through a low pressure injection The material hardens quickly stabilizing the bone Vertebroplasty Kyphoplasty Fractured vertebrae Bone Cement injected in Baloon Catheter Baloon inserted to Balloon filled with Bone cement hardens the fractured vertebrae inserted into a ected create a cavity Bone cement and stabilizes the vertebrae restoring collapse vertebrae 9
Post operative Spinal Surgery Patient Information Booklet E Cervical Discectomy Discectomy and Fusion Most common reason for this surgery Age related changes are common to your cervical spine after the age of 50 Your discs get harder and smaller with age causing discs to bulge protrude or herniate which may pinch the spinal cord and nerves The bones and ligaments which lie between our discs can also thicken and enlarge These changes can cause narrowing of the spinal canal and also pinch on your spinal cord and nerves Pressure on the nerves in your cervical spine causes symptoms only in the arms and hands These symptoms include arm pain pins and needles numbness and weakness that may extend into your hands and fingers In extreme cases one may experience cervical myelopathy whereby the legs and gait pattern are a ected by compression of the spinal cord at the neck level Surgery Explained The aim of the surgery is to take pressure o your nerve at the spinal cord level that is causing your symptoms The most common type of surgery to address this in the cervical spine is called the Anterior Cervical Discectomy and Fusion ACDF During this surgery an incision is made in the front and to one side of your neck and a discectomy is performed where your surgeon removes your disc This disc is replaced with either a bone graft or a cage Anterior Cervical Discectomy and Fusion ACDF The surgeon then fuses two of your vertebrae together using plates and screws A fusion stabilizes your neck and compensates for a piece of your disc or bone being removed 10
Post operative Spinal Surgery Patient Information Booklet Preparing for Admission Smoking It is advisable to give up smoking or at least to reduce the number of cigarettes you smoke a day as smoking interferes with wound healing It also impairs bone growth and repair and will delay or even prevent healing of the joint after surgery If you smoke and want help reducing or quitting or need a nicotine patch please inform your admitting nurse Valuables Please leave all valuables and jewelry at home There is a small safe in the patient room that can be used to hold anything of value during your stay Planning your Discharge There are significant activity restrictions post operatively that may impact your daily life for the first 6 weeks after your surgery If there is ANY possibility that you may require convalescence or additional help at home now is the time to start planning and arranging it It can be extremely di cult to get a bed in a convalescence centre at short notice If you require further information regarding this we have an information pack to help you plan your convalescence 11
Post operative Spinal Surgery Patient Information Booklet Managing Your Pain Pain is a common occurrence following any surgical procedure It can be well managed with medications and special pain management devices The pain will naturally reduce as your wound heals and with regular use of analgesics pain killers It is imperative to keep your pain well controlled so you can mobilise comfortably perform your physiotherapy exercises and resume normal activities after your surgery You will be asked to rate or score your pain regularly after your surgery You will be asked to give a number between 0 and 10 where 0 represents no pain and 10 represents the worst pain you can imagine Your score will depend on how intense your pain is Please point to the number that best describes your pain 0 No pain 10 Worst pain imaginable 0 1 2 3 4 5 6 7 8 9 10 no mild moderate severe very severe worst pain pain pain pain pain pain imaginable The nurses will administer appropriate treatments medications depending on your pain score The nurse will reassess your pain score after the treatment to make sure it has worked to reduce your pain Analgesics are painkillers and can include tablets suppositories and injections into your veins or skin You will receive analgesics at regular intervals throughout your recovery to maintain pain control You can ask your nurse for extra painkillers if you need them for soreness or before your exercises People using analgesia to manage pain are extremely unlikely to become addicted 12
