POST OPERATIVE INSTRUCTIONS 

Multi-Level ACDF 

• You will have a hard collar to wear after surgery. Wear this at all times except when eating or showering.  
• You will be discharged the day of or after surgery. Plan to have someone drive you home.  
• A prescription for pain medications will be given for you to go home with. If you need a refill, please call your pharmacy or our office.  
• It will be determined at your follow-up visits when you are allowed to resume driving. You may ride in a car, but do not ride for more than one hour continuously without getting out and walking for the first two months. If you need a temporary handicap parking permit, one can be arranged for you.  
• Change the dressing as needed. Please check your dressing daily for any drainage. We recommend a waterproof dressing especially while showering. Keep the incision/incisions clean, dry, and covered. 
• After the dressing is removed at your follow-up appointment, you may shower without the dressing on. Pat the area dry. Do not submerge your incision in water such as hot tubs, bathtubs, pools, etc....for 6 weeks.  
• Do not take ibuprofen, Motrin, Aleve or other NSAIDs because these medications affect your fusion.  
• Do not lift anything greater than 5lbs.  
• Be sure to get up and take short walks 4 times per day to help avoid developing a blood clot in your legs.  
• Be sure to maintain a healthy bowel regimen while on pain medications. Opioids tend to cause constipation. Use stool softeners and gentle laxatives to maintain regular bowel habits. Examples are Colace and Senna 

IF THERE ARE ANY QUESTIONS, please call the office for further instructions: 757- 827-2480 extension 365 from 8am until 5pm Monday through Friday. After hours or on weekends for urgent matters: 757-220-4493