What can I do about mid back pain after a lower body lift. 1 week post op.

Question

The incision pain is managed with the pain meds but the back pain sitting and standing is constant. I feel that it's gotten worse. When I sit it's knumb and painful and standing it's hurting even though I am staying bent and using a walker. The area that hurts is where the bruising is really bad. I am trying to cut down on pain meds but the only time I get relief is with the max dose for about 1.5 hours and can only take it every 4 hours. I had back issues prior to surgery. HELP

J. Timothy Katzen, MD, FACS · Answer

Hello, and thank you for your question regarding mid-back pain after your lower body lift, just one week post-op. I appreciate your history and the details you provided.

Back pain is common after a 360 lower body lift, and several factors contribute to this discomfort. First, during surgery, an incision is made from the pubic region, extending over the hips and joining at the top of the buttocks. This affects posture and mobility during recovery. Additionally, fluid accumulation in the lower back is a common occurrence, especially while lying down, which can further contribute to swelling and discomfort. Patients who had pre-existing back issues may experience increased pain due to altered posture, muscle strain, and post-surgical swelling.

To help minimize back pain, here are a few strategies that most experienced, board-certified plastic surgeons would recommend:

Compression Garment: Wearing a properly fitted compression garment helps reduce swelling in the lower back, which can relieve some of the pressure and discomfort.
Lymphatic Massage: Regular lymphatic drainage massage can help move excess fluid away from the back, reducing pain and stiffness.
Red Light Therapy: Some patients find red light therapy helpful in reducing inflammation and promoting healing.
Cold Therapy (With Caution): Applying ice may help with pain, but only if your plastic surgeon approves it. The surgical area is numb, so ice application could cause frostbite if left on too long. If permitted, apply ice packs wrapped in a towel for no more than 10-15 minutes at a time.
Medication Management: If your current pain medication is not lasting long enough, speak with your plastic surgeon about adjusting your dosage or trying an alternative pain management plan. Patients with pre-existing back issues may require a stronger or more frequent dose to stay comfortable.
Posture & Movement Adjustments:
Use a walker for support to reduce strain on your lower back.
Avoid sitting or standing for long periods—alternating between lying down and walking short distances may help alleviate discomfort.
Support your lower back with pillows when lying down or sitting.
At just one week post-op, you are still early in the healing process, and some swelling and discomfort are expected. However, if your pain is severe, worsening, or accompanied by new bruising or unusual symptoms, it’s important to check in with your plastic surgeon to rule out any complications.

Good luck, and I hope this helps answer your question regarding mid-back pain after a lower body lift. If you have additional concerns, please consult an experienced, board-certified plastic surgeon who specializes in lower body lifts for further guidance.

Sincerely,
Dr. Katzen

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

Since there has been a change in your post op course, please contact your surgeon so he/she can examine you and recommend the most appropriate treatment plan at this time.

The best way to assess and give true advice would be an in-person exam.

Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.

Best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

Aldo Guerra, MD · Answer

This sounds like you need to call your doctor for a full evaluation. Have the bruising checked out to be sure you don't have a hematoma. After the evaluation, they can change your pain medication to something stronger. Best, Dr. Aldo

Bryan Curtis, MD · Answer

Here are a few suggestions that might help: 
1. Follow Your Surgeon’s Instructions: Make sure you’re following all post-operative instructions provided by your surgeon. They are tailored to your specific case and should be your primary source of guidance.
2. Pain Medication: If prescribed by your surgeon, take pain medication as directed to manage discomfort. Don’t hesitate to reach out to them if your pain is severe or persistent.
3. Rest and Support: Give your body the time it needs to heal. Ensure you have proper support for your mid-back when sitting or lying down, and avoid strenuous activities.
4. Gentle Movement: Gradually incorporate light, gentle movements and stretches recommended by your surgeon or a physical therapist. This can help prevent stiffness and promote circulation.
5. Heat and Cold Therapy: Applying heat or cold packs to the affected area may offer relief. Follow your surgeon’s guidance on which one to use and for how long.
6. Maintain Good Posture: Be mindful of your posture while sitting, standing, or walking. Good posture can help alleviate back pain.
7. Hydration and Nutrition: Stay well-hydrated and maintain a balanced diet to support the healing process.
8. Compression Garments: If your surgeon recommends it, wear compression garments as instructed. They can help reduce swelling and provide support.
9. Communicate with Your Surgeon: If your mid-back pain persists or worsens, contact your surgeon immediately. It could be a sign of a complication that needs attention.
Remember, it’s essential to prioritize your recovery and communicate openly with your medical team about any concerns or discomfort you’re experiencing. They can provide the most appropriate guidance and care for your specific situation.

What can I do about mid back pain after a lower body lift. 1 week post op.

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