Getting a Safe Correction after Spine Surgery
article filling up my Facebook newsfeed. The article talks about how a specific type of spine surgery called spinal fusion has been found to be mostly ineffective. The author goes so far to say that the surgery should be put to rest. I've seen a lot of patients with a previous history of spinal fusion. Some people feel like their life was made dramatically better by spine surgery, others feel like it didn't have any effect at all, and some people will actually feel a lot worse. Overall, the verdict on fusion surgery seems to be pretty dim.
People Don't Volunteer for Spine Surgery. It's a choice made out of desperation Here's the thing. I don't blame people who choose to elect spinal fusion even in the face of the world's best evidence. Why?
I've never experienced the level of pain that makes someone consider spine surgery an option. It's the easiest thing in the world to be a chiropractor, physical therapist, or pain management doctor to tell someone that they don't need spine surgery. Our professions are invested in the idea that you should choose us over surgery because you should exhaust your conservative options before being cut open. However, someone who is choosing spine surgery is often someone who is desperate. Their pain is debilitating and costing them the ability to work and move like a normal human being. Many patients have tried numerous conservative options and feel like they have spent years feeling debilitated. They are tired, frustrated, and just want something, anything to make their pain go away. I hear it in my office all the time. "Doc, can you just cut this thing out of me?" Sure it's said in jest, but it opens a window to what someone's last option looks like. Just cut me open, and take whatever is causing this pain, and remove it.
You've had surgery, now what? People that choose surgery often feel like they've exhausted all possible treatment options. If your pain didn't improve or if you develop or new and worse pain after surgery, it can be devastating to the psyche. You tried everything and it still didn't work. Will you have to suffer like this for the rest of your life? Do I just have to rely on pain management and more surgery? From time to time, I'll meet people who tell me about how bad their back or neck problems are, but they'll usually say something like:
But I've already had surgery, and my doctor says I shouldn't have my back cracked. I understand this fear. If I had hardware in my spine, the last thing I would want is someone just jerking my back or neck around and possibly hitting one of those fused parts. Here's the thing though. Not all chiropractic techniques require heavy force. There are a lot of chiropractors trained to be extremely precise with their adjustments. With a high level of precision, you can avoid doing anything to the spine that may jar or disturb these fused vertebrae. This is important to remember because precise Structural Correction of the spine is something that can really help these patients! It's one of the reasons that there are doctors in Palm Beach County that refer cases to our office when patients still have pain after surgery.