Just a month after back surgery, Nancy Scatena was once again in excruciating pain. The medications her doctor prescribed barely took the edge off the unrelenting back aches and searing jolts down her left leg. “The pain just kept intensifying,” says the 52-year-old Scottsdale, Ariz., woman who suffers from spinal stenosis, a narrowing of the channel through which spinal nerves pass. “I was suicidal.”
Finally, Scatena made an appointment with another surgeon, one whom friends had called a “miracle worker.” The new doctor assured her that this second operation would fix everything, and in the pain-free weeks following an operation to fuse two of her vertebrae it seemed that he was right. But then the pain came roaring back.
Experts estimate that nearly 600,000 Americans opt for back operations each year. But for many like Scatena, surgery is just an empty promise, say pain management experts and some surgeons.
This Spine Journal study [1] shows that, in many cases, surgery can backfire, leaving patients in even more pain.
The study provides clear evidence that for many patients, fusion surgeries designed to alleviate pain from degenerating discs don’t work, says the study’s lead author Dr. Trang Nguyen, a researcher at the University of Cincinnati College of Medicine. [3] 27 Million Adults With Back Problems
A recent report by the Agency for Healthcare Research and Quality, a federal organization, found that in 2007, twenty-seven million adults reported back problems, with $30.3 billion spent on treatments to ease the pain. While some of that money is spent on physical therapy, pain management, chiropractor visits, and other non invasive therapies, a big chunk pays for spine surgeries.
That has some surgeons and public health experts concerned. [4]
You may also want to review the recently published European Guidelines for the Management of Acute and Chronic Nonspecific Low Back Pain, which specifically states:
"Surgery for non-specific CLBP cannot be recommended unless 2 years of all other recommended conservative treatments — including multidisciplinary approaches with combined programs of cognitive intervention and exercises — have failed".
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Dr. Pete Tsiglieris of Advanced Spinal Care in Redwood City, California is an Upper Cervical Specialist trained by the National Upper Cervical Chiropractic Association (NUCCA). His upper cervical clinic also serves San Mateo, Palo Alto, Menlo Park, San Carlos, and Sunnyvale. They are uniquely trained to correct problems in the upper cervical spine (upper neck). This vital area is intimately connected to the central nervous system and problems in this area have been shown to be an underlying cause of a variety of different health problems, including migraines and other headaches, carpal tunnel syndrome, neck pain, back pain and shoulder pain and weakness. More information can be found on our website at https://bayareanuccacare.com/.
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