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  • Weight Loss before Surgery

    I was just wondering if anyone knows if it is bad to loose too much weight before surgery. I recently have lost about 30 pounds. My surgery is scheduled for June. I started loosing the weight back in August/Sept when I decided I was going to get the surgery. I have a 5 year old and a 2 year old and never really lost the baby weight since I was in too much pain from my scoliosis. I am having alot of anxiety about the surgery and to cope I've been walking on my treadmill 5 days a week, 35 minutes a day and it's amazing how much weight is coming off! I'm on a roll and want to keep going to get to my ideal weight. I'm just wondering if the weight loss could be a bad thing before surgery. I have to say, the exercising really helps with the anxiety of surgery! A bunch of people on this forum recommended getting in shape before surgery, and I'm so glad I took the advice. My body feels alot better and my back pain has even decreased.

    Thanks for any input you may have,
    Jen M
    Surgery date: June 8, 2010 with Dr. Boachie
    Thoracic curve: 55 degrees, corrected to 25 degrees
    Lumbar curve: 58 degrees, corrected to 27 degrees
    Posterior-only surgery, Levels T3-L3
    31 year old mother of 2 young kids

  • #2
    I don't have any medical backing on this, but I would say as long as you don't go below a reasonable/normal weight for your height you are good. I recently lost about 15 pounds and I know it made my back feel much better! They do require you to walk regularly after surgery, so we can look forward to that!
    Laura
    62 degrees
    49 yrs. young
    Surgery 3/31/10 with Lenke

    Before and After pics
    http://www.flickr.com/photos/13749126@N06/

    Comment


    • #3
      I agree. I think the weight loss and fitness would make you healthier and less at risk of complications. I also agree with you that fitness helps a LOT with anxiety. From my own experience, I always recommend getting fit if it's physically possible to do so. Congratulations Jen, you are doing yourself a heap of good!
      Surgery March 3, 2009 at almost 58, now 63.
      Dr. Askin, Brisbane, Australia
      T4-Pelvis, Posterior only
      Osteotomies and Laminectomies
      Was 68 degrees, now 22 and pain free

      Comment


      • #4
        If losing a little weight is going to improve your fitness for surgey, then i dont see a problem, however, i am no Dr and if you are concerned at all, you should maybe check with your GP.
        Vali
        44 years young! now 45
        Surgery - June 1st, 2009
        Dr David Hall - Adelaide Spine Clinic
        St. Andrews Hospital, Adelaide, South Australia
        Pre-op curve - 58 degree lumbar
        Post -op - 5 degrees
        T11 - S1 Posterior
        L4/5 - L5/S1 Anterior Fusion

        Comment


        • #5
          Just remember to eat good foods whilst doing this.

          I found having increasing leg and arm strength helped a lot with surgery, so try doing some weights on your arms. This really helps when you have to reposition yourself in hospital and helps you gain independence faster which I think always helps you heal faster
          45L/40T
          Surgery 25/1/2010
          Australia

          Knowthyself

          Scoliosis Corrected 25/1/2010 by Dr Angus Gray, Prince of Wales Private Hospital, Sydney. Fused T3-L4.

          Comment


          • #6
            havent had the surgery..yet...but 2 surgeons told me that they think it is easier to operate on "thin" people & that they heal easier...that was 2 excellent nyc surgeons...

            best of luck
            jess

            Comment


            • #7
              Jen--Nothing new to add other than I agree with all of the posters. It's possible you may lose some after surgery but at least in my case it made a big comeback when my appetite returned. I think you've done your body a lot of good. Before and after I felt better when my weight was under control and I was exercising. Good for you. Janet
              Janet

              61 years old--57 for surgery

              Diagnosed in 1965 at age of 13--no brace
              Thoracic Curve: 96 degrees to 35 degrees
              Lumbar Curve: 63 degrees to 5 degrees
              Surgery with Dr. Lenke in St. Louis--March 30, 2009
              T-2 to Pelvis, and hopefully all posterior procedure.

              All was posterior along with 2 cages and 6 osteotomies.

              Comment


              • #8
                As long as you're not anorexic, I suspect your surgeon will tell you to keep it up. I can tell you that patients who are slim seem to have the fastest recovery. That's purely anecdotal, but several surgeons have told me they noticed the same thing.
                Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Twain
                ---------------------------------------------------------------------------------------------------------------------------------------------------
                Surgery 2/10/93 A/P fusion T4-L3
                Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation

                Comment


                • #9
                  ahhh...so add my anecdotal report to Linda's...