Post operative Spinal Surgery Patient Information Booklet If you have any medication allergies please tell your nurse and doctor If you have had any unpleasant experiences taking analgesia in the past or are concerned about taking painkillers please discuss with your nurse or doctor Side e ects are very easily treated they can include constipation nausea vomiting itchiness drowsiness and urinary retention People generally experience two types of pain 1 Wound pain Your wound will be a bit sore It is generally worse in the first few days and will slowly get better over a few weeks 2 Nerve Pain Some patients find their leg pain resolves immediately after their surgery Others find it takes time for their leg pain to settle but this is not a cause for concern This is because nerves have a memory of pain and are still sensitive It may take several weeks or even longer for nerve pain to settle down Leg pain can be throbbing burning or tingling type pain Some people experience a sudden sharp shooting pain spasm 13
Post operative Spinal Surgery Patient Information Booklet Physiotherapy You can start moving generally within a few hours after your surgery Your physiotherapist will let you know if you have any specific post operative restrictions After your surgery it is really important that you start moving Walking is going to be your main exercise while in hospital and at home so don t be afraid to do so How long you walk for on a daily basis will be decided by your comfort levels You should aim to walk a small bit further every day gradually increasing your activity levels 14
Post operative Spinal Surgery Patient Information Booklet Thoracic Lumbar Spine Surgeries Physiotherapy Exercise and Education For lumbar decompression lumbar discectomy lumbar fusion vertebroplasty and kyphoplasty surgeries Your physiotherapist will give you the following exercise programme We recommend that you do these exercises 2 3 times a day within your comfort levels These exercises allow you to gently mobilise your spine and hips The following exercises start as soon as you are able You may feel uncomfortable at first but these exercises will speed up your recovery 1 Hip Flexion Slowly bring one leg up to your chest at a time as far as comfortable do not go into pain This may be achieved by first sliding the heel towards your hip and then progressing to lifting your knee into a knee hug depending on pain levels Repeat on each leg 10 times 3 times a day 15
Post operative Spinal Surgery Patient Information Booklet 2 Transversus Abdominis Activation Pull your lower abdomen down towards your spine Assist this contraction by pulling up and in with the pelvic floor muscles Your hips should not lift o the bed at any point Hold the contraction for 5 seconds remember to keep breathing Repeat 10 times 3 times a day 3 Diaphragmatic Breathing Lying in a relaxed position focus on your breath breathing deep into your belly feeling your belly rise into your hands while your upper chest stays relaxed Focus on this method of breathing for 10 15 mins twice a day 16
Post operative Spinal Surgery Patient Information Booklet Education Activity Restrictions Thoracic and Lumbar Surgeries Sitting If you have had a lumbar decompression kyphoplasty or vertebroplasty you are allowed to sit for comfortable time periods In the initial few weeks this may be limited however you should aim to increase your sitting out time daily If you have had a lumbar discectomy or lumbar fusion we recommend that you initially only sit for 10 30 minutes at one time and then gradually increase your sitting out time as comfort allows Driving If you have had a lumbar decompression lumbar discectomy kyphoplasty or vertebroplasty you can drive two weeks after your surgery If you have had a lumbar fusion you can drive four to six weeks after your surgery We recommend to start with a short journey first perhaps around your house or down to the shops You must have full control of your leg before you can safely go back driving therefore if you have some leg weakness it is not safe to go back driving until cleared by your consultant Heavy Lifting No heavy lifting for 6 weeks greater than 1kg 2 2 pounds Gym Swimming We advise that you avoid these activities until after your consultant review 17
Post operative Spinal Surgery Patient Information Booklet Contact Sports It can be up to 12 weeks or longer before you return to contact sports Your consultant in conjunction with the physiotherapist will let you know when you can return Household Work We advise that you avoid heavy household work for 6 weeks If you are post discectomy or decompression and you are doing well you can start light household work for example dusting and washing dishes after 3 4 weeks Bending Down We advise that you avoid excessive bending that causes you pain or discomfort Do not be afraid to bend down to dress i e socks shoes trousers You should aim to gradual increase your forward bend as tolerated within your comfort levels over the next 4 6 weeks Sleeping You can sleep in any position once it is comfortable for you Travel Generally you are allowed to travel 6 weeks after your surgery It is important that you clear this with your consultant 18
