Many abdominal or hip procedures can leave patients with back pain. Sometimes it is a direct operative site such as liposuction that hurts because of swelling, bruising, or both. Ice helps early on in the first few days.
Back pain may also result from patient positioning after liposuction of the abdomen or hips or abdominoplasty. Many patients can't stand up straight or cannot sleep in their usual positions leading to back pain. Warm compresses or baths, massage and time are the best cures. But be careful, you probably have some skin numbness and too much heat could burn your skin.
Further, some of your pain may be from alteration in your sleeping position. Sometimes a bunch of pillows or a body pillow can help you find a more comfortable position for your back.
Certainly, there are rare causes of back pain not directly related to the surgery such as kidney problems that can occur during the perioperative period. If the pain persists, discuss the details with your surgeon.
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After liposuction, you will be given a series of post-operative instructions. The type of anesthesia and the amount used determine the level of pain experienced during the first few days after liposuction.
Liposuction performed with intravenous sedation (IV) will result in less post-operative pain and rarely requires medication other than acetaminophen. Liposuction performed under general anesthesia usually results in pain that is more intense that requires prescribed pain medication. Some general expectations for the management of pain after liposuction are listed below:
. The pain will be the most intense two to four days after the procedure then gradually lessens.
. Tenderness and soreness are typical but will eventually fade.
. Discuss pain medication with your doctor to ensure you will be given appropriate medication.
. Patients should avoid medication such as aspirin, Motrin, ibuprofen, Advil, and Aleve for the first two weeks. They can increase drainage and bruising. Discuss all pain medication with your doctor to ensure it doesn't contain ingredients that will slow blood clotting or increase the chances of bleeding during surgery.
. Over-the-counter supplements should also be avoided as they might slow blood clotting. This is especially a concern with vitamin E, but there are many herbal products that also have this effect. Be sure to discuss all of your supplements with your doctor before the surgery and don't try anything new while you are healing.
. You'll be given a compression garment to reduce swelling and provide support for the areas that have had liposuction. This helps to prevent or relieve pain and discomfort.
. The compression dressings should not be made so tight as to reduce blood flow to the area.
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