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Thinking twice before low back surgery: A must-read guide

March 22, 20242 min read

"it's important to consider all the options and weigh the risks and benefits"

Choosing if and when surgery is right for you can seem like a big, and scary step.

So let's break it down...

Before you consider surgery for your low back pain, take a moment to explore all your options. It's a significant decision that is not without risk, and understanding the full spectrum of alternatives is crucial. It is also important to note that it does not guarantee the pain-free movement you seek. Sometimes it can make things worse, but we'll get to that later.

Here's a checklist to guide you through this critical process:

1. Embrace Forced Rest: Before any invasive steps, giving your body a chance to heal with an extended period of forced rest can be incredibly beneficial.

2. Surgery for Serious Neurological Issues: Surgery should be a consideration in cases involving serious neurological symptoms, such as loss of bowel or bladder control, which indicate a more severe underlying issue.

3. Trauma-Related Considerations: For injuries resulting from trauma, surgery might be necessary, but it's essential to evaluate all aspects of the situation carefully.

4. Chronic, Severe Pain: If you've endured severe pain for an extended period (at least three months) without relief, surgery might be an option to explore.

5. Choosing Your Surgeon: The choice of surgeon is as critical as the decision to undergo surgery. Research their expertise, success rates, and patient reviews.

6. Understanding the Pain Mechanism: Discuss the specific cause of your pain with your surgeon. A clear understanding of the pain mechanism ensures that the surgical approach is appropriately targeted.

7. Success Rate Clarification: Ask about the success rates of the proposed surgical procedure to set realistic expectations.

8. New Treatments with Caution: Be cautious of new or experimental treatments. While innovation is key to medical advancement, proven methods tend to be more reliable.

9. Disc Replacement Warnings: Disc replacement surgery comes with its own set of risks and considerations. Thoroughly research and discuss these with your healthcare provider.

10. Physical Therapy First: Often, physical therapy can provide significant relief and should be considered before opting for surgery.

11. Question Surgery Recommendations: Be wary of institutions or surgeons who recommend surgery based solely on exam results, without a thorough physical examination and consideration of all factors.

Remember, surgery is not a one-size-fits-all solution. It's essential to consider your unique situation, weigh the benefits and risks, and explore all options. Your health and well-being are paramount.

In your corner

Thomas Bisson

"The Back Pain Guy"

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