Post operative Spinal Surgery Patient Information Booklet Cervical Spine Surgeries Physiotherapy Exercise and Education For cervical discectomy only and cervical discectomy and fusion ACDF procedures Brace Your consultant may require you to wear a neck brace after your surgery Both your consultant and your physiotherapist will give you advice in relation to wearing the brace 1 Diaphragmatic Breathing Lying in a relaxed position focus on your breath breathing deep into your belly feeling your belly rise into your hands Focus on this method of breathing for 10 15 mins twice a day 2 Active Assisted Shoulder Flexion Lying on your back Use one arm to minimally assist lifting your other arm one at a time up over the head Repeat 10 times on each arm 3 sets daily Complete this on your back for the first week and then complete in a chair from the second week 19
Post operative Spinal Surgery Patient Information Booklet 3 Cervical Rotation Lying down gently turn your head to the left hand side by turning your head to look over your shoulder avoiding lifting the head o the pillow initially Repeat turning your head to the right hand side Try to co ordinate the movement with breathing Do not force the movement keep the movement gentle and only as far as comfortable Complete this on your back for the first week and then complete in a chair from the second week Repeat 10 times in each direction 3 sets daily 4 Scapular Retraction In sitting or standing squeeze shoulder blades together Hold for 10 seconds Repeat 10 times 3 times per day 20
Post operative Spinal Surgery Patient Information Booklet Education Activity Restrictions Cervical Spine Surgeries Lifting Do not lift anything heavier than a litre of milk 1 kg for the next 6 weeks Your consultant and physiotherapist will let you know when you are ready to lift heavier weights Housework and Yard work Avoid all heavy household work and all DIY work for the next 6 weeks This includes gardening mowing vacuuming ironing and loading unloading the dishwasher washer or dryer Gym Workouts Avoid physical workouts contact sports and swimming for the first 6 12 weeks after your operation Driving Avoid driving for 2 3 weeks after your operation You need to make sure that you can comfortably move your neck from side to side before you go back driving Work You may be able to return to work 4 6 weeks after your operation However physical jobs may require up to 8 12 weeks It is advised you discuss this with your consultant Sitting In the first few days it is recommended that you sit for comfortable time periods only in a supportive chair building up the amount of time sitting as pain levels allow 21
Post operative Spinal Surgery Patient Information Booklet Walking We recommend that you gradually increase your level of activity via walking over the next 6 weeks It is important that you are pacing yourself and not causing an increase in your discomfort levels Posture Pay special attention to your posture making sure that you don t adopt a poor posture after your surgery Travel After surgery it is recommended that you avoid any air flying until cleared by your consultant This is generally 6 weeks after your surgery 22
Post operative Spinal Surgery Patient Information Booklet Physiotherapy and Bed Mobility FOR ALL SURGERIES Your physiotherapist will show you the correct way of getting in and out of bed They will teach you the following technique called log rolling We recommend that you get in and out of bed this way for the next 6 weeks Log Rolling Getting out of bed While lying on your back bend your knees Roll onto your side Keep your shoulders and hips together as a unit as you roll Place your bottom hand underneath your shoulder Place your top hand in front of you at chest level Slowly raise your body as you lower your legs toward the floor 23
Post operative Spinal Surgery Patient Information Booklet Getting into bed Reverse order of getting out of bed Sit on your bed closer to the head of the bed than to the foot of the bed Scoot back onto the bed as far as you can Lower yourself onto your side using your arms to guide and controlyour body At the same time bend your knees and pull your legs onto the bed Keep your knees bent Roll onto your back Keep your shoulder and hips together as a unit as you roll Think of yourself as a rolling log Advice on Walking FOR ALL SURGERIES You will start walking within a few hours after your surgery unless otherwise instructed by your consultant Walking will be your main exercise until cleared by your consultant at your 6 week review Generally there is no need for crutches or a frame however sometimes the physiotherapist may recommend them for the first few days until you re back on your feet and your pain settles You should aim to gradually increase the amount of comfortable walking that you are doing daily over the next 6 weeks 24
