What are the alternatives to open back surgery?

Doctor's Answers 1

Thanks for your question. This is certainly an important one to ask when considering undergoing an operation.

The type of surgery that she requires will depend on the following what she needs to have done and what the surgeon is able to offer you. Most surgeons will use the least invasive route possible to limit the amount of potential damage to the surrounding tissue.

If a minimally invasive option is available, this should be offered provided:

  1. You are able to afford it financially
  2. Your hospital can provide it for you (some centres may provide more specialised services than others)

Ultimately if surgery is required then it is - nevertheless this should only be considered if all non-surgical options have been considered and faithfully tried.

This includes physiotherapy, guided spinal injections, acupuncture, analgesia etc. If all have failed to alleviate symptoms and no other option is available, then it should not be delayed.

How this helps.

Bw

Dr Dinesh

Similar Questions

How do I treat a bulging disc that is causing lower back pain?

Thank you for your email. I agree with what Dr Chung or Dr Dinesh have said. It is an extremely common problem seen in people, whether young or old. First line of treatment is always medication and physiotherapy to strengthen the core and paraspinal muscles. If that does not work, and the pain is persistent, and if MRI does show a disc bulge and/ or annular tear, another option that you may want to consider is a nucleoplasty, annuloplasty and facet block of the affected levels. It works very well, and may patients do find symptomatic relief.

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How can I get rid of persistent back pain that is not responding to physiotherapy?

Thank you for your email and I am sorry to hear about your ongoing pain symptoms. This can be an issue after surgery even if it does resolve the disc issue/symptoms that you were experiencing. The only way to resolve pain is to assess you and consider the pain generators in the back - unfortunately there can be many. It could be residual pain from degenerative discs, facet joints, nerve irritation, muscular tightness, scar tissue formation and so on.

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