                  Comment


                  • #10
                    Originally posted by jrnyc View Post
                    ahhh...so add my anecdotal report to Linda's...
                    Laff ... my surgeon pretty much said the same (although I took it to mean "slenderly in shape" vs. slim ... "slim" sounds kind of frail -LOL).
                    Fusion is NOT the end of the world.
                    AIDS Walk Houston 2008 5K @ 33 days post op!


                    41, dx'd JIS & Boston braced @ 10
                    Pre-op ±53°, Post-op < 20°
                    Fused 2/5/08, T4-L1 ... Darrell S. Hanson, Houston


                    VIEW MY X-RAYS
                    EMAIL ME

                    Comment


                    • #11
                      hmmmm...one surgeon said "thin" & the other said "on the thin side"....

                      i lost so much weight from pain meds... i am now too thin (contrary to the nyc expression that no one can be too thin).....& i was thin before i lost the weight...but when i dropped into the 80's, i panicked & went off the oxycontin...just taking hydrocodone now...
                      i see my nyc surgeon march 15th...am aftraid IF i do want to schedule surgery, he will insist i gain weight first!

                      hah..if i'd known about losing weight this way, i probably would have WANTED to have scoli back in the day! (not really!)

                      jess

                      Comment


                      • #12
                        My surgeon recommended I lose about 10 to 15 pounds before surgery. I was not really overweight but losing the weight did help with the back pain.
                        Patty 51 years old
                        Surgery May 23, 2007(43 Birthday)
                        Posterior T3- L4
                        Pre surgery curves
                        T-53degrees
                        L-38degrees
                        and a severe side shift to the right.
                        Post surgery curves
                        Less than 10 degrees
                        Surgery April, 2006
                        C4 - C6

                        Comment


                        • #13
                          Finally one I actually know something about. A HEALTHY weight is preferable. My wife's dr, Dr. Nunley (director of the spine institute of la) told us that working on VERY thin people makes the closure more difficult and wound healing a bit slower. My wife is very healthy and like you was worried about a little extra weight she gained due to quitting smoking and stress eating, he stated she was absolutely fine. Remember this as well, the recovery takes quite physiological toll and the "average" patient will burn 1800 to 2000 calories a day just recovering.

                          Just passing on what I know, cause this specific question was asked by my wife.

                          Best wishes to all, her surgery is 15 days out.....


                          T

                          Comment


                          • #14
                            Guess I'll "weigh in" on this one too. (Sick pun, totally intended...) I was trying to lose some weight (always the case with me) prior to my surgery. It was ok with my surgeon as long as I did so by eating a healthy diet. He said it was much more important to go into the surgery in a healthy mode rather than one where you have been depriving your body from needed nutrients. I was following the Weight Watchers program, where if you truly follow their guidelines you are getting plenty of fruits and vegetables, adequate protein, and all the necessary nutrients. So be careful if you are dieting. The same when you are post-op. Most people lose weight from their surgery, but a few of us don't. I actually gained weight. After several months I felt ready to tackle the extra weight again, but was cautioned by my scoli nurse to diet wisely, with a healthy diet... your body needs those nutrients to build back up. Good luck!

                            Also, it's important to exercise with cardio-working exercise if you can, prior to the surgery. The heart is stressed by the surgery and if you have been working it, it's in better shape to handle the stress.
                            71 and plugging along... but having some problems
                            2007 52° w/ severe lumbar stenosis & L2L3 lateral listhesis (side shift)
                            5/4/07 posterior fusion T2-L4 w/ laminectomies and osteotomies @L2L3, L3L4
                            Dr. Kim Hammerberg, Rush Univ. Medical Center in Chicago

                            Corrected to 15°
                            CMT (type 2) DX in 2014, progressing
                            10/2018 x-rays - spondylolisthesis at L4/L5 - Dr. DeWald is monitoring

                            Click to view my pics: pics of scoli x-rays digital x-rays, and pics of me

                            Comment


                            • #15
                              Thanks everyone for all of your input! Since the weight seems to be coming off pretty easy now, think I will make it a goal to loose another 5-10 pounds by the time I have my surgery in June. If I lost another 5 pounds or so, I would then be at my healthy weight for my height. Just trying to loose the final pounds I gained when having my daughter 2 years ago before I go in for the surgery.
                              Surgery date: June 8, 2010 with Dr. Boachie
                              Thoracic curve: 55 degrees, corrected to 25 degrees
                              Lumbar curve: 58 degrees, corrected to 27 degrees
                              Posterior-only surgery, Levels T3-L3
                              31 year old mother of 2 young kids

                              Comment

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