Halo Brace: What to Expect at Home

Rest when you feel tired. Getting enough sleep will help you recover.

Try to walk each day. Start by walking a little more than you did the day before. Bit by bit, increase the amount you walk. Walking is a gentle exercise and helps prevent pneumonia and constipation. Walking may also decrease your muscle soreness.

If advised by your doctor, you may need to avoid lifting anything that would cause too much strain on your neck. This may include a child, heavy grocery bags and milk containers, a heavy briefcase or backpack, cat litter or dog food bags, or a vacuum cleaner.

You will not be able to do any strenuous activities until your spine heals.

You will not be able to drive while you are wearing the halo brace.

Avoid riding in a car for long periods of time. If you must ride in a car for a long distance, stop often to get out and walk. You may need to learn how to safely get in and out of cars.

Try to change your position about every 30 minutes while sitting or standing. This will help decrease your neck and back pain while you are healing. You will need to roll your body and head as a unit when moving from a lying position to a sitting or standing position. You may need help walking until you get used to the weight of the brace.

Your time off from work depends on how quickly you feel better and on the type of work you do. If you work in an office, you likely can go back to work sooner than if you have a job where you are very active. Talk with your doctor about your work needs.

You can have sex as soon as you feel able or as your doctor tells you. Your doctor will tell you which positions to avoid so you do not put stress on your neck or back or cause pain.

You can eat your normal diet. If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt.

Drink plenty of fluids (unless your doctor tells you not to).

You may notice that your bowel movements are not regular right after your surgery. This is common. Try to avoid constipation and straining with bowel movements. You may want to take a fiber supplement every day. If you have not had a bowel movement after a couple of days, take a mild laxative.

Be safe with medicines. Read and follow all instructions on the label.

• If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.

• If the doctor gave you a prescription medicine for pain, take it as prescribed.

• Store your prescription pain medicines where no one else can get to them. When you are done using them, dispose of them quickly and safely. Your local pharmacy or hospital may have a drop-off site.

If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.

If you think your pain medicine is making you sick to your stomach:

• Take your medicine after meals (unless your doctor has told you not to).

• Ask your doctor for a different pain medicine.

Gently clean the pins and pin sites daily with a cleaning solution. Use a new swab or piece of gauze for each pin. And use a new swab or piece of gauze to pat each area dry. Make sure you understand how to care for your halo brace and the pin sites before you leave the hospital.

Keep the pin sites clean and dry. You may cover them with a gauze bandage if they weep. Change the bandages every day.

Your vest will also need to be checked to make sure you do not have any skin problems under it. Make sure you know how to care for your vest before you leave the hospital.

Do exercises as instructed by your doctor.

Your doctor may recommend that you work with a physical therapist to improve the strength and flexibility of your neck and back.

You passed out (lost consciousness).

You have sudden chest pain and shortness of breath, or you cough up blood.

You are unable to move an arm or a leg at all.

You have pain that does not get better after you take pain medicine.

You have a headache that does not get better after you take medicine for it.

You have new or worse symptoms in your arms, legs, chest, belly, or buttocks. Symptoms may include:

• Numbness or tingling.

• Weakness.

• Pain.

You lose bladder or bowel control.

You notice that a pin or any part of the brace seems loose or out of place.

You have blood or fluid draining from the pin sites.

You feel a warm or painful spot under the brace.

You have signs of infection, such as:

• Increased pain, swelling, warmth, or redness.

• Red streaks leading from the pin sites.

• Pus draining from the pin sites.

• A fever.

You are not getting better as expected.