When Can You Start Moving After Moyamoya Surgery?

Understanding Moyamoya Disease and Surgical Treatment

Moyamoya disease is a rare cerebrovascular disorder characterized by the progressive narrowing of arteries in the brain, which can lead to reduced blood flow and an increased risk of stroke. To restore proper circulation, patients often undergo revascularization surgery, most commonly either a superficial temporal artery (STA) bypass or a direct/indirect cerebral revascularization procedure such as encephaloduroarteriosynangiosis (EDAS), also known as a "direct or indirect bypass" or "pial synangiosis."

The Role of General Anesthesia and Initial Recovery

These surgical procedures require general anesthesia, meaning patients are fully unconscious during the operation. Following surgery, it's standard medical practice for individuals to remain in bed under close monitoring. This allows healthcare providers to observe vital signs, neurological status, and any potential complications such as bleeding, swelling, or seizures. The immediate postoperative phase typically lasts 24 to 48 hours, depending on the patient's stability.

Early Mobilization: When Can Patients Begin Walking?

For most patients who experience smooth recoveries without complications, getting out of bed and beginning light mobility activities can start within two to three days after surgery. Early ambulation—such as sitting at the edge of the bed, standing with assistance, and taking short walks—is strongly encouraged. This not only helps improve overall circulation but also significantly reduces the risk of developing deep vein thrombosis (DVT) in the legs, a common concern during periods of immobility.

Benefits of Movement During Recovery

Improved blood flow: Gentle movement stimulates circulation in the lower limbs, helping prevent blood clots.

Faster healing: Physical activity supports lung function, digestion, and muscle tone, all contributing to a more efficient recovery process.

Reduced hospital stay: Patients who mobilize early often experience fewer complications and may be discharged sooner.

What You Can Do While Still in Bed

Even before walking is possible, patients are advised to engage in passive and active range-of-motion exercises. These include ankle pumps, leg lifts, and gentle knee bends to keep the muscles active. Nurses or physical therapists may assist with these movements initially. Additionally, applying warm compresses and receiving light massage therapy on the legs can further enhance circulation and comfort during the early recovery phase.

Post-Surgery Care Tips for Optimal Healing

Follow your neurosurgical team's guidance closely. Stay hydrated, maintain proper nutrition, and report any unusual symptoms like headaches, vision changes, or leg swelling immediately. As recovery progresses, your care team will gradually increase your activity level, guiding you toward full independence.

In conclusion, while rest is essential after moyamoya surgery, early and safe mobilization plays a crucial role in preventing complications and supporting long-term recovery. Most patients can begin walking with assistance just a few days after the procedure, provided there are no setbacks. Always follow your doctor's recommendations tailored to your individual condition.