Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

5 questions to ask before you have back surgery

Miles J. Varn, MD
Conditions
November 14, 2020
Share
Tweet
Share

Back pain is one of the most common reasons people see their physician and one of the most common causes of missed days at work. Approximately 60% to 80% of adults experience low back pain during their lives, and for 10% of them, the pain lasts for more than three months. And although nearly 500,000 Americans have surgery for back pain each year, in most cases, surgery should not be the first treatment you undergo. In fact, a white paper by Johns Hopkins physicians asserted that fewer than 5% of people living with back pain are good candidates for surgery. Another issue to bear in mind is the relatively high failure rate of lumbar spine surgery for back pain, which one study estimated to be between 10% and 46%.

If a physician has recommended surgery for your back pain, your first step should be to seek a second opinion to help you determine if surgery is the most appropriate treatment. These questions can help you get the information you need to make an informed decision about whether to undergo surgery and provide you with information about non-surgical treatment options you may want to try first.

1. Are there effective, safe, non-surgical treatments that may help relieve my pain? Depending on what the underlying cause of your back pain is over-the-counter anti-inflammatory medications like ibuprofen and naproxen and pain relievers that contain acetaminophen, steroid injections, heat and/or cold therapy, and therapeutic massage may decrease your discomfort. One recent study also found that physical therapy can help manage back pain, decreasing both disability and pain. Your physician may also recommend lifestyle changes, especially losing weight and regular, low-impact exercise.

2. What surgical procedure are you recommending? Why? Ask which type of surgery your physician is proposing and have him or her explain what the surgery involves. Will a disc be removed? Will hardware be implanted? Will vertebrae be fused? Will a bone graft be needed? Find out how long the surgery takes and what you can expect during recovery. Will you need rehabilitation? How long will you be out of work or restricted in terms of your activities? Discuss the procedure’s potential risks and benefits. You should ask why the physician recommends this specific surgery. Is the goal relieving pain, improving function, the correction of an anatomical problem or a combination of these outcomes?

3. Will this surgery solve my problem permanently? Talk with the surgeon about how long you can expect the results of your procedure to last. Will you potentially need to undergo surgery again in the future to maintain the result? Does having this surgery mean that you cannot undergo other types of treatments if the problem recurs? It’s also important to discuss whether the surgery could increase the likelihood of other types of back problems, like degenerated discs or arthritis, in the future.

4. How frequently do you perform this surgery? What are your success and complication rates for this procedure? Finding an experienced surgeon and a hospital where a larger number of the type of surgery your physician has recommended is important. Studies have found an association between the volume of a given surgery performed and the risk of complications and death. As the volume increases, the risk decreases. The physician should have a high level of experience with the specific surgery and should be both board-certified and fellowship-trained in spine surgery. If your surgeon has recommended minimally invasive surgery, he or she should be trained in the technique and experienced with it.

5. Where will my surgery be performed? There are some types of back surgery that can now be performed on an outpatient basis at the hospital or at an ambulatory surgery center. If that’s the plan for your surgery, find out how the results compare with the same procedure performed in the hospital and why the physician recommends an outpatient setting. You should also ask for the success and complication rates for the hospital or facility where your surgery will be performed.

Miles J. Varn is chief executive officer, PinnacleCare, and can be reached on LinkedIn.

Image credit: Shutterstock.com

Prev

A call for more handicap accessible options for homeless patients in Rhode Island

November 14, 2020 Kevin 0
…
Next

A caretaker's bedtime ritual

November 14, 2020 Kevin 0
…

Tagged as: Orthopedics

Post navigation

< Previous Post
A call for more handicap accessible options for homeless patients in Rhode Island
Next Post >
A caretaker's bedtime ritual

ADVERTISEMENT

More by Miles J. Varn, MD

  • Why sharing your complete medical history with your clinicians is important

    Miles J. Varn, MD
  • Managing key risk factors may lower your dementia risk

    Miles J. Varn, MD
  • Caregiver? Learn how to support older relatives at doctor’s appointments.

    Miles J. Varn, MD

Related Posts

  • Please change the culture of surgery

    Anonymous
  • Why cataract surgery is more complicated than it should be

    Brian C. Joondeph, MD
  • Robotic surgery’s impact on training the next generation of surgeons

    Barry Greene, MD
  • Women in surgery: a tweet to action

    Sarah Shubeck, MD and Arielle Kanters, MD
  • Americans and Canadians use more post-surgery opioid pain pills

    Julie Appleby
  • Many questions remain about medical marijuana

    Steven Reznick, MD

More in Conditions

  • Facing terminal cancer as a doctor and mother

    Kelly Curtin-Hallinan, DO
  • Why doctors must stop ignoring unintentional weight loss in patients with obesity

    Samantha Malley, FNP-C
  • Why hospitals are quietly capping top doctors’ pay

    Dennis Hursh, Esq
  • Why point-of-care ultrasound belongs in emergency department triage

    Resa E. Lewiss, MD and Courtney M. Smalley, MD
  • Why PSA levels alone shouldn’t define your prostate cancer risk

    Martina Ambardjieva, MD, PhD
  • Reframing chronic pain and dignity: What a pain clinic teaches us about MAiD and chronic suffering

    Olumuyiwa Bamgbade, MD
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast
    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast
    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...