Patient Resources
Surgery Information & Options
Navigating the path to spine surgery is a significant journey. This resource is designed to help you understand your options—from minimally invasive techniques to complex reconstructions—and set realistic expectations for your care. Our goal is to partner with you to achieve lasting improvement in your quality of life through individualized, evidence-based surgical pathways.
Before Surgery
Preparation is key to a successful outcome. This checklist provides a concise overview of the steps required leading up to your procedure to ensure clinical readiness and a smooth transition into recovery.
Medical Optimization
Clearance from primary care or specialists to ensure chronic conditions are stable prior to surgery.
Medication Instructions
Specific guidance on which medications to stop (e.g., blood thinners, certain NSAIDs) and when.
Imaging & Testing
Ensuring recent MRI, CT, or X-rays are uploaded and blood work/EKG are completed as requested.
Pre-op Appointments
Final review of the surgical plan with the neurosurgery team and anesthesia screening.
Logistics & Support
Arranging transportation for the day of surgery and identifying a responsible adult for home support.
Final Confirmation
All pre-operative plans are finalized through VCU Health’s official clinic instructions and educational materials.
Immediate Post-Surgery Care
The initial recovery period is critical for long-term surgical success. While all plans are individualized and finalized through VCU Health’s official materials, these general priorities help guide your first steps at home.
Pain Control & Medication
Utilize prescribed multi-modal pain management. Stick to the scheduled non-opioid medications and use rescue medications only as directed by your clinical team.
Incision & Wound Care
Keep the surgical area clean and dry. Follow specific showering instructions and avoid submerging the wound in water until cleared by your surgeon.
Early Mobilization
Short, frequent walks are essential to prevent complications. Avoid the 'BLT' restrictions (Bending, Lifting >10lbs, Twisting) unless otherwise specified.
Red-Flag Symptoms: When to Call
Contact VCU Health clinic immediately for: worsening weakness, fever over 101.5°F, clear drainage from incision, or sudden loss of bowel/bladder control.
Recovery Guides
Patient FAQs
When can I safely resume driving after surgery?
Most patients may resume driving once they are no longer taking narcotic pain medications and have regained the strength and reaction time necessary for safe vehicle operation. This is typically reviewed at your first post-operative visit.
How soon can I return to work?
Return-to-work timelines vary significantly based on your procedure and job requirements. Patients with sedentary roles may return within 2–4 weeks, while those in physically demanding positions may require a longer recovery period.
What are my lifting and activity restrictions?
Usually, a strict lifting limit (e.g., nothing heavier than 5–10 lbs) is maintained for the first 6 weeks. Avoid repetitive bending, lifting, or twisting to ensure the surgical site heals correctly and to prevent injury.
When will I start physical therapy?
Physical therapy typically begins 6–12 weeks after surgery, depending on the type of procedure performed. Early mobilization, such as frequent walking, is encouraged immediately following discharge.
Note: All recovery plans are individualized. Specific instructions are finalized through VCU Health’s official materials and your clinic team.
Important Disclosure
The information provided on this website is for general educational and informational purposes only and does not constitute medical advice, diagnosis, or treatment. Accessing this site or contacting Dr. James H. Mooney, MD through this platform does not establish a physician-patient relationship. Patients should always seek the advice of their physician or other qualified health providers with any questions regarding a medical condition. In the event of a medical emergency, please call 911 or visit the nearest emergency room immediately. Dr. Mooney is an employee of VCU Health; all clinical scheduling and patient care are managed through official VCU Health channels and are subject to their institutional policies and privacy practices.