Discharge Instructions for Patients Having Neck Surgery

ACTIVITY AND NECK BRACE INSTRUCTIONS

• Unless otherwise instructed, if you have a soft collar, wear it as much as possible for the first 3-5 days. After that period, wean yourself from the collar over 1-2 days.
• If you have a semi-hard collar (ASPEN, DeRoyal), wear it at all times including while sleeping, showering, or eating. After showering, change the pads and allow the wet pads to air dry.
•  Avoid strenuous activity such as lifting, pulling, or pushing. Avoid any activities that involve straining your neck for a lengthly time, such as looking down to read a book or working a crossword puzzle.
• Try to maintain a balanced position of your head and neck, especially when changing from sitting to standing, etc. You may sleep in any comfortable position.
• Gradually increase your activities and let your comfort be your guide. Walking is good exericse.
• Avoid running, jogging, or bicycle riding.
• You can expect a certain degree of discomfort and stiffness in the neck and shoulders, which should gradually improve.
• Sexual relations may be resumed at your discretion.

WOUND INSTRUCTIONS

• If your incision has Steri-Strips, you may get the incision wet 3-5 days after surgery. At that time, the Steri-Strips can be carefully removed.
• If you have stitches that can be seen, avoid soaking the incision. You may shower if you cover the incision with plastic wrap and tape.

MEDICATION INSTRUCTIONS

• At the time of your discharge, you will be given a prescription for pain medication. When this runs out, please contact our office for refill instructions. Please note: We remember that we do not take prescription calls on Fridays, weekends, or holidays.

INSTRUCTIONS FOR WHEN TO CALL

• Please call our office if you develop the following: (Office hours Monday-Friday 8:00-4:30 p.m., phone 423-578-1518).
• Fever (over 100 degrees), chills or sweats.
• Drainage from your incision. (A small amount of puffiness and numbness around the area of the incision is normal).
• New pain or weakness beginning after you leave the hospital.
• New bowel or bladder difficulty.
• Excessive swelling, or difficulty breathing and swallowing.
• You will be given an appointment for your next visit at hospital discharge.