What are the prerequisites required before you have a back surgery?

Preoperative Evaluation:

1. Physical Examination:

- Your doctor will conduct a thorough physical exam, including a neurological assessment and a range-of-motion test to evaluate the extent of your back pain and neurological function.

2. Medical History:

- Provide a comprehensive medical history, including any previous medical conditions, surgeries, allergies, and medications you're taking.

3. Imaging Tests:

- Imaging studies, such as X-rays, MRI scans, or CT scans, are usually necessary to assess the precise location and nature of your spinal problem (e.g., herniated disc, degenerative changes, spinal stenosis).

Diagnostic Tests:

1. Electromyography (EMG) and Nerve Conduction Studies (NCS):

- These tests evaluate nerve function and can help determine the severity of any nerve damage.

Preparation:

1. Medical Clearance:

- If you have any pre-existing medical conditions, your doctor may refer you to a specialist for medical clearance before surgery.

2. Smoking Cessation:

- Smoking can impair wound healing and increase surgical complications. Quitting smoking before and after surgery is strongly advised.

3. Adjust Medications:

- You may be asked to adjust or discontinue certain medications, such as blood thinners or anti-inflammatory drugs, before surgery to minimize bleeding risks.

4. Fasting:

- Before the surgery, you'll typically be required to fast for a specific period to avoid complications during anesthesia.

5. Shower and Clean:

- You may be advised to take a thorough shower with antibacterial soap before the surgery to reduce the risk of infection.

6. Preoperative Medications:

- Your doctor may prescribe medications, like antibiotics or pain relievers, to be taken before surgery.

Additional Recommendations:

1. Arranging Transportation:

- Since you'll likely need assistance after surgery, arrange for someone to drive you home and stay with you for the first few days.

2. Comfortable Clothing:

- Wear loose and comfortable clothing on the day of the surgery.

3. Support System:

- Having friends or family members available for support during your recovery can be beneficial.

4. Insurance Coverage:

- Ensure you have proper insurance coverage or financial arrangements in place to cover the surgery and related costs.

5. Preoperative Education:

- Your doctor or healthcare team may provide preoperative education materials or classes to help you understand the surgery and recovery process.

It's important to follow the specific preoperative instructions and ask any questions you may have to ensure a smooth and successful surgery.