Hi, i was wondering in what position is the best to sleep after an L4/L5 fusion? Can you sleep on your sides?? Back? I heard that you cannot sleep on your stomach. Is that true? Jaime
32 yr old stay-at-home mom of 4 young children. 4+ years of pain. MRI showing DDD, dehydrated disk and L4/L5 bulge. PT and pain management - epidurals x3, No relief from pain. Had L4-L5 less-invasive fusion and laminectomy on November 24, 2008.
Hi Jamie,
I just had a fusion at l5/s1, as of this past Monday. The instructions I got were either to sleep on back or side, and if on your side to use a pillow between knees. Well I have been using a body pillow between my knees even before surgery as it helped with my back. Since surgery I have started using a body pillow on both sides of me, so that if I get uncomfortable on one side can roll to other side, and not have to wrangle the body pillow from side to side.
46 yr old Factory Worker
Carpel Tunnel surgery both left and right hands
Reconstructive jaw surgery
Hysterectomy
Appendectomy
PLIF w/ donor bone & hardware L5-S1
Surgical removal of infection at hardware
My mottos are "taking one day at a time" and "this too shall pass"
Wife, Mom & Grandmother
Glor
How are you feeling after your fusion? I am a bit worried about the recovery. Especially since i have a baby, 2 preschoolers, and a first grader. I know I need the fusion, I am just scared of the unknown. And advise or tips?? How long were you in the hospital?
Thanks Jaime
32 yr old stay-at-home mom of 4 young children. 4+ years of pain. MRI showing DDD, dehydrated disk and L4/L5 bulge. PT and pain management - epidurals x3, No relief from pain. Had L4-L5 less-invasive fusion and laminectomy on November 24, 2008.
I wasn't told anything regarding sleep positions. Might be something to ask when I see my NS after surgery.
Anyone have back and front cut at the same time? How did you sleep? I tend to toss and turn all night, sleeping in many different positions. Totally didn't even think of sleep until jaime5 started this thread!
23. Single mommy of an Autistic 6 year old. Trusting God's plan for me.
Back pain for as long as I can remember.
Neck pain/arm pain on and off for the past 5 or 6 years.
Severe Sciatica in right leg.
No injuries whatsoever.
Conservative treatment: Physical therapy, medication, Chiro, Injections, Aquatic physical therapy, TENS.
Out of work since: June 2007.
Dx: Broad based herniation at L4-L5, bone spurs in the Cervical vertebrae, irregular curve in the Cervical area, as well as stenosis, small herniation at T11-T12.
May 1, 2008~ Hemilaminectomy, Microdisectomy.
Dx: DDD @ L4-L5, right lateral recess stenosis.
Reherniated disc September 2008, right leg numbness, near foot drop.
September 26, 2008~ Scar tissue removal, Radical Discectomy, 360 degree fusion (anterior/posterior) @ L4-L5.
New Dx May 2009~ herniations at L3-L4, L5-S1, and DDD at T11-T12.
Getting second && third opinions.
I had alot of trouble sleeping. I couldn't turn side to side myself I was so sore. My husband brought home a couple of those hospital pads to use underneath me like they do in the hospital to help turn me. Once he got me turned he placed a pillow beside me so I wouldn't roll back. I went from side to back to side for quite awhile after I got hme with his help. I gradually made it to being able to turn myself over. I also needed his help getting in and out of bed.
Best of Luck with your recovery,
Christina
40 year old married mother of two children ages 20 and 18.
Muscle spasms started after getting up from sitting position in '07, cervical herniation, stenosis and bone spurs showed up on MRI resulting in emergency cervical fusion of C5-C6(sept. 07).
Pain continued in middle/lower back. MRIs showed herniated disc in lumbar area, stenosis, and fatty tissue in the spinal canal causing spinal cord to be pushed to the left.
Tried heat/cold therapy, PT, facet joint injection,as well as facet joint injection, epidurals/injections, steriods, Tens Unit, Ultrasound therapy, Nerve blocks and Various pain meds.
After exhausting all other treatments and having a discography had a spinal fusion L5-S1 with instrumentation (cage, 2 rods, screws, plastic spacer, bone grafts (made from my own bone ) on June 24th, 2008. Both growth stimulator used. Ct-Scan at 13 months showed fusion on one side and non-fusion on the other. Nerve block injections tried again for pain with no luck. Screw loosening and movement seen in the bone. Arthritis and DDD now in hips as well as spine.
