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Prolotherapy and Back Surgery and Spinal
Fusion
The
Role of Back Surgery
Except in a life-threatening situation or impending neurologic injury, back surgery should always be considered a last resort and done only after all conservative treatments have been exhausted.
Prolotherapy
After
Back Surgery
Many people only become aware of
Prolotherapy
after they have undergone a
surgical procedure for back pain. Although the pain may not be as severe as it
was before the surgery, most people continue to experience significant back pain
after surgery. Why? Because the
back surgery
involved removing supporting
structures, such as a lamina,
facet, or disc, thus weakening surrounding
segments.
Prolotherapy
&
Spinal Fusion
When
Patient R was 50 years old, he
was a pretty active guy. One summer, he was doing his regular
Saturday yard work when he lifted a bale of pine straw from the bed of his new
pick-up truck. As he straightened up, he felt a pop in his lower back
and immediate pain.
Failed Back Surgery Prolotherapy
Patients often have chronic
low back pain persisting after surgery and are put into the category of people
with "failed
back surgery syndrome." It is easy to find reasons why
a
back surgery patient would still have pain after the surgery. During
surgery, for example, a discectomy (removal of the disc), the surgeon must
spread some muscles and cut some of the
ligaments in order to perform the
surgery. The surgery itself can cause ligamentous laxity and instability of
the spine.
SPINAL FUSION & FOOT DROP
A patient came to
Caring Medical with a long history of back pain complaints.
He had a discectomy and subsequent
spinal fusion.
He has
had to wear an AFO (ankle foot orthosis) because of foot drop in the year
following spinal fusion.
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