Non-Surgical Solutions for Spine Issues: Can They Help? - Orthopedics

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Can it be improved without surgery?


Hello Doctor, I apologize for bothering you! I would like to ask you about my condition.
Two years ago, I had a spinal deformity and visited a doctor at National Taiwan University in Hsinchu, who recommended surgery to prevent the risk of paralysis.
It has been over a year since the surgery, and after the removal of the screws, I experience joint pain and swelling whenever the weather changes.
I returned to the doctor at National Taiwan University, who prescribed medication for rheumatoid arthritis, but it hasn't been very effective.
Additionally, I have noticed that the area above the operated spine has started to sink in this year.
I am also unsure why I have been experiencing discomfort in my cervical spine six months post-surgery, which continues to this day.

Mao, 30~39 year old female. Ask Date: 2017/05/10

Dr. Wang Shouji reply Orthopedics


Hello: Lumbar spine surgery does not typically affect the cervical spine, unless there is a significant deformity in the lumbar region that requires evaluation.
The assessment of spinal curvature and balance in the lateral view of the spine is necessary for understanding the condition.

Reply Date: 2017/05/10

More Info


Non-surgical solutions for spine issues can indeed be beneficial, especially for individuals who have undergone surgery and are experiencing ongoing discomfort or complications. In your case, it seems that despite surgical intervention, you are still facing significant challenges, including joint swelling and discomfort in both your lumbar and cervical spine. Here’s a comprehensive overview of non-surgical options that may help alleviate your symptoms and improve your quality of life.


1. Physical Therapy
Physical therapy is often the first line of treatment for spine issues. A physical therapist can design a personalized exercise program that focuses on strengthening the muscles surrounding your spine, improving flexibility, and enhancing overall mobility. Techniques such as manual therapy, stretching, and strengthening exercises can help alleviate pain and improve function. Additionally, physical therapists can provide education on body mechanics and posture, which can prevent further injury.


2. Pain Management Techniques
Non-steroidal anti-inflammatory drugs (NSAIDs) can be effective in managing pain and reducing inflammation. However, since you mentioned that you have been prescribed medications with limited success, it may be worth exploring other options such as:
- Corticosteroid Injections: These can provide temporary relief by reducing inflammation around the affected nerves or joints.

- Nerve Blocks: Targeted injections can help alleviate pain by interrupting the pain signals sent to the brain.

- Topical Analgesics: Creams or patches that contain pain-relieving ingredients can be applied directly to the skin over the painful area.


3. Alternative Therapies
Many patients find relief through alternative therapies, which can complement traditional medical treatments. These include:
- Acupuncture: This traditional Chinese medicine technique involves inserting thin needles into specific points on the body to relieve pain and promote healing.

- Chiropractic Care: Chiropractors use manual manipulation to adjust the spine and improve alignment, which may help relieve pain and improve mobility.

- Massage Therapy: Therapeutic massage can help reduce muscle tension, improve circulation, and promote relaxation.


4. Lifestyle Modifications
Making certain lifestyle changes can also have a positive impact on your spine health:
- Weight Management: Maintaining a healthy weight can reduce the strain on your spine and joints.

- Ergonomic Adjustments: Ensuring that your workspace is ergonomically designed can help prevent strain on your back and neck.

- Regular Exercise: Engaging in low-impact activities such as swimming, walking, or cycling can help maintain overall fitness without putting excessive strain on your spine.


5. Mind-Body Techniques
Stress and anxiety can exacerbate pain perception. Techniques such as yoga, tai chi, and mindfulness meditation can help manage stress and promote relaxation, which may contribute to pain relief.


6. Advanced Non-Surgical Options
If traditional methods are not providing sufficient relief, you might consider discussing advanced non-surgical options with your healthcare provider:
- Regenerative Medicine: Treatments such as platelet-rich plasma (PRP) therapy or stem cell therapy are being explored for their potential to promote healing in damaged tissues.

- Spinal Decompression Therapy: This non-invasive treatment aims to relieve pressure on the spinal discs and nerves, potentially alleviating pain.


Conclusion
While surgical interventions can be necessary for certain spine conditions, many patients find that non-surgical solutions can effectively manage pain and improve function. It’s essential to work closely with your healthcare team to develop a comprehensive treatment plan tailored to your specific needs. Given your history of surgery and ongoing symptoms, a multidisciplinary approach that includes physical therapy, pain management, and alternative therapies may provide the best outcomes. Always consult with your physician before starting any new treatment to ensure it aligns with your overall health strategy.

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