Medications have been chaged to Lyrica twice a day, Morphine twice a day, muscle relaxers tid and Percocet for breakthrough pain.
Having alot of pain in the left side of my hip and lower back where there was a non-fusion. Also now have started having quite alot of pain in my legs down to the knees.
Nerve damage showing as Numbness and tingling in the hands and feet which surgeon says will probably never go away.
Have buldging disk at T-9. Physical therapy with ultrasound and hot packs. Injection to numb the nerve root.
Third surgery on October 22nd, was suppose to be an exploratory surgery and remove hardware. Turns out I had a bone shelf grow into spinal canal which had to be removed and the fusion of 08 had to be redone and packed with more bone and bigger rods and screws.
I had my L4/L5 fusion on Sept 12 and find sleeping in any position difficult. I was told at the hospital that I should not sleep on my stomach...sides or back ok.
Thanks for the good ideas about turning over, Christina. I'm glad to hear that you sound pretty positive 3-4 months later.
Has anyone experienced crippling pain in the buttock upon raising or lowering? It seems to be in one particular angle and I'm finding that if I change the position of my feet then it seems to alleviate the pain, but I wonder if I'm doing the right thing?
I was told I could sleep on my back or my side, which ever was comfy. Yes with a pillow under upper leg if on the side. After 6 weeks the Dr OK'd tummy sleeping but I really dont find it that comfy anymore.
I like to sleep half on my side half on my tummy but I put a mini pillow under my belly to stop it from dropping forward.
My mum (Bless her) made me these slippery sheets.
They are like the old hospital draw sheet that goes across the bed and tucks in both sides. So they are about a metre wide and made of cotton but she has sewn a patch of satin into the main part of it. The edges though are cotton so I cant slip off the bed
I cant tell you how wonderful these are! It made all the difference in being able to move around. I even took them to hospital though lost a few to the laundry.
Yes you could just use satin sheets but you would have to be really really careful not to slip off the bed.
If you have the time I would recommend makeing some, it really only takes about 10 mins a sheet.
Now- Who is going to be looking after your baby and children beause you certainly cant after a fusion.
Do you have someone who will come and stay with you during the day?
NO BLT bending lifting or twisting for quite a while after.
You will really have to do a lot of organising beforehand to make it easier for you later.
I dont mean to scare you
but the more prepared you are the better. and the thing you need most is a positive attitude!
Also remember that every doctor is different so really it is best to ask your own doctor.
You will find so many differening opinions about so many subjects here but you really have to go with what your own Dr says.
Blessings Sara
Feel free to PM me if you want to.
Aussie girl from Sydney
Work related injury 2001, Bulging discs L2-S1 had Laminectomy/discectomy L4-5 2001. Semi-success.
Since developed DDD, Stenosis, scoliosis & more. Had PT, Hydrotherapy, Deep tissue massage, facet block injections (no change) light gym work.
PLIF L3-S1 with BMP, & decompression, hardware, & correction to scoliosis May 7th 2008. 10 days hospital 2 weeks in rehabilitation hospital.
Started PT day 1, aquatherapy (heaven)day 14.
Finished PT and aquatherapy and waitng to start at gym.
May 2009 1 yr post op. Fusion present but not complete.
Going to gym 4 x week, take celebrex 200mg x 2, valium x 5mg, panadol osteo 2 x 3, endone 5mg 2-3 week.
Our minds are more powerful then our bodies so watch your thoughts and be careful what you wish for.
I was only in the hospital for 2 days, day of surgery and the following day. Yes, you will be sore and to move will take a lot of effort, but just take it slow and as they say learn how to do the log roll, which for the life of me I still haven't figure out why they call it that
I have always been a side or stomach sleeper, so to sleep on my back isn't comfortable for me so I was thankful for one of the options was to be able to sleep on side.
I had read in a thread on here about suggestions for things you will need post op and it was wonderful!! It did mention the idea of turning pads, which is used by placing under you and then if you have to turn have someone pull it helping you at the same time to turn.
I also have dogs that are used to jumping on me and playing, but the smart creatures that they are, they have sensed that they can't do that with me now. I hope I have helped in some way. Best of luck to you and sending you warm positive thoughts. 
