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SI Joint Fusion Recovery

Your comprehensive guide to recovery after sacroiliac joint fusion

When to Call Immediately

  • • Fever over 101°F
  • • Increased redness, swelling, or drainage from incision
  • • New or worsening leg numbness or weakness
  • • Loss of bowel or bladder control
  • • Severe pain not controlled by medication

Recovery Timeline

Same Day
Outpatient Surgery
4-6 weeks
Return to Work
6-12 weeks
Full Recovery

Week-by-Week Guide

Week 1-2: Initial Recovery

  • • Rest and allow your body to heal
  • • Short walks several times daily
  • • No bending, lifting, or twisting
  • • Keep incision clean and dry
  • • Take pain medication as prescribed
  • • Sleep on your back or non-surgical side

Week 3-6: Gradual Progress

  • • Increase walking distance gradually
  • • Begin gentle stretching exercises
  • • Continue activity restrictions
  • • May return to light desk work
  • • Avoid prolonged sitting or standing
  • • Follow-up appointment scheduled

Week 6-12: Building Strength

  • • Start physical therapy if recommended
  • • Gradually increase activities
  • • May return to most work activities
  • • Continue avoiding heavy lifting
  • • X-rays to check fusion progress
  • • Pain should be significantly improved

Month 3-6: Full Recovery

  • • Return to normal activities gradually
  • • Continue strengthening exercises
  • • May resume recreational activities
  • • Final follow-up appointment
  • • Maintain good posture habits

Activity Guidelines

DO These Activities

  • • Walk regularly for exercise
  • • Use proper body mechanics
  • • Sleep on your back or side
  • • Take breaks when sitting
  • • Follow medication schedule
  • • Maintain good posture

AVOID These Activities (First 6 Weeks)

  • • No bending at the waist
  • • No lifting over 5-10 lbs
  • • No twisting motions
  • • No driving for 2-4 weeks
  • • No smoking (impairs fusion)
  • • Avoid prolonged sitting

Keys to Successful Fusion

1

Follow Weight-Bearing Restrictions

Protect the fusion site during healing

2

Stay Active

Walk regularly to prevent stiffness

3

No Smoking

Smoking significantly impairs fusion healing

4

Attend Follow-ups

Keep all appointments to monitor fusion progress

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