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My Pre-op Mental and Physical Prehabilitation

October 13, 2025

  1. Knowledge is Power
    A big part of anxiety comes from the unknown. To combat this, I educated myself as much as possible about the entire process. This means not just knowing what the surgeon will do, but also understanding the anesthesia, the expected pain levels, and the recovery timeline. I’d read everything the doctor and hospital provided, and I’d ask a lot of questions—no question is too small. Understanding the “why” behind each step helps build a sense of control and reduces fear. Obviously, I have an advantage in my medical background, but there is so much information out there right now that this understanding has become quite accessible
  2. Setting Realistic Expectations
    It’s easy to get caught up in a perfect, quick-recovery scenario. My initial instinct was to negotiate with the surgeon. Push the limits of when I can get back to work. I’m still young and fit. Don’t you think I can start working out a bit earlier? This was all broken logic, and I needed a good communicator to reset my thinking here.
    I rehearsed the surgeries I performed, so I felt it was essential to rehearse my approach to and after this surgery as well. I followed a pre-surgery routine that optimized my sleep and nutrition. I mentally and physically rehearsed what it would be like to live strictly in a sling, to manage discomfort, and to be patient with the healing process. This pre-visualization helps you cope with setbacks and makes the actual recovery feel more manageable because you’ve already anticipated the challenges that may arise.
  3. Building a Strong Support System
    I made sure I wasn’t going through this alone. I communicated openly with my friends and family about what I needed, both emotionally and practically. Knowing there were people I could count on for rides, to help with daily tasks, or to talk to was a huge comfort. I also created a detailed plan for my schedule and goals during my recovery. These included some personal things like studying Italian and taking a course in Stoicism, but also some personal things like spending more quality time with my family. Blogging and completing the related book are another primary goal of my convalescence.
  4. Focusing on What I Could Control
    In a situation where so much is out of your hands, it’s vital to focus on the things you can control. For me, the most critical decision was the right surgeon. With complete confidence and certainty in Dr. Chris Ahmad’s skill and expertise, I was able to let go of the other worries. I had done my due diligence; the most critical variable was in the right hands. This gave me a profound sense of calm.
    By combining education, realistic expectations, a strong support network, and a laser focus on what I could control, I was able to walk into the operating room with a sense of calm and certainty, ready to face whatever came next.

DR. VITALE’S BLOG

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Recent News

June Is Scoliosis Awareness Month

June Is Scoliosis Awareness Month

Throughout Scoliosis Awareness Month, we will feature cases and stories from our inspiring patients who share their scoliosis journey. We will also focus on advances being made in the pediatric scoliosis field, as we are always striving to improve care and outcomes for our patients.

Michael G. Vitale MD MPH

Pediatric Orthopaedic Surgeon
Specializing in Complex Pediatric Scoliosis
Ana Lucia Professor of Pediatric Orthopedic Surgery,
Columbia University Medical Center