As for little ones around, it is gonna be very tuff for you,and I don't say that to be mean, I just know how tuff it is for me, my youngest grandaughter is 14 mos old, and she has attached herself to me like a shadow since I've been out of work, and she doesn't understand why her Gigi can't pick her up.
46 yr old Factory Worker
Carpel Tunnel surgery both left and right hands
Reconstructive jaw surgery
Hysterectomy
Appendectomy
PLIF w/ donor bone & hardware L5-S1
Surgical removal of infection at hardware
My mottos are "taking one day at a time" and "this too shall pass"
Wife, Mom & Grandmother
Glor
Wow. 2 days? What kind of fusion did you have? I'm most likely going to be in the hospital from Thursday, the day of surgery, to Monday. No fair
Lol
23. Single mommy of an Autistic 6 year old. Trusting God's plan for me.
Back pain for as long as I can remember.
Neck pain/arm pain on and off for the past 5 or 6 years.
Severe Sciatica in right leg.
No injuries whatsoever.
Conservative treatment: Physical therapy, medication, Chiro, Injections, Aquatic physical therapy, TENS.
Out of work since: June 2007.
Dx: Broad based herniation at L4-L5, bone spurs in the Cervical vertebrae, irregular curve in the Cervical area, as well as stenosis, small herniation at T11-T12.
May 1, 2008~ Hemilaminectomy, Microdisectomy.
Dx: DDD @ L4-L5, right lateral recess stenosis.
Reherniated disc September 2008, right leg numbness, near foot drop.
September 26, 2008~ Scar tissue removal, Radical Discectomy, 360 degree fusion (anterior/posterior) @ L4-L5.
New Dx May 2009~ herniations at L3-L4, L5-S1, and DDD at T11-T12.
Getting second && third opinions.
Jaime-
In response to your concerns about sleeping, I did not really think about this before the surgery, although I found it difficult to sleep in the hospital (most people do). I had a trapeze in the hospital. This looks is a metal triangle that is suspended from a frame that is attached to your bed. My doctor apparently orders this for all of his patients because most are spinies or total joint replacement patients, so he anticipates the need. This greatly helped me with turning because it gave me something to hold onto in the hospital. The most important thing to remember about sleeping, I think, is that it will be difficult in any position, so you may want to purchase a memory foam mattress pad or an egg crate mattress pad to help with the soreness (1 week post-op and still with some residual soreness in both hips). Also, the silk sheets/silk pajamas suggestions I read before would have been nice because you end up sticking to cotton sheets. Unfortunately, I do not have the $$ for any of this, so I have found ways to grab my bed frame and turn myself if my boyfriend is asleep and I need to change positions. The main thing to remember is to keep your shoulders in line with your pelvis (avoid twisting) when you reposition yourself because this (twisting/bending) puts a lot of strain on your muscles which are trying to heal. I don't believe that this jeopardizes the fusion, but it will cause some pretty severe pain. I have had significantly low levels of pain postoperatively, to my surprise, and I mostly attribute this to my young age (23). However, I believe that you have to try to stay as positive as you can about the whole thing. Sure, surgery and hospitals aren't fun, but you are going in this to get better, so keep your chin up. I don't have any children, so I can't give you any advice regarding that, but I certainly agree with Sara in that you should try to find someone who can help you with the kids and around the house. I had a two-level fusion (L4-S1) and am recovering very well, and it is definitely a bit of an easier recovery with a single level fusion, but everyone is different. Listen to your body and know what level of pain you can tolerate. Obviously, you are having surgery so you are dealing with severe pain already, but don't let it get to the point (postoperatively) where you're in tears because it's not only hard for you but also for those trying to care for you. I have gotten on a schedule where I take my Vicodin (they tried to give me Percocets but I refused because I couldn't hold anything down in the hospital) after breakfast since sleeping makes me achy and then before my walks/before my bf comes home so I'm not in pain and moody. This 'schedule' has helped tremendously and I'm not grumpy but smiley instead! I was in the hospital from Wednesday (surgery day) to Saturday of last week. I am walking around the block already with/without the cane. I honestly feel like a million dollars. Again, everyone is different, but keep yourself distracted or plan activities for your kids to keep your mind occupied. This will help you forget about the pain. I wish you the best of luck for your surgery and keep us informed! I'm sorry if I ramble. I am thinking of all of these tidbits I wish I had known before my surgery : ) Take care and best of luck!