Post operative Spinal Surgery Patient Information Booklet General Recommendations Call Bells While in hospital use of the call bell is encouraged to ask for assistance with any transfers in out of bed on o toilet Do not attempt to transfer until you have been taught how to transfer safely and have been cleared by the nurse or physiotherapist to do so Use the call bell when the side rails of your bed are raised Sleeping While in hospital some patients find it harder to sleep for various reasons i e di erent bed and environment If you find that you are having this problem please let the nursing sta know Nausea Some of the medications you may be prescribed can cause nausea Please inform the nursing sta if you feel sick or are getting sick The nursing sta will get you medication prescribed to help relieve the nausea and then your medications may need to be reviewed in case they need to be adjusted changed 25
Post operative Spinal Surgery Patient Information Booklet Pain Medication On discharge from hospital you will be prescribed some medications some of which will be for pain Part of the prescription will include pain medication Plan to do your exercises 30 minutes after taking pain medication as preventing pain is easier than chasing pain If these medications are not relieving your pain or you cannot take the medications due to side e ects or you require a repeat prescription contact your local GP Nutrition Aim to follow a well balanced diet which includes protein fats and carbohydrates It is important to be well nourished to promote wound healing so eat well and do not attempt to lose weight at this time On admission if you have any specific dietary requirements please discuss this with the nursing or catering sta The following nutrients are particularly important to promote wound healing Protein found in meat fish milk eggs yoghurt cheese beans and pulses Vitamin A found in liver fortified milk carrots turnips and green leafy vegetables Vitamin C found in citrus fruits potatoes and green leafy vegetables Iron found in liver red meat and green leafy vegetables Zinc found in breakfast cereals red meat and green leafy vegetables If you are on a special diet or have any queries please discuss with your doctor nurse or dietician 26
Post operative Spinal Surgery Patient Information Booklet Bowel Care A high fibre diet is recommended after surgery You may also be prescribed laxatives e g Lactalose Senokot during your hospital stay Car Transfers When travelling in the car you should sit in the front passenger seat A plastic bag on the seat can assist with maneuvering in and out of the car If you intend to go on a long car journey please include regular safe stops Before getting into the car make sure that you are standing on level ground and not on a kerb Your driver should move the seat back as far as it will go and recline the seat slightly plastic bag When getting in the car stand with your back to the car and lower yourself down slowly onto the seat Slide back into the center of the passenger seat Keep leaning backward twist your bottom and swing your legs into the foot well of the car put on the seatbelt and have the driver close open the door accordingly When getting out of the car reverse the above procedure and ensure the operated leg is out in front of you before standing up 27
Post operative Spinal Surgery Patient Information Booklet Travel Prolonged periods of sitting on airlines may predispose you to leg swelling and deep venous thrombosis and it is recommended that you avoid this until 6 weeks after your surgery If you must travel wear elasticated stockings and keep your legs elevated as much as possible Please discuss with your consultant any imminent travel arrangements General Safety Advice for Home Please be aware of the hazards in your home as this will make your recovery easier and safer Move electrical cords phone lines and ensure clear pathways Store items within easy reach specifically in the kitchen and bathroom areas Remove rugs including bath mats and entrance mats Be careful with pets and young children Be aware of water spills slippery floors and always think before you move 28
Post operative Spinal Surgery Patient Information Booklet Showering A shower usually has a small step in and care should be taken getting in and out A shower chair non slip mat and grab rail will maximise your safety if you choose to use a shower If you only have a bath it is not recommended to use this until a safe period after the removal of the stitches staples and transfers should only be completed with the assistance of family members carers with the use of assistance equipment e g bath board Stockings Your consultant may wish for you to go home with elasticated stockings These can be an important part of preventing the development of deep vein thrombosis blood clots in the legs It is recommended to wear these until review with your consultant and he will advise further on same 29
