How long should one stay in bed after minimally invasive transforaminal endoscopic surgery?

Under normal circumstances, patients do not need prolonged bed rest after minimally invasive transforaminal endoscopic surgery. Most patients can gradually get out of bed within 1–3 days after the procedure. However, the specific duration of bed rest should be adjusted based on the surgical outcome and individual recovery status. Details are as follows:

If the surgery proceeds smoothly and the patient experiences no significant postoperative pain, numbness, or other discomfort, and the doctor confirms good healing of the local tissue, the patient may begin brief periods of getting out of bed (e.g., slow walking, using the toilet) around one day after surgery, provided they wear proper supportive braces. This helps prevent muscle atrophy or thrombosis caused by prolonged bed rest. Bed rest in this case is primarily intended for initial recovery, reducing spinal load, and promoting resolution of local inflammation.

If the patient still experiences mild pain or if there are special conditions at the surgical site, the doctor may recommend staying in bed for 2–3 days until symptoms improve before attempting to get up. During this time, it's important to maintain correct body positioning, avoid spinal twisting, and perform appropriate limb movements to preserve joint and muscle function.

In daily care, patients must strictly follow the doctor’s instructions regarding brace use, avoid bending over or lifting heavy objects, and gradually increase activity levels. Additionally, keep the surgical wound clean and dry, and maintain a diet rich in protein and vitamins to support recovery.