Suzanne
Cuda is my fish.
Lots of pillows! I pretty much box myself in with pillows so I won't twist in my sleep (became a worry now that I am having less pain and more mobile). Pillow under the knees(back) or between the knees(side). Angelback's satin draw sheets gave me an idea, and the day I came home from the hospy my sister bought me a satin baby crib blanket (pink-Winniethepooh) and I used it like a turning pad, plus the satin makes it easy to roll over. I still use it now, I love it. (You may have some of these on hand with little ones at home.) Good luck, it is great you are getting yourself informed and well prepared. Sue
20+ years of back pain, Grade I spondylolisthesis L4 on L5 secondary to bilateral spondylolysis (pars defects, unstable), L4-5 disc desiccation, facet arthrosis L4-5, L5-S1. LESI's X 4, facet injections, chiropractic, massage, Bowen therapy, aquatherapy, Left L4-5 Polar (posterior oblique lumbar arthrodesis) with posterolateral fusion and instrumention on August 5,2008(BAK Vista PEEK cage, BMP, Connexus, autograph, ST360 Spinal Stabilization System) Norco, Soma, (NO MORE MOTRIN
), Bone-growth Stimulator
II Timothy 1:7 For God hath not given us the spirit of fear; but of power, and of love, and of a sound mind.
I was cut front and back for my first fusion (L4/L5) and in the hospital 5 days. I laid on my back (not much sleeping) with a pillow under my knees. The nurses would put me on my side occassionally. But the back was the most comfortable. My 2nd fusion was L1 to L5 and I still was on my back with a pillow under my knees. And it is still how I sleep (almost one year out from 2nd fusion). Everyone is different but I never was that comfortable on my side unless I had a body pillow to lean against.
I had a 2 level ALIf. When I came home from the hospital I slept on my back or sides. On my sides I had pillows on either side of me for support and one between my legs. I looked like I was in a cocoon but it really was comfortable.
Hope this helps. I also have five young ones and have been in your shoes with delaying surgery as long as possible. If you ever need to talk or need help with surgery plans and how to do it with young children feel free to PM me.
Good luck!
2 level ALIF L4/L5 L5/S1 March 11, 2008
for Spondy, DDD, stenosis
ESI's PT, Meds and everything else to try to avoid surgery!
This is good to know! I am having a level 2 ALIF on the 25th! YIKES! That's next week!!!!
Oh well.
I can hardly find a good position right now and can hardly sleep at all! I toss and turn, go to the livingroom couch, the recliner, and even the floor and can never get it right! Pillows under my knees are good only for soo long and then my butt hurts!
I guess I will have to just see how it goes and which position is more comfy for me, as I would think you would too. Everyone is different with their comfort, but lots of pillows is always good!
Kim
35 year old mother of 2 wonderful kids! Have had 2 right shoulder repairs, 1 left shoulder repair, hernia repair, gall bladder removal, and 2 left ankle surgeries. DDD L4-S1, seizures from all the pain! Fell in July '07 at grocery store, herniated L5-S1 and broke right wrist. Nov '07 had microdisectomy after several epi's that didn't help. Have had 2 discograms and now awaiting a 2 level fusion and wrist surgery! ALIF with 9 inch incision on stomach September 25th.
hahaha! I just sent you kisses! I meant to put a smiley!!! Oh well,
here's a hug too!
LOL!!!
Kim
35 year old mother of 2 wonderful kids! Have had 2 right shoulder repairs, 1 left shoulder repair, hernia repair, gall bladder removal, and 2 left ankle surgeries. DDD L4-S1, seizures from all the pain! Fell in July '07 at grocery store, herniated L5-S1 and broke right wrist. Nov '07 had microdisectomy after several epi's that didn't help. Have had 2 discograms and now awaiting a 2 level fusion and wrist surgery! ALIF with 9 inch incision on stomach September 25th.
Thanks for all the tips! :)Jaime
32 yr old stay-at-home mom of 4 young children. 4+ years of pain. MRI showing DDD, dehydrated disk and L4/L5 bulge. PT and pain management - epidurals x3, No relief from pain. Had L4-L5 less-invasive fusion and laminectomy on November 24, 2008.