Doctor insights on:
When Is A Fusion Suggested
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
What do you suggest if I am 17 yrs old and going in for spinal fusion and don't know what to expect?
Schedule appointment: I would sure make a follow up appointment to discuss this with your doctor to ensure you know the nature of the surgery, what to expect, and the likelihood of success, complications, etc. At 17, you are adult enough to take a role in decision-making regarding your health care and this can only be done if you are truly informed. Make sure you have your questions answered to your satisfaction. ...Read more
, pending a fusion that I've been putting off for a long time! I'm looking for a decent pain clinic in miami florida. I only have medicaid any suggest?
See below: I know that the university of miami has a pain clinic. You could try that, especially at jackson. There is also a pain clinic in north miami. I'm not sure if they take medicaid, however. ...Read more
I'm 27 what are the pros&cons of having or not having a suggested fusion and l&r laminectomy I am worried about failed fusion and repeating the surgery?
As last resort: You should only consider this surgery if: you do not smoke, are not obese, not out of shape, have failed non op treatment (physical therapy, time, medication, pain management) and have pain that affects your lifestyle such that you cannot adapt to it and there is corresponding imaging evidence of a problem that has a good chance of success for surgery. You should also get a second opinion. ...Read more
Core Strengthening: Once you've had a lumbar fusion it is a good idea to get in an organized program of physical therapy to help you with core strengthening. Once you've learned these exercises to stretch and strengthen your core you can do them on your own at home. This will help take the load off of your spine and promote recovery. ...Read more
What do you suggest if I am 17 yrs old and have been put in for spinal fusion and want to know what to expect after the operations.?
Spinal fusion: Spinal fusion in a 17-year old is quite rare unless you were born with a birth injury or congenital problem. There are many questions you should ask about especially what are the results expected, potential limitations in the movement of the lower spine in the sense of bending and lifting. ...Read more
Reherniated disc — ortho says do single lvl fusion, neuro says won't help&do nothing, but suggests narcotics. Why such different opinions?
Usually: Based on their individual opinions and experience with same disorder in other patients. Best to avoid back surgery if possible, but if there is a clear indication then most doctors will agree. All based on your personal symptoms, physical findings and radiographic results as well. ...Read more
I've taken norco's for years, I don't want the fusion surgery suggested, and my insurance won't cover injections, I need stronger medication?
Not right action: Chronic narcotic medication for back pain will continue to lead to increasing doses due to tolerance issues & needs to be addressed via multifaceted approach that usually does not include a fusion which accounts for 10% of patients. See a pain management specialist for further treatment options other than injection, exercise, weight control, avoidance of tobacco, good sleep habits all play role. ...Read more
My doctor has suggested that I have a spine fusion in my lower spine. How will this affect my ability to bend over?
This is dependent on: How in shape and how flexible you are in the first place as well as not having any hip or leg issues at the same time. The type and extent of your surgery plays a role as well as the diagnosis for which you are having the surgery for in the first place. For most, there is usually not a noticeable change once recovered from the surgery. ...Read more
How much pain must I endure before proceeding with surgery for a cervical fusion? I had a cervical fusion 8-10 yrs ago and am having severe pain again. X-ray and MRI suggest need for another fusion. How much pain must I endure before proceeding with surge
I have a osteophyte on C5 & c6, occluding right neural foramen 50 %. Neurosurgeon suggest cervical fusion. Can it be done posterior?
Not as well : A posterior approach is an option. However, based on your description, an anterior approach would be better. Check out spine-health. Com. ...Read more
I have been to several doctors for back pain they all suggest spinal fusion went to neurologist she said I should put spacers and which one is better?
put off surgery: In general surgery is the last resort. I will hope you have tried the pain management specialist. The old surgical fusion is to fuse your spine at various levels which they feel might be causing your pain. In addition to fusion they can put in vertebral disc spaces. I would strongly suggest you obtain several opinions and perhaps speak to other patients to get their experience as well. ...Read more
Disc removed & fuse: The cervical disc is removed from the front thru the neck anteriorly along with any bony ridges compressing nerve tissue & the disc space is filled with a piece of bone from a cadaver or from another area in your body(iliac crest) or with a metal or plastic-like spacer(peek) filled with bone with screws thru these devices holding them in or with or without a plate and screws fitted to the spine ...Read more
2 level adr in2010. Having mild myelopathy. Mri shows severe spinal stenosis c3-4. Doc. Suggests conversion to fusion c3-c8 posterior. How's this done?
