Post-Surgery Back Pain: When to Seek Medical Advice

Q: Post-Surgery Back Pain: When to Seek Medical Advice

Hello： The likelihood of nerve injury causing lower back pain due to spinal anesthesia is indeed very low. <br>Additionally, it is possible that inflammation of the soft tissues (muscles, tendons, ligaments) near the spine during the spinal anesthesia procedure could lead to lowe

Regarding lower back pain?

Hello, doctor.
I have a question.
I underwent surgery on both legs in January and July of this year (one leg at a time) with spinal anesthesia.
After the surgeries, I often feel soreness and pain in my lower back (the area where the anesthesia was administered).
I asked my family if this could be a side effect of the anesthesia, and they suggested I consult a specialist (anesthesiologist) online.
The doctor mentioned that it is highly unlikely that the anesthesia is the cause and suggested it might be related to a spinal issue.
I have been wanting to see a doctor but am unsure which specialty to consult.
Personally, I believe it could be a side effect of the anesthesia, especially since I didn't have these issues before the surgeries, although I do have type 2 diabetes, which could also contribute to such symptoms.
Which specialty should I see?

Wu, 20~29 year old female. Ask Date: 2022/12/05

Dr. Lin Zhebin reply Family Medicine

Hello: The likelihood of nerve injury causing lower back pain due to spinal anesthesia is indeed very low.
Additionally, it is possible that inflammation of the soft tissues (muscles, tendons, ligaments) near the spine during the spinal anesthesia procedure could lead to lower back pain.
Kidney issues caused by diabetes typically do not present as lower back pain; they are mostly detected through regular blood tests and urinalysis.
In summary, it is recommended that you consult with a neurologist, rehabilitation specialist, orthopedic surgeon, or neurosurgeon.

Reply Date: 2022/12/05

More Info

After undergoing surgeries on both legs, it is not uncommon to experience persistent back pain, especially in the area where the anesthesia was administered. This discomfort can be attributed to several factors, including the surgical procedure itself, the positioning during surgery, and pre-existing conditions such as spinal issues or diabetes, which you mentioned you have.

Firstly, it is important to understand that while anesthesia can sometimes lead to temporary discomfort or pain, it is less likely to be the sole cause of ongoing pain after surgery. The positioning during the surgery can put stress on your spine and muscles, leading to soreness in the back. Additionally, if you had any pre-existing spinal issues, they may have been exacerbated by the surgery or the recovery process.

Given your symptoms, it would be advisable to consult a healthcare professional who specializes in musculoskeletal issues. In your case, a visit to an orthopedic surgeon or a physical medicine and rehabilitation specialist (also known as a physiatrist) would be appropriate. These specialists can evaluate your back pain in the context of your recent surgeries and any underlying conditions you may have.

During your consultation, the doctor will likely perform a physical examination and may recommend imaging studies, such as X-rays or MRI scans, to assess the condition of your spine and any potential issues that could be contributing to your pain. They will also take into account your medical history, including your type 2 diabetes, which can affect healing and pain perception.

In the meantime, there are several strategies you can employ to help manage your pain. These may include:
1. Physical Therapy: Engaging in a structured physical therapy program can help strengthen the muscles supporting your spine, improve flexibility, and reduce pain. A physical therapist can design a program tailored to your specific needs and limitations.

2. Pain Management Techniques: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. However, it is essential to consult with your doctor before starting any medication, especially considering your diabetes.

3. Heat and Cold Therapy: Applying heat or cold packs to the affected area can provide temporary relief. Heat can help relax tense muscles, while cold therapy can reduce inflammation.

4. Posture and Ergonomics: Pay attention to your posture when sitting or standing. Using ergonomic furniture and taking regular breaks to move around can help reduce strain on your back.

5. Mind-Body Techniques: Practices such as yoga, meditation, or mindfulness can help manage pain and improve your overall well-being.

6. Regular Follow-ups: Since you have undergone multiple surgeries, it is crucial to have regular follow-ups with your healthcare provider to monitor your recovery and address any ongoing issues.

In conclusion, while it is understandable to suspect that your pain may be related to the anesthesia, it is more likely due to a combination of factors related to the surgery and your pre-existing conditions. Seeking advice from an orthopedic surgeon or a physiatrist will provide you with a clearer understanding of your pain and the appropriate steps to take for relief. Remember, timely intervention can significantly improve your quality of life and recovery process.

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