Published on Jan 22, 2025 6 min read

4 Reasons to Reconsider Back Surgery

Back pain is one of the most frequent health issues worldwide. Many persons with severe back pain choose surgery to relieve their discomfort and improve their mobility. Before back surgery, patients attempt medication, physical therapy, and lifestyle modifications. However, back surgery benefits and downsides should be thoroughly considered before surgery. Surgery may sometimes make matters worse. Back surgery is an option for those who have failed other primary spine therapies. Many individuals find surgical hazards outweigh the advantages. All forms of back treatments and their choices are covered here. It also offers four contraindications to surgery.

The necessity for back surgery:

When rest, medication, and physical therapy don't work for chronic pain or the issue is severe and causes stiffness, weakness, or bladder or bowel control, people receive back surgery. Usually, these procedures address scoliosis, bulging discs, or spine stenosis. The following conditions may need surgery:

  • When a spinal disc bursts, the soft material inside presses on nearby nerves, which could weaken, numb, or even damage them. This problem is called a herniation.
  • Spinal stenosis narrows the spinal canal, straining the spinal cord and nerves, producing discomfort and impaired mobility.
  • In spondylolisthesis, one of the spine's bones slides and strikes the bone below it, causing discomfort.
  • Injury or osteoporosis may induce spinal fractures, which are frequent. They may require surgery if they destabilize the spine.
  • Even in favorable settings, there are several factors to consider before surgery.

Four Reasons to Postpone Back Surgery:

There may be no way to feel better:

If you're worried back surgery won't alleviate your discomfort, reconsider. Back pain may be caused by muscular tension, inflammation, or imbalance. Surgery may not solve all these issues. MRIs show a bulging disc and nerve sensitivity, but the discomfort may be caused by something else. The operation may cause long-term pain.

People may get spine surgery that doesn't solve the condition, and their discomfort persists. Common causes of back pain include emotional, psychological, and physical difficulties. Without an assessment, surgery may not relieve back pain.

Recovering after back surgery requires relaxation and time off work:

Another reason to reconsider back surgery is its significant recovery period. For optimum healing, most back procedures need weeks or months of work. Patients should avoid heavy lifting, sitting for lengthy periods, and even turning or twisting.

It takes time to recover, which may be stressful on your body and mind, and your position may not improve. If you can't afford a lengthy trip or are self-employed, this downtime might be costly. Post-surgery manual rehabilitation is arduous. This needs extensive physical treatment and takes months to improve for many. Back surgery is expensive and time-consuming, so many avoid it.

People who work in operating rooms often feel pain as a side effect:

A lot of people say they feel worse after having back surgery. A long-term illness called failed back surgery syndrome (FBSS) affects 2040% of people who have spine surgery, according to several studies. The pain could get worse.

Scar tissue, nerve damage, failed spine fusion, or choosing the wrong subject could all lead to FBSS. Before surgery, a person should carefully consider the risks of pain, infection, bleeding, and blood clots. There are times when repair treatments need more than one surgery. If you change the current treatment plan, things might get worse instead of better.

Surgery may result in painkiller dependence:

Your body may adapt to the exact dosage and require higher dosages to treat symptoms. Increased opioid use complicates pain treatment and raises health issues. Opioids aren't the only post-surgery painkiller. Try exercise or non-addictive drugs.

Who shouldn't get back surgery?

Not all need back surgery. Surgery may not cure soft tissue issues like strained muscles or damaged ligaments. Therefore, it may not help. Obesity, heart disease, and other long-term illnesses may increase surgical complications. These folks should try less intrusive methods.

Surgery may not help some individuals because they were not psychologically prepared for the extended recovery period or had high expectations. When opting to operate, surgeons check for medical evidence such as nerve compression or structural issues. If they can't locate any, they may advise against it.

Types of Back Surgery:

Different back surgeries cure different back ailments. Popular procedures include:

Laminectomy:

The lamina is removed to relieve spinal cord or nerve pressure from spinal stenosis.

Discectomy:

  • The surgeon removes the nerve-pulling section of a bulging disc.
  • This procedure stabilizes the spine by connecting vertebrae. Treatment for spondylolisthesis or degenerative disc disease is standard.
  • Somewhat of fusing the vertebrae, this procedure substitutes a shattered disc with an artificial one so the spine may move.
  • This procedure fixes physical issues, but it might cause disease, nerve damage, or paralysis.

Spine surgery:

Nerve damage, infections, blood clots, and occasional death are complications of spinal surgery. A delicate structure, the spine houses the spinal cord and nerve roots. Any operation here may be disastrous.

Despite a successful operation, it might cause chronic pain and mobility issues. Surgery may take months to heal, and it may not address the disease, leaving the patient worse off. Due to these potential outcomes, back surgery should only be considered after all other therapeutic options have been exhausted.

Besides back surgery, what else can you do?

The alternatives to surgery for back pain have been demonstrated to assist. Alternatives to surgery:

  • Planned activities in physical therapy strengthen spine-supporting muscles, promote flexibility, and reduce nerve pressure.
  • Chiropractic and other therapies may relieve pain and straighten the spine.
  • Corticosteroids, NSAIDs, and muscle relaxants help relieve pain and inflammation.
  • Lower back discomfort may be significantly reduced by losing weight, improving posture, changing your workstation, and exercising frequently.
  • Steroid epidural injections or nerve blocks may temporarily relieve nerve pain and irritation.
  • Combining these therapies with patience and time may improve pain and quality of life for many individuals without surgery.

Conclusion:

It's crucial to weigh the risks, benefits, and side effects of back surgery before deciding to end chronic pain. Surgery may not eliminate the discomfort, delay recovery, or worsen it. People believe non-surgical therapies like physical therapy, medication, and lifestyle modifications perform better and have less dangers. With chronic back pain, you should consider all your options and see a doctor. Let them assist you in deciding how to approach your case. Surgery should be a final resort when all other techniques fail.