Doctor insights on:
Change In Back Flexibility After Spinal Fusion
Hi, My left arm is numb at night, and I am woken at least 10-12 times to change position. It goes numb regardless of which side I sleep on. Pain free for an hour or two if on my back (old spinal fusion does not allow longer)?
Nerve impingement?: A couple possibilities might be nerve impingement, or even vascular compromise, somewhere along the course from the neck to the hand. With a history of spinal fusion I might favor that it could be related to nerve impingement in the area of the nerve roots leaving the neck. (though I don't have enough info). Doctors such as neurologist's or Orthopedic surgeon's may help to shed more light. ...Read more
Surgery to cause two or more spine segments to be joined together through a growth of bone initiated by the placement of bone tissue or graft taken from the patient or from a donor source or even a manufactured source which could include: bone growth proteins and particulate structures that act as scaffolds for bone to grow on and may include implants or instrumentation ...Read more
Probably not: Spinal instrumentation for fusion serves the purpose of immobilizing the spine while bone is healing. It acts like an internal cast. Once the bone heals it is no longer necessary, but requires a surgery to remove. Except in unusual circumstances, I do not recommend routine removal of the instrumentation. ...Read more
If you had a spinal: Fusion for pain and the pain persists, that may be an indication. If you are a smoker, there is a good chance that fusion may not have occurred. A ct scan done after 12 months postop (it can take a year for a fusion to heal) done with 2 mm axial cuts and then reconstructed in sagittal & coronal planes is the best way to image a fusion but no one study gives 100% proof of a fusion. ...Read more
Unlikely: Spine surgery has predictably good outcomes for neurological symptoms (pinched nerves) and symptomatic spinal instability (i.e. Severe fracture/dislocation, severe deformity, tumor, etc.). Spine surgery for neck/back pain without a neurological component is controversial, as outcomes are unpredictable. ...Read more
Depends: There are potentially serious risks because it is a major surgery. You have to assess the benefits of having the fusion versus the risks as described by your spine surgeon. There are many skilled surgeons these days who have a very high success and low risk rates. Get several opinions. ...Read more
Probably: I do not recommend cracking your back, or having manipulative treatments, particularly after a spinal fusion. A fusion permanently stiffens the segment (s) where there was pain generating pathology. There is always the possibility of a breakdown in the integrity of the adjacent spinal segments, and such techniques would cause more stress at these areas of future risk. ...Read more
Assuming that you: Are fused ; rehabilitated just avoid activities that involve combined repetitive flexion ; rotation ie. Racquet sports ; golf. Heavy contact sports are not advisable like rugby or tackle football. If asking in post op period, this is dependent on type and extent of fusion as well as your health/ conditioning including your diagnosis----your surgeon will guide you. Otherwise your life should be ok. ...Read more
How long ago?: This depends on how long it has been since the fusion surgery. Normal postoperative pain may last for weeks or months. Continued, severe pain many months or years after fusion surgery may indicate several possible problems, such as failure of the bones to fuse, recurrent nerve compression or a new problem at another level of the spine. This should be evaluated with x-rays, a ct scan or an mri. ...Read more
Would spinal fusion for spondilolisthesis help numbness and pain in legs and back and herinated discs?
Depends: The outcome of a spinal fusion can be related to the re-alignment of the spine in what we consider sagittal and coronal planes. Spinal deformity surgery aims to maintain balance while correcting curvature and rotation to more "normal" parameters. Perfectly straight back alignment may not be as good as a well-balanced reconstruction. Speak with your surgeon about what to expect. ...Read more
I had a spinal fusion a few years ago. Do I ever need to go back and have the screws checked? Or do they stay in place forever?
Is there anyway to proper squat form back after having a spinal fusion, my form has suffered since I was released to lift again and I was curious?
Check with doctor: Sounds iffy at best to me. How much weight are you intending on squatting after spinal fusion? Usually procedures like that are career ending for lifters who do crazy heavy weights. If you're not into THAT kind of lifting then, find out from your doctor. At the very least you need to always be wearing a belt. Good luck. ...Read more
No surgery is great: For back pain. Except in very few pre-operative diagnosis/cases, surgery 4 back pain is not predictable. There are lots of reasons why one can have back pain. Only a few of the causes relate to the motion segments of the lumbar spine. Some relate to gi, gu, vascular causes to name a few. So having back pain & degenerative changes in your back doesn't imply back pain is from those imaging findings. ...Read more
Epidural scarring: Is what usually causes the pain. See a pain specialist for treatment options. ...Read more
I have had spinal fusion 4 years ago. Start with back pain again now. Spasms on my right side. Why?
Must be examined and: Evaluated by an orthopedic expert.Get a more detailed answer ›
Is there anything I can try to keep my back from grinding until my spinal fusion? Also what about cramps?
WearBack Support: I am sure your back surgeon and physical therapist have given you guidance. Please follow those. Do not ride in the car for long distance, avoid high impact exercise like running/biking. Try stationary bike/elliptical instead. Sitting for long times also hurts. Gentle stretching helps. ...Read more
Hello im 27 male just had spinal fusion surgery and im experiencing increased PAIN IN MY BACK IM 2 MONTHS POST OP?
I need explanation why I still have constant back pain after a successful spinal fusion with instrumentation 10 months ago.
Follow up: Suggest Follow up consult with your spinal surgeon to determine cause. ...Read more
Post-op 4 weeks spinal fusion, my 2nd fusion: they removed old hardware and added new. Is it normal that my back is swollen 1.5" off my back?
Not realy: Should be a swelling that much, it could a hematoma or other problems. ...Read more
I had a spinal fusion last april my question is it ok for me to go on a trampoline? During my post exam 4/24 dr said my back healed very well
I had a spinal fusion and decompression on December 7 2016 and I am going back to work April 4, is This too soon I feel pretty good sometime and somet?
Precautions: If you have heavy physical responsibilities, a work hardening program is suggested, but if you do office work, likely you could return with periodic breaks. ...Read more
Tough situation: I am sorry you have this pain. There are many options from chronic medication management to spinal cord stimulators. If possible, avoid further surgery. See an experienced pain interventionalist who can give injections around the hardware and this may help with some of the pain and they also may be able to do the stimulator trials. I hope this helps and best of luck. ...Read more
First, it is: Unlikely that even if a screw was not properly placed would you feel any movement of it. If the screw was placed about nerve tissue then you could experience pain and/or neurologic symptoms related to that nerve tissue. If the fusion did not heal then you may also experience a sensation of pain with motion of the back. ...Read more
Sure: Depends on training look for a team or a fellowship trained spinal surgeon neuro or ortho1 year of additional spine training. ...Read more
Core exercises: Neutral spine core stability exercises of mcgill can be done almost immediately even while in a brace, these include planks and "bird dog" as well as abdominal pull ins. The key here is to maintain a neutral spine. Videos are on youtube and may be adapted. Definitely coordinate this with your surgeon and physical therapist. ...Read more
It is not the device: That is necessarily useful. It is making sure the right person is having the correct surgery for the appropriate indications by the "right" surgeon. There are lots of good devices on the market for spinal fusion surgery. The type of device is the least important factor in this scenario. ...Read more
A fusion gets rid of a joint or disk between to bones, getting the bones to join together with bone between them. If successful, it eliminates almost all the motion between the bones. Sometimes fusion simply occur as a result of disease, rarely from aging. Most of the time ...Read more
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