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Spinal tumours

A guide for patients and carers

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Everyday activities

The timescale of returning to everyday activities will differ for each individual depending on the speed and extent of their recovery.

Two factors which commonly delay or cause difficulties returning to everyday activities are persistent symptoms (weakness, paralysis, or bladder and bowel problems) and instability of the spine.

Can I drive?

Having a spinal tumour might affect your right to hold a driving licence, depending on the symptoms you are experiencing. If you have any problems with your spine which affect your ability to drive safely, you are obliged to notify the Driver and Vehicle Licensing Agency (DVLA) about your condition and you must not drive until you have DVLA approval.

The DVLA will assess each case on an individual basis. The regulations for safe driving include basic strength and control of the arms and legs for steering and other vehicle controls, and basic movement of the neck and shoulders to turn in order to see out of side and rear windows. The DVLA will use the information you give them in a medical questionnaire to make their decision. If necessary, they will also liaise with your GP or specialist.

People with certain symptoms might be permitted to drive with specific modifications made to their vehicle. For example, someone with weakness in their legs might have hand controls fitted to their vehicle. Someone with weakness only in their left leg might drive an automatic car. The DVLA can advise on vehicle modifications.

Regulations are stricter for HGV (Heavy Goods Vehicle) and PSV (Public Service Vehicle) licences.

Can I fly?

Yes. There is nothing to stop you travelling by air unless you have serious neurological symptoms caused by a spinal tumour. If you have paralysis, the practicalities of air travel, especially getting on and off the aeroplane, might be difficult. Also, people with mobility problems can find the confined space of an aeroplane difficult. For example, getting up to use the toilet can be very difficult.

Can I play sport?

All contact sports such as rugby or martial arts should probably be avoided even after a full recovery.

Can I swim?

You should ask your doctor or specialist for individual advice. You might be able to swim once any wounds have healed and you have recovered strength and stability in your spine. Certain swimming strokes might not be appropriate depending on your individual situation.

Can I have sex?

Yes, you can have sex as soon as you feel ready. Women are advised not to become pregnant during their recovery as this can cause stress and strain on the back and supporting muscles.

When can I go back to work?

Being diagnosed with a spinal tumour does not mean that you have to give up work, although you will need to take time off during your treatment and recovery. This might mean you are unable to return to work for a long period.

The timing of your return to work will depend on what sort of work you do. For example, you might need to wait for the renewal of your driving licence or for adaptations to be made to your vehicle. Physical work might no longer be possible.

As recovery differs for each individual, the general advice is to use your common sense and only return to work when you feel able. You might find it helpful to discuss this with your doctors or nurses. Many people return to work on a part-time basis before returning full-time.

Most people find that returning to work is a positive part of their rehabilitation and a big step in getting back to their normal lives.