Post operative Spinal Surgery Patient Information Booklet Discharge Instructions You will be discharged from hospital once cleared by your consultant When you leave the hospital you may be given details of the follow up appointment with your consultant or you will be asked to make an appointment usually 2 6 weeks after the operation Physiotherapy follow up will be recommended by your consultant at your consultant review unless otherwise advised Wound Care You will leave the hospital with a simple surgical wound Before leaving the hospital your dressing will be changed and the wound site checked Keep the wound dressing clean and leave the dressing in place for 5 7 days unless indicated otherwise by the nursing sta or consultant When changing the dressing it can be removed after showering use a clean towel to dry the skin around the wound gently and apply a fresh dressing Signs of Infection Infection may occur despite your best e orts If any of the symptoms below occur then you will need to see your GP or liaise with the Beacon Centre for Orthopaedics for advice and possible antibiotics The signs of infection include Redness around the wound site Increased pain in the wound Swelling around the wound Heat at the wound site Discharge of fluid may be green or yellow Odour or smell from the wound Feeling of being generally unwell Fever or temperature 30
Post operative Spinal Surgery Patient Information Booklet Most people will have sutures stitches or staples that will need to be removed approximately 10 14 days after surgery This may be done by the GP Centre for Orthopaedics Consultant or in the convalescence centre Reasons to go to the Accident and Emergency Department If you experience any of the following you should go to A E straight away They can be a sign of a serious post operative complication New weakness in your legs New onset of loss of balance A change in sensation around your genitals or back passage Unable to empty your bladder Loss of control of your bladder or bowel motions A problem with sexual function 31
Post operative Spinal Surgery Patient Information Booklet Potential Complications Complications after spinal surgery are rare However it is important that you are aware of the potential complications Infection Wound infection has a prevalence of between 2 15 Wound infection can either be deep or surficial and can occur several weeks after your surgery Dural Tear During spinal surgery a tear of the membrane covering your spinal nerves may occur which results in leakage of cerebrospinal fluid Dural tears have an incidence of between 5 5 to 9 There is slightly higher risk in revision surgeries ranging from 13 21 If you have had a dural tear your consultant may put you on bedrest for a short time period prior to commencing physiotherapy post operatively If you have a Dural tear we advise you NOT to perform any of the physiotherapy exercises Nerve Root Damage In any spinal operation there is some risk of injuring the spinal nerves Damage to spinal nerves can cause temporary or permanent dysfunction causing symptoms of reduced power and sensation in your legs Nerves can take up to 18 months to recover however recovery will depend on the amount of nerve damage 32
Post operative Spinal Surgery Patient Information Booklet Pain The aim of the surgery is to help reduce your back pain and leg pain It is normal however for you to experience your familiar leg pain for several weeks or longer after your surgery Some patients may also develop scar tissue around the nerves after the operation causing your familiar leg pain Doing your exercises will help reduce the risk of getting scar tissue and help your scar to heal Deep Venous Thrombosis Pulmonary Embolism There is a risk of deep venous thrombosis DVT after lumbar discectomy Patients are treated with medications and mechanical devices in hospital to prevent this Pulmonary Embolism PE may also occur if the clot detaches from the vein and travels to the lung Stroke or Death Although these complications are very rare after this type of surgery as with any operation it is important that you are aware of them 33
Post operative Spinal Surgery Patient Information Booklet Follow up You will be advised by your Consultant to attend outpatient Physiotherapy within four to six weeks after your surgery You may either attend a private physiotherapist in the hospital or a physiotherapist more local to your home To make an appointment in Beacon Hospital for Physiotherapy please contact Physiotherapy reception on 01 2936692 to book a place 34
Conclusion We hope that you have found this booklet useful and that it has helped to relieve some of your fears and anxieties regarding your surgery During your hospital stay your medical team will be available to discuss anything mentioned in this booklet or to answer any other queries you may have Before you leave the hospital you will be given contact details of the relevant team members After discharge from hospital you can expect to receive a phone call from an orthopaedic nurse enquiring after your wellbeing We look forward to meeting you soon 35
Beacon Centre for Orthopaedics Beacon Hospital Sandyford Dublin 18 D18 AK68 Tel 01 293 7575 Mon Fri 9am 5pm Email orthoclinic beaconhospital ie www orthopaedics ie Beacon Physiotherapy Department Tel 01 293 6692 Email physiotherapy beaconhospital ie www beaconhospital ie Version 1 5 2023 36