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Spinal fusion issues
My mother,P.Nagamani underwent spinal fusion surgery for spinal stenosis (L4-L5) on 25/08/2026 ,she has been prescribed Gabapentin nerve medication, zacy mr ,pantop 40 post surgery medications but since 3 days she has been feeling loss of balance sensation on standing (unable to stand even a minute without support), posterior leg trembling from calf to feet and loss of sensation on big toes and tingling in feet .Any exercises or medications to help her in this condition? Please kindly help.
Answers (13)
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Pain around the incision is common after spinal fusion, especially in the first few days, but severe or debilitating pain should not be ignored. The surgical team should know about her current pain level and assess whether her recovery is progressing normally.
Next Steps
Please contact the operating surgeon/hospital today and report the severity of her pain. For now, follow the surgeon’s post-operative instructions rather than starting new exercises. You can also consult me online for guidance on safe early-stage movement once her surgical team confirms it is appropriate.
Health Tips
Keep movements gentle and avoid bending, twisting, lifting or forceful stretching. Short, assisted walks as permitted by the surgeon are usually preferable to prolonged bed rest. Seek urgent medical attention for new leg weakness/numbness, loss of bladder/bowel control, fever, wound discharge, or rapidly worsening pain.
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Post surgery after few days physiotherapy is must to gaining strength of muscle .you should start physiotherapy to bring balance in body probably for 30 to 60 days .
Our muscles are very important to prevent and protect joints and disc .
To strengthen physiotherapy guidance is must
Next Steps
consult physiotherapist
Health Tips
discipline ,exercise and follow physiotherapist instruction.
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The new loss of balance, inability to stand, trembling and reduced sensation/tingling in the feet 3 days after spinal fusion are not symptoms to manage with exercises at home. Although medications such as gabapentin can affect balance, new neurological symptoms after surgery need prompt assessment.
Next Steps
Please contact the operating surgeon/neurosurgeon urgently today; if symptoms are worsening or she cannot stand/walk safely, seek emergency evaluation. Do not start exercises or change medications without medical clearance.
Health Tips
Once her surgeon clears her, physiotherapy will be an important part of recovery. A supervised program can help with safe walking, balance training, lower-limb strength, mobility and gradual return to daily activities. Treatment should be progressed according to her neurological status and surgical precautions rather than starting exercises independently.
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