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Treating back pain
May 22, 2006 10:50 AM
Dr. Tim Johnson blogs about his piece on tonight's broadcast. It's part of a three part series on low back pain:
Low back pain is an affliction that strikes the majority of Americans at least once in their lives. We begin with a look at the most dramatic treatment for a degenerated disc - replacement with an artificial disc. During this procedure, the surgeon takes out the bad disc and puts in a three part device that allows the spine to actually move in a semi normal way. This procedure is widely used in Europe, less so in the U.S. It works on people with only a single bad disc and good bone density. But for some, it is truly a "miracle" cure.
Tomorrow night we look at two much more common operations - discectomy (removal of all or part of a slipped/herniated disc) and fusion (fusing two or more vertebrae, the individuals bones of the back) which uses bone grafts, screws and rods, sometimes other techniques to make the back bones immoveable. Fusions, especially, are controversial because they are done in large numbers (third most common operation in the U.S.) with mixed results. For this operation, second opinions are definitely in order.
Finally, on Wednesday, the most important topic of all: how to avoid surgery. In fact about 90% of people with low back pain will get better with conservative treatment - physical therapy, anti inflammatory meds, etc. So unless the back pain is accompanied by severe leg symptoms or bowel/bladder problems, "tincture of time" is usually the best treatment. Buyer beware.
UPDATED May 24th @ 3:30p ET: Many of you have written in with questions about back pain. It's great to hear from readers -- Dr. Tim and another back pain expert answered some of your questions on ABC News Now's Healthy Life program earlier today. [WATCH]
For more on our back pain series click here: [LINK]
May 22, 2006 | Permalink | Share | User Comments (188)
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I had a fusion in L-4 L-5 s-1 last september. It has failed and to make a long storey shrt, no doctors around here will touch me and I am in a ton of pain. Any suggestions??
Posted by: Stacie | May 22, 2006 6:35:42 PM
i have had surgery on my back disectomy/lumbar epidural seletive nerve root block
Posted by: cathleenallen | May 22, 2006 7:09:17 PM
What was the name of the doctor mentioned in the report? It was Fabian something, I believe. Thank you.
DM
Posted by: dave | May 22, 2006 7:11:19 PM
My husband is 46 y/o, and has suffered with low back pain for years. We recently had x-rays done, and the x-rays were asolutely frightening. The radiologist stated in his report, "very severe degenerative arthritis". That, I believe, was an understatement, as his lower discs (L3-S1) are gone. Yes, gone. The arthritic bone spurs from the L-5, S-1 vertebraes have fused themselves together. It's no wonder he is in constant pain. However, this man works everyday, in a very strenuous, hard labor job. He is in the process of getting set up with the Chief Neurosurgeon at Shands, in Gainesville, FL. During the meantime, is there any additional information you can provide me regarding artificial disc? Any help you can provide would be greatly appreciated. Thank you, Sheila Roach
Posted by: Sheila Roach | May 22, 2006 7:12:26 PM
Hello
Where can I write this Dr. ? I have seen a lot of Doctors for my lower back.
Thank You
Mark
Posted by: Mark Mattern | May 22, 2006 7:12:31 PM
This is more of a question for Dr. Johnson. 6 years ago I had a bone fusion at the L-4, L-5 and S1 joints. I was in severe pain with the inability to walk due to the Degenerative Disk Disease. Of course 6 years later my body is trying to compensate for the lack of mobility. Today I went for my first treatment of physical therapy. And maybe an MRI in about 6 weeks if Physical Therapy does not help. I know that the MRI will probably show yet another disk going out. I am showing the same instability symptoms from 6 years ago at the T7 levels or there about. So my question is since I have the old fusion style equipment in my back already will they ever be able to attempt to replace that equipment with the new type of disks that allow mobility? Also should I hold out for the new type of disk if God forbid I have to go through another operation?
Posted by: Guillermo Cruz | May 22, 2006 7:14:23 PM
I have a Wilkes-Selby Pedicle Screw System and cadaver bone implanted in my lower back in 1997.
I still have extreme back pain.
Any hope for new treatment for me? (I am 75 years
of age.)
Posted by: LaRee Calame | May 22, 2006 7:16:20 PM
I need and am a good candidate for an artificial disc replacement and have been refused twice by health insurance. Can someone tell me how they have had their ADR paid?
Posted by: alycia | May 22, 2006 7:19:53 PM
Can I recieve update information on the above matter of back trouble?
Posted by: Rubén Muñiz | May 22, 2006 7:24:20 PM
how to find a good Dr near you? Im doing my second micro-diskecktomy and a month out Im still not able to get rid of the pain. Hydrocodone, lyrica, and a long list of other still no relief.
I just want to get back to my life
Posted by: synette | May 22, 2006 7:24:51 PM
Dr. Johnson,
I would like, to introduce you to my wife. Her name is Susan Sweeney Pogue. She is a gentle, kind and severely strong woman, who lives with a degree of back pain that most would not bear. She has had 3 surgeries on her back. These were due to an inflight injury while working for Pan Am and the late onset of scoliosis. She may have to endure another. because the rods supporting her spine may not continue to due so.
No matter what the surgeons choose, her life will be put at risk, or she will continue to live with worsening pain as her spine tries to twist aganst the rods.
Some may complain of back pain, they should meet my wife as well.
GC Pogue
Posted by: gene pogue | May 22, 2006 7:25:31 PM
My left hip continues to slip out of place, and I have been advised to have fusion surgery. Is this a successful surgery?
Posted by: EJ | May 22, 2006 7:48:04 PM
On the evening news it said there was a story about treating back pain using stem-cells on the web site. I have looked but can't find it. Would you please point me in the right direction?
Thank you,
Jim
Posted by: Jim Lowe | May 22, 2006 7:57:14 PM
I have DDD and have one fusion at L4/5. I have on herniated disc at L3/ and bulging disc at L5/S1 and tears in L1/2 and L2/3. I have been advised that another fusion will only contribute to the domino effect and that artificial disc replacement is my best option. I am due to go to Germany for a two level ADR on June 6th but am having serious doubts. Any thoughts? Ken
Posted by: Ken | May 22, 2006 8:14:58 PM
Hi, I would like to know if you had any information on upper back pinch? It is L6 and L7 herniation. Also, what do you recommend on a operation?
Posted by: hugo rodriguez | May 22, 2006 8:17:42 PM
I would like to see more information on back pain.
Posted by: Cecelia Chase | May 22, 2006 8:25:55 PM
I have suffered with back pain for years. I am a 57 year old white female. I have a small frame. I have had two back surgeries. The first was to fuse the C5-6 & 6-7. I have also had the L4-5 & 5-6. The last mentioned fusions are anchored from the T11 down to the S1. I had talked with orthopedic doctors but was never comfortable. There is no way I would allow an orthopedic doctore to operate on my spine. I have gone to neurosurgeons both times and will continue to do so. As far as this anterior back surgery...the danger of infection is much higher. A good neurosurgeon would advise against it.
Posted by: Kathy | May 22, 2006 8:26:06 PM
Anyone ever heard of Evan Zeiger? He is the best neurosurgeon around.
Posted by: Kathy | May 22, 2006 8:32:43 PM
I had a back injury in 1990 and my L3,L4 disc bulged. I still am in pain and wonder if this would help me?
Thanks
Posted by: nancy Carpenter | May 22, 2006 8:33:50 PM
I would like more information on Dr,Fabian Beton and this back surgery. Address - phone no. Also North American Spine Authority.
Posted by: Dean Dobbs | May 22, 2006 8:50:58 PM
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