Journal of Pain Management and Therapy

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Editorial - Journal of Pain Management and Therapy (2024) Volume 8, Issue 4

Surgical vs. non-surgical approaches to spinal pain: What you need to know

Daniel Bergi *

Department of General Practice, University of Medical Center, Australia

*Corresponding Author:
Daniel Bergi
Department of General Practice, University of Medical Center, Australia
E-mail: d.ber59@mc9.au

Received: 27-Jun-2024, Manuscript No. AAPMT-24-144872; Editor assigned: 01-Jul-2024, PreQC No. AAPMT-24-144872(PQ); Reviewed: 15-Jul-2024, QC No. AAPMT-24-144872; Revised: 18-Jul-2024, Manuscript No. AAPMT-24-144872 (R); Published: 25-Jul-2024, DOI:10.35841/aapmt-8.4.212

Citation: : Bergi D. Surgical vs. non-surgical approaches to spinal pain: What you need to know. J Pain Manage Ther. 2024;8(4):212.

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Introduction

When it comes to managing spinal pain, patients often face a pivotal decision: whether to pursue surgical or non-surgical treatments. Both approaches have their own set of advantages and limitations, and understanding the nuances of each can help individuals make informed choices about their care. The decision between surgical and non-surgical options hinges on several factors, including the underlying cause of the pain, the severity of symptoms, and the individual's overall health and lifestyle [1, 2].

Non-surgical approaches to spinal pain are often the first line of treatment and can be highly effective for many individuals. These methods typically focus on relieving symptoms, improving function, and enhancing quality of life without the need for invasive procedures. Common non-surgical treatments include physical therapy, medications, lifestyle modifications, and alternative therapies. Physical therapy plays a crucial role in non-surgical management of spinal pain. It involves targeted exercises designed to strengthen the muscles that support the spine, improve flexibility, and correct posture. A physical therapist can tailor a program to address specific issues, such as muscle imbalances or poor spinal alignment, which can contribute to pain. Over time, physical therapy can reduce pressure on the spine, alleviate discomfort, and help prevent future episodes of pain [3, 4].

Lifestyle modifications also play a significant role in managing spinal pain. Maintaining a healthy weight reduces stress on the spine and can alleviate symptoms. Regular exercise, including low-impact activities such as swimming or walking, can strengthen the back muscles and improve overall spinal health. Ergonomic adjustments at work and home, such as using supportive chairs and practicing good posture, can help prevent exacerbation of pain. Alternative therapies, such as acupuncture, chiropractic care, and massage therapy, are popular non-surgical options for managing spinal pain. These treatments can provide relief by targeting muscle tension, improving circulation, and promoting relaxation. While evidence supporting the effectiveness of these therapies varies, many individuals find them beneficial as complementary approaches to more conventional treatments [5, 6].

Despite the effectiveness of non-surgical treatments for many people, some cases of spinal pain may require surgical intervention. Surgery is generally considered when non-surgical methods have failed to provide adequate relief or when there are severe symptoms that necessitate more immediate action. Surgical options for spinal pain vary depending on the underlying condition and may include procedures such as discectomy, laminectomy, or spinal fusion. A discectomy involves the removal of a herniated or bulging disc that is pressing on a nerve root. This procedure can relieve pressure on the affected nerve and alleviate symptoms such as pain, numbness, and weakness. Laminectomy, on the other hand, involves removing a portion of the vertebra to create more space for the spinal cord and nerves. This can be beneficial for conditions such as spinal stenosis, where narrowing of the spinal canal is causing compression of the nerves [7, 8].

Spinal fusion is a more extensive procedure that involves joining two or more vertebrae together to stabilize the spine and reduce pain. This technique is often used for conditions such as degenerative disc disease or spondylolisthesis, where instability in the spine is contributing to pain and dysfunction. While spinal fusion can be effective in relieving symptoms and stabilizing the spine, it is a major surgery with a longer recovery period and potential risks. The decision to pursue surgery should be made collaboratively between the patient and their healthcare provider, taking into account the potential benefits, risks, and recovery process. Surgical interventions can offer significant relief for individuals with severe or debilitating pain, but they also come with inherent risks, such as infection, bleeding, and complications related to anesthesia. Additionally, the recovery period after surgery can be substantial, often requiring physical therapy and lifestyle adjustments to achieve the best outcomes [9, 10].

Conclusion

Both surgical and non-surgical approaches to spinal pain have their place in the management of this complex condition. Non-surgical treatments often provide substantial relief and can address many underlying issues contributing to pain, while surgical interventions offer potential solutions for more severe cases. Understanding the available options and working closely with a healthcare provider can help individuals make informed decisions and choose the most appropriate course of action for their specific situation.

References

  1. Gevers?Montoro C, Provencher B, Descarreaux M, et al. Neurophysiological mechanisms of chiropractic spinal manipulation for spine pain. Eur J Pain. 2021;25(7):1429-48.
  2. Indexed at, Google Scholar, Cross Ref

  3. Malfliet A, Kregel J, Coppieters I, et al. Effect of pain neuroscience education combined with cognition-targeted motor control training on chronic spinal pain: a randomized clinical trial. JAMA Neurol. 2018;75(7):808-17.
  4. Indexed at, Google Scholar, Cross Ref

  5. Patel EA, Perloff MD. Radicular pain syndromes: cervical, lumbar, and spinal stenosis. Semin Neurol. 2018;38(6):634-639.
  6. Indexed at, Google Scholar, Cross Ref

  7. Huang Q, Duan W, Sivanesan E, et al. Spinal cord stimulation for pain treatment after spinal cord injury. Neurosci Bull. 2019;35:527-39.
  8. Indexed at, Google Scholar, Cross Ref

  9. Urits I, Burshtein A, Sharma M, et al. Low back pain, a comprehensive review: pathophysiology, diagnosis, and treatment. Curr Pain Headache Rep. 2019;23:1-0.
  10. Indexed at, Google Scholar, Cross Ref

  11. Pérez JT. Spinal cord stimulation: beyond pain management. Neurologia. 2022;37(7):586-95.
  12. Indexed at, Google Scholar, Cross Ref

  13. Fontaine D. Spinal cord stimulation for neuropathic pain. Rev Neurol. 2021;177(7):838-42.
  14. Indexed at, Google Scholar, Cross Ref

  15. Sorensen PW, Nim CG, Poulsen E, et al. Spinal Manipulative Therapy for Nonspecific Low Back Pain: Does Targeting a Specific Vertebral Level Make a Difference?: A Systematic Review With Meta-analysis. J Orthop Sports Phys Ther. 2023;53(9):529-39.
  16. Indexed at, Google Scholar, Cross Ref

  17. Nelson TS, Taylor BK. Targeting spinal neuropeptide Y1 receptor-expressing interneurons to alleviate chronic pain and itch. Prog Neurobiol. 2021;196:101894.
  18. Indexed at, Google Scholar, Cross Ref

  19. Purushotham S, Stephenson RS, Sanderson A, et al. Microscopic changes in the spinal extensor musculature in people with chronic spinal pain: A systematic review. Spine J 2022;22(7):1205-21.
  20. Indexed at, Google Scholar, Cross Ref

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