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What to do for persistent swelling after spine surgery 3.5 months later?
Surgery Recovery
Question #56260
5 days ago
55

What to do for persistent swelling after spine surgery 3.5 months later? - #56260

Client_e63bb5
$3

My husband 50 years old went thru spine surgery of avf fistula on 4th February 2026 n now he is walking slowly n on 15th May 3.5 months post surgery we did MRI con it is showing persistent swelling is still there Doctor has advised DSA but we haven't done yet

How would you describe the swelling?:

- Widespread in the lower body

Has your husband experienced any other symptoms since the surgery?:

- Numbness or tingling

What is his current level of pain?:

- No pain

How has his mobility changed since the surgery?:

- Improved significantly

Has he been following any specific rehabilitation or physical therapy?:

- Yes, regular sessions

What medications is he currently taking for recovery?:

- None

Has he had any previous surgeries or medical conditions related to his spine?:

- No previous surgeries
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Doctors' responses

is encouraging that your husband’s walking ability has improved significantly after surgery. However, persistent swelling on MRI 3.5 months after spinal AVF (Arteriovenous Fistula) surgery, along with numbness and tingling, should not be ignored. Since the treating surgeon has advised a DSA (Digital Subtraction Angiography), it is important to follow that recommendation, as DSA is often the most reliable test to confirm whether the AVF has been completely treated or if any residual abnormal blood flow remains. Ayurvedic Perspective In Ayurveda, such post-surgical neurological weakness, numbness, and mobility issues are often associated with Vata imbalance affecting the nervous system and spinal pathways. Supportive Ayurvedic Measures Continue all follow-ups with the neurosurgeon and proceed with the advised investigations. Gentle Abhyanga (medicated oil massage) and mild Swedana (fomentation)…may help improve circulation and reduce stiffness. Ayurvedic herbs such as Ashwagandha, Bala, Guduchi, and Rasayana formulations may support strength, recovery, and nerve nourishment when prescribed appropriately. Maintain regular physiotherapy and rehabilitation, as these remain essential for neurological recovery. Diet & Lifestyle Prefer warm, freshly cooked, nourishing foods. Include adequate protein, milk (if suitable), ghee in moderation, nuts, and easily digestible meals. Ensure proper hydration, adequate sleep, and avoid excessive physical strain. Avoid prolonged sitting, sudden twisting movements, and heavy lifting. Important Advice Persistent swelling after spinal AVF surgery may not always indicate a serious problem, but it should be properly evaluated. Since numbness is still present and DSA has been recommended, I would strongly advise not delaying the investigation.


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Since your husband had spinal AVF surgery and the MRI still shows persistent swelling after 3.5 months, I would strongly advise following the neurosurgeon’s recommendation for the DSA. It is important to confirm that the AVF has been completely treated and that there is no residual or recurrent abnormal blood flow. The fact that he is walking better is encouraging, but ongoing swelling with numbness/tingling means recovery is still incomplete. Continue physiotherapy and avoid overexertion. Ensure adequate nutrition, hydration, and rest. Ashwagandha capsule – 1 capsule twice daily after food Yograj Guggulu – 1 tablet twice daily after food Ksheerabala 101 capsule – 1 capsule twice daily Ayurveda may support nerve recovery and strength, but DSA should not be delayed, as it will provide important information about the cause of the persistent swelling. Regards, Dr Raghuveer (Ayurvedacharya)


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••I understand how stressful and concerning it must be to see “persistent swelling” on an MRI 3.5 months after your husband’s spine surgery, especially when you are watching him put so much effort into walking and recovering day by day. •• Because the spinal cord is a highly sensitive area, Ayurvedic management at this stage must be gentle, systemic, and strictly non-invasive. 1. Gentle Herbal Support (Internal) To address the persistent swelling and help support nerve healing, classical Ayurvedic formulations focus on reducing inflammation and improving micro-circulation: ••Punarnava (Boerhavia diffusa): Literally meaning “that which renews the body,” Punarnava is Ayurveda’s premier herb for systemic swelling and fluid retention. It helps the body naturally clear excess fluid from deep tissues. Shallaki (Boswellia serrata): A potent, natural anti-inflammatory herb that supports joint and tissue healing without irritating the digestive tract. ••Guggulu Formulations: Specific preparations like Punarnavadi Guggulu or Kanchanar Guggulu are traditionally used to clear blockages (lekhana action) and reduce localized deep-tissue swelling. 2. External Therapies (To Be Done with Extreme Caution) Because he had spine surgery just 4 months ago, traditional heavy Ayurvedic massages (Abhyanga) or heavy downward pressure on the back are strictly forbidden until the spine is completely healed and the DSA is clear. ••What is safe: Very gentle application of warm Sahacharadi Thailam or Ksheerabala Thailam on his legs and lower extremities (not the surgical site) can help soothe the nerve pathways and improve his walking speed over time.


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Need personal consultation for better examination and treatment or consulting the near by ayurvedic physician


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