Doctor insights on:
Cervical Spine Surgery Side Effects
Depends: This depends on a variety of factors including your age and health as well as other medical issues and habits such as being a smoker. It also depends on the specific reason for the surgery and what rype of surgery (decompression, fusion or both) and the extent of the surgery as well as what approach or approaches used. Is it a first time surgery or a revision surgery or an adjacent level one. ...Read more
Yes: I would be happy to, but you would need to be more specific. Options generally involve going through the front verses the back of the neck, and whether a decompression alone or a fusion, or a disc replacement is done. Each option has its advantages in certain situations, as well as it's disadvantages. ...Read more
Depends on the: Surgery. If it is a minimally invasive fusion, you may only need Percocet or something along those lines. If it is something more invasive, such as an open anterior approach with a discectomy, you may need patient controlled analgesia which often consists of IV morphine or something along those lines. Hope this helps! ...Read more
An Orthopaedic Spine: Surgeons that is well trained could perform an endoscopic posterior cervical endoscopic surgical procedure to decompress your cervical spine. But you have to make sure you are not focused more on the secondary goal than on the primary goal (properly addressing your pathology and resolving your symptoms). Some pathologies may not be best treated with endoscopy, so beware, and listen to your surgeon. ...Read more
Yes: Almost everyone will. Rarely does it pose a serious permanent problem. A few do, so if you are choking or it feels like food is getting stuck, contact your doctor so you can be evaluated. ...Read more
What is the most common procedure or therapy to deal with failed cervical spine surgery? Neck, back pain is worse a year later. Also new disc buldges.
I had cervical spine surgery 6weeks ago and have had a resting heart rate of 87 for a month (prior was 67). Should I be concerned?
Yes: Your spinal surgery should not have impacted your heart rate unless you are still in pain or taking a medication which leads to the heart rate increase. Contact your family doctor to get checked. ...Read more
What can cause my husband's left leg numbness after cervical spine surgery and lumbar spinal injections?
The location of numbness is important to document and also the type of cervical surgery. If he had posterior surgery, the lateral femoral cutaneous nerve can be compressed due to the prone position and numbness can occur along the lateral thigh.
Nerve injury is a potential for any spinal injection but extremely rare. ...Read more
I had cervical spine surgery 2 1/2 weeks ago. I have pain, swelling, redness and itching behind my left ear. Could theybe related?
See your surgeon: Not sure if you had an anterior or posterior approach, but this sounds like it would be away from most cervical spine incisions. This might have been the site of one of the skull pins to hold your neck stable, a traction pin, one of the monitoring leads often used during spine surgery, or a staple in the drape. Check with your surgeon. ...Read more
Does cervical spine or lumbar spine surgery have the best prognosis and ease of surgery? Is artificial disc replacement or fusion surgery best for treating cervical spondylosis?
Many variations: Anterior or posterior, discectomy, decompression, or fusion. All affect recovery rates. For fusions, anterior cervical tends to be an easier recovery than lumbar. Cervical adr is quite comparable to fusion for short and mid-term outcomes. Longer term studies may show better long-term results than fusion, but we currently don't have enough data. ...Read more
Better n effective ways to manage back & neck pain. Please advice. I am 60 yrs & have undergone spine surgery before 5 yrs?
See below: Unfortunately there is no "one size fits all" approach that I can give you here. My advice would be to see a physiatrist specializing in spine problems to help you figure out a program that works for you. ...Read more
I'm scheduled for cervical spine surgery, pressure on my spine and herniated disks, the issue goes back 2 years, can I wait another year?
It depends: It depends on your symptoms. If you have not tried a course of physical therapy, I would recommend this before having surgery. If you are having symptoms of neurological compromise, such as numbness or weakness in your arms / hands, then you should probably proceed with the surgery. If you are having a lot of pain, you should probably proceed with the surgery. You should talk to your doctor. ...Read more
Can fibromyalgia manifest after cervical spine surgery? Chronic pain 7 mos. After surgery with no known cause or signs on MRI but mild disc bulges.
It can manifest.: At any time. I live in southeastern wisconsin where fibromyalgia is considered to be endemic. I am shocked at the number of cases that I see. I remember practicing in illinois and rarely seeing anyone with this condition and when I practiced in michigan I can count on one hand the number of fibromyalgia patients that I saw. Now I estimate that I see 2-3 such patients per day. Best wishes. ...Read more
Can invasive spine surgery with lots of neck and arm pain and stress on body bring on symptoms of MS or lupus? Can is allow a disease to manifest?
VERY DIFFERENT: Both ms and lupus are immune mediated inflammatory disorders, and your neck issues most likely due to degenerative or traumatic etiologies. None of these are related to each other, and in fact, your symptoms may indeed be due to post-operative complications such as scarring. An expert neurologist can readily sort out and categorize your issues, and may be worthwhile to have a consultation. ...Read more
Just had cervical stenosis spine surgery 5 days ago. I was experiencing tingling and numbness before, but it seems a little more burning in my leg now as I walk. Arm better also leg pain better Are my nerves just aggravated from the surgery?
Yes: It is too early after the operation Be patient! ...Read more
Got spine surgery done & got a post op infection. Had leg head neck pain debridement done, still has leg pain, reduced hearing no more neck/head pain?
Leg pain post-op: A spine surgery causes scar tissue within the spinal canal. Especially if there is an infection, this scar tissue can be more proliferative. It then encases nerve roots, which get tethered by this scar tissue and causes pain along the nerve root. In some cases the scar can even compress the nerve root not unlike the original cause- a herniated disc! A spinal cord stimulator is best for long term. ...Read more
I apologize: But there are so many, its difficult to answer in this shortened forum. There really are, from different pathologies to different approaches, and even different styles. There is a site, www. Spine-health. Com that can be of some benefit in walking you through some of the more common ones. I wish I could be more helpful, but I hope the site provides some info you are looking for. ...Read more
Failed Conservative: The majority of patients with spine pain improve spontaneously given time and/or conservative treatment with exercise, weight loss, physical therapy, chiropractic treatment, pain management, and/or yoga. Only a small minor minority of patients end up needing surgery. ...Read more
Follow instructions: The postoperative protocols vary tremendously based upon the nature of spinal surgery performed. You would certainly make sure you know, understand and follow your surgeons instructions following surgery. Some patients start to feel better after their surgery and then do things they should not, this can cause complications and so compliance is important. Thank you for the question. ...Read more
Depends: Minimally invasive spine surgery aims to achieve the same goals as standard surgery, just with less tissue damage. A lot depends on the actual problem and the experience of the surgeon. There is definitely a learning curve and the initial results show more complications with minimally invasive surgery. A good compromise might be "less" invasive but still maximally effective surgery. ...Read more
The opposite side: Usually when the symptoms are on the opposite side of a disc herniation. ...Read more
Pain: If by failure you mean what is the chance you will still have pain -50%. If the disc is causing loss of sensation or strength then the chances are somewhat better of aiding it. Back surgery for pain has abysmal results. Wt loss, strengthening your abs without laying on your back and glucosamine have at least as good of results if not better. ...Read more
Make sure you understand your diagnosis and procedure. A lot of "laser" procedures are heavily marketed but don't have much evidence to show any benefit of the laser. Consider a second opinion prior to the procedure by another spine specialist. Ensure that you have tried non-operative treatment without success.
The arrangements otherwise are similar to those prior to any other surgery. ...Read more
Do not have it: Back surgery is mainly optional. You should see your pcp for evaluation & medical clearance. For elective surgery you should in best of health! ...Read more