What kind of back problems require surgery?

Do you need back surgery?
  • Disk problems. Bulging or ruptured (herniated) disks — the rubbery cushions separating the bones of your spine — can sometimes press too tightly against a spinal nerve and affect its function.
  • Overgrowth of bone. Osteoarthritis can result in bone spurs on your spine.
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What conditions require back surgery?

However, spinal deformity, spinal infections, trauma, spine tumors and some degenerative spine conditions, such as stenosis and herniated disks, may require surgical treatment.
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What is the most common back surgery?

Spinal fusion.

This is the most common surgery for chronic nonspecific back pain with degenerative changes. The doctor will join spinal bones, called vertebrae, together. This limits the motion between them and how far your nerves can stretch.
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How do you know when to have back surgery?

However, it can be difficult to know when surgery is the best option and when back pain can be treated without operating.
...
It's an Emergency
  1. Abrupt loss of bladder or bowel control.
  2. Severe lower back pain.
  3. Severe weakness or numbness of the lower body.
  4. Sexual dysfunction.
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How do I know if I need lower back surgery?

3 Signs You Might Be a Candidate for Back Surgery
  1. Sign #1: Pain That Doesn't Go Away.
  2. Sign #2: The Pain Radiates to Your Arms and Legs.
  3. Sign #3: Severe Symptoms and Trauma.
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When to Have Surgery for Low Back Pain | Orthopedic Spine Surgeon in Colorado



When is surgery needed for herniated disc?

Your doctor might recommend surgery as an option for your herniated disc if: Your symptoms have lasted at least 6 weeks and make it hard to do your normal activities, and other treatments haven't helped. You need to get better quickly because of your job or to get back to your other activities as soon as possible.
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When does a pinched nerve need surgery?

Surgery. If the pinched nerve doesn't improve after several weeks to a few months with conservative treatments, your doctor may recommend surgery to take pressure off the nerve. The type of surgery varies depending on the location of the pinched nerve.
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How do you know if you need spinal fusion?

If a patient's low back pain and other symptoms do not improve with extensive conservative (nonsurgical) treatment and other causes of low back pain have been ruled out, then he or she may be considered for a spine fusion surgery.
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What is the recovery time from back surgery?

Patients are told to avoid driving, sitting for prolonged periods, and lifting anything heavy for the first 1-2 weeks. Surgeons may prescribe physical therapy to help patients regain full movement of the spine. Full recovery for most patients is roughly 6 weeks to 3 months.
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Why you should avoid back surgery?

If things go south, some of the potential complications of back surgery can include an adverse reaction to anesthesia, bleeding, infection, deadly blood clots that can circulate to the heart or lungs, heart attack, stroke, and nerve damage.
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How painful is back surgery?

After surgery, pain is no longer achy and arthritic but stems from wound healing, swelling and inflammation. You will experience some pain outside of the hospital. For most back surgeries, it will take 1-1.5 months to resume “normal” mobility and function. During this time, pain should be tolerable and controlled.
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Can you get surgery for degenerative disc?

Surgical treatment is an option in cases of severe, debilitating lumbar degenerative disc disease, and is usually only recommended after at least 6 months of nonsurgical treatment. Most cases of degenerative disc disease can be managed using nonsurgical methods, and do not require surgery for effective pain relief.
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Is back surgery worth the risk?

Back surgery can help relieve some causes of back pain, but it's rarely necessary. Most back pain resolves on its own within three months. Low back pain is one of the most common ailments seen by family doctors.
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Can surgery fix sciatica?

Sciatica surgery has a high success rate. A discectomy has an 84% satisfaction rate on average. Surgeries for spinal stenosis like a facetectomy or laminectomy have similar success rates. Statistics show as many as 90% of patients experience relief.
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What is the success rate of back surgery?

One study estimated the success rate for back surgeries to be about 50%. This estimate is conservative, as most success rates depend on a wide variety of factors. Your health, specific surgery, source of pain and any surgery complications influence whether or not your procedure will be effective.
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What are the final stages of spinal stenosis?

Spinal stenosis, often an end stage of the spine degenerative process, is characterized by leg pain with walking. Pain will go away with rest but you may have to specifically sit down to ease the leg pain.
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How do you sit on the toilet after back surgery?

Use an elevated toilet seat or commode to raise the level of the toilet. Do NOT lean over your legs while sitting. 2. Wear your brace while using the bathroom.
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Can you walk after back surgery?

Walking is the best activity you can do for the first 6 weeks after surgery. You should start out slowly and work up to walking 30 minutes at least twice a day.
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How painful is a spinal fusion?

Depending on the location and extent of your surgery, you may experience some pain and discomfort but the pain can usually be controlled well with medications. After you go home, contact your doctor if you exhibit signs of infection, such as: Redness, tenderness or swelling.
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Who is a candidate for spinal fusion?

Your doctor may decide that you are a good candidate for spinal fusion surgery if: Your pain is chronic. Your spine condition only affects one or two discs or vertebrae. Nonsurgical management like physical therapy, nonsteroidal anti-inflammatory medications, or back bracing hasn't worked.
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How long are you in hospital after spinal fusion?

Hospital recovery after a fusion surgery focuses on managing pain and learning how to move safely while the lumbar spinal fusion solidifies. solidifies. A hospital stay of between 2 and 4 days is typical.
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Can you live a normal life after spinal fusion?

Even people requiring bigger surgeries like spinal fusion are 90% likely to return to work and stay at work long term. While most people recover from back pain through exercise and healthy lifestyles, those who require surgery can expect to return to work and "get their life back" too.
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Can a pinched nerve be detected with an MRI?

MRI scans which show soft tissues, such as nerves and discs, are generally preferred over CT scans which show bony elements. Advanced imaging can show exactly which nerve or nerves are being pinched and what is causing the nerve to be pinched.
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What does a pinched nerve in back feel like?

Pinched nerve signs and symptoms include: Numbness or decreased sensation in the area supplied by the nerve. Sharp, aching or burning pain, which may radiate outward. Tingling, pins and needles sensations (paresthesia)
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Would a pinched nerve show up on a CT scan?

Pinched Nerve Diagnosis

According to the American Academy of Orthopaedic Surgeons, a doctor may take an X-ray, a computed tomography (CT) scan, or a magnetic resonance imaging (MRI) scan to find the cause of the pinched nerve.
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