Back of neck: Given your prior surgery from the front of your neck, the approach from the back will avoid the scarring associated with the prior surgery. The surgery will require an incision and the muscles will be separated to expose the bones covering back of the spine. The bone will be removed to take pressure off the spinal cord. How much bone removed is determined by the narrowed levels where pressure is. ...Read more
Neck pain 2 years. Tingling R hand. No weakness. Tried steroid facet jab. No luck. Doc said disc replacement won't help with neck pain. Suggested fusion?
Husband 34years old. Has sequestrated disc L5 S1. Neurosurgeon recommended lumbar laminectomy and orthopedic surgeon suggests spinal fusion. Advice please?
Middle of your foot: This is most likely a fusion of the 1st, 2nd and 3rd metatarsal or long bone in your foot to the cuineoform bones which are in the tarsal area of your foot. The bones are held together with hardware, plates, screws, staples any of these can be used to allow the bones to heal together. Usually the hardware does not need to be removed. ...Read more
Depends on the prob: Depends on the problem. You generally want to save surgery as the last treatment. Then, if you have a pure disc problem, a disc replacement may be a good alternative to fusion. If you only have a nerve compression problem, a decompressive procedure may be best. Fusion is best for instability and arthritic pain. ...Read more
It doesn't: The goal of fusion is to get the bone of 2 adjacent vertebrae to grow together and thus stop the motion at that segment. The segments above and below will take up some motion and you will be stiffer. The reality, though, is that the majority of your bending motion comes from the hips rather than the spine and most patients don't notice a big difference after a 1 to 3 level fusion. ...Read more
If there is: Instability or if you are developing extremity motor deficits, not much for alternatives. However, if you have no instability and no weakness, then there are many. From physical therapy to acupuncture to epidurals and medication, there are many routes to take. Discuss with an experienced pain physician about what options are appropriate for you and avoid surgery. ...Read more
Depends on surgery: Talk to you doctor and your pt team. If he or they are not available just do some simple stretching, heat and massage. Not knowing exactly what type of fusion was performed. You maybe real restrictions! Good luck. See my other post on muscles, myofascial release therapy and acupuncture. ...Read more
Usually the wrong : Patient being operated on for the wrong diagnosis by the wrong surgeon. Fusion surgery has very select criteria and best outcomes also with non-smokers, non diabetics, not obese patients and with no bone density loss in good medical condition with reasonable expectations. Even the type of fusion may affect outcome. ...Read more
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Spine fusion care: The most important thing you can do is keep active and maintain core body strength. A good physical therapist can be helpful in providing you with exercises. If you are getting lots of hot packs, ultrasound, and electrical stimulation in PT, you need to find another PT. Look for someone with MDT certification — www.mckenziemdt.org may help you find a PT with this certification in your area. ...Read more
Varies: There are a many types of wrist fusion surgeries as the forearm wrist and hand have many bones that could be fused. In my experience, both in private and academic practice, wrist fusions typically take from about 90 minutes up to four hours in most cases. This is the surgical time. There will be additional time to provide and emerge from anesthesia as well as initial recovery afterward. ...Read more
Fusion: Fusion for the back can be helpful in certain situations. A thorough evaluation, including review of treatments attempted and formal imaging studies including x-ray and MRI or ct scans are needed. Fusion is typically offered in the setting of slipped vertebrae (spondylolisthesis) or deformity such as scoliosis. Fusion is also indicated in certain fractures or tumors. ...Read more