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Dear Dr. Caraotta,
My Dad just had low back disc surgery. I am built like him and was wondering if there are things that I could do to prevent having a serious back /disc injury and or surgery.
Dr. Caraotta's Response
As we mature in life, our body transitions through several different physical attributes. In our youth, we are can fall off bikes, roller skates, skate boards, swing sets and have little to no consequence because of the flexibility in the skeletal system.
As we transition to adolescence, we are more prone to sprains and strains. As we transition to the twenties and thirties we are more susceptible to having injuries that require more attention such as injuries from repetitive activities and lifting, such as disc injuries. Disc injuries or discs that bulge, swell or slip are very common in our society but could be minimized if a person takes certain precautionary measures.
From a preventative standpoint, lets quickly review the basics:
If a person develops low back pain, from a conservative rehabilitation standpoint there are several things that could be done to avoid surgery. The first priority is to decrease the inflammation or swelling in the disc and around the nerve. This is usually done in our office with physical therapy modalities such as ultrasound, electrical muscle stimulation and pulsed diathermy.
Another goal is to relieve the nerve pressure via various forms of chiropractic techniques, traction and extension exercises to re-position the disc away from the spinal cord. As a non-surgical Orthopedist, my specialty and training is to rehabilitate, and avoid unnecessary surgical intervention, but when surgery is necessary, we advise patients accordingly. The ONLY indication for low back surgery is intractable pain, loss in bladder or bowel function, or progressive leg weakness.