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Every day we see patients with disc bulges or lumbar disc herniation like the patient below who were told to have steroid injections, physical therapy but eventually, they are pointed to surgery. This landmark study in the New England Journal of Medicine proves many discs improve on their own without surgery. What motivates doctors and PAs to not share this type of information with patients allowing truly informed consent? As you can see below, her herniation healed on its own without surgery, likely through time. A true indication for surgery is incontinence and/ or rapidly progressing paralysis of the extremities

Spinal fusion rates continue to increase dramatically in the United States. Oddly enough, this landmark study shows the rise is related financial incentives and other variables not associated with the patient’s well being. This respected journal states that the annual number of spinal fusions rose by 77% within 5 years. This is confirmed in this publication: NEJM Spinal- Fusion Surgery-The Case for Restraint Why do you think so many unnecessary spinal fusions are happening?  

A New York Times article stated, “Spine fusion surgery is no better than alternative non-surgical treatments.” Unlike most operations, spinal fusion was tested in four clinical trials. The conclusion was that “surgery was no better than alternative non-surgical treatments, like supervised exercise and therapy to help patients deal with their fear of back pain”. The studies were completed by the early 2000s and should have been enough to greatly limit or stop spinal fusions, according to Dr. Richard Deyo, professor of evidence-based medicine at the Oregon Health and Sciences University. But that has not happened, according to a recent report printed

It’s no secret that low back pain is a leading cause of “unwanted” lost workdays. Low back pain is not a disease, but instead may be caused by several problems, the most common being degenerative discs.1  Degenerative discs may also lead to facet joint arthritis pain and “sciatica” nerve pain. To help pinpoint pain sources, discography was historically offered because MRIs couldn’t reliably identify pain. Discography was used to plan spine surgery, however, today spine fusions themselves are being questioned because of long-term fusion concerns. Discography was introduced in the 1940s. During discography, x-ray contrast is injected into the center

Spine Surgeons voiced fear nationwide that one of their highest paid spine procedures, spine fusions, attempting to treat degenerative disc pain, won’t be paid for by Blue Cross Blue Shield of North Carolina. Because spine surgery lobbyists have no evidence to justify fusions, they are now being denied. Poor outcomes are causing fusions to fall under scrutiny worldwide. (Reference) Many scientific articles, including the New England Journal of Medicine, and a European Spine treatment Guideline referenced an article stating: “The tide of scientific evidence seems to go against the spinal fusions in degenerative disc disease. After decades of advances in this field, the

The Domino Effect – Facts Reported After Spinal Fusion Whether you believe in a creator or evolution, your spine’s design is perfect for moving and bending. Unfortunately, spinal fusions unnaturally connect spaces meant to move freely using metal rods, screws, or cages. Because fusions permanently immobilize spines, they eventually damage discs above and below fusions by overloading them with mechanical forces1. Thus, fusions accelerate degeneration of adjacent discs, causing the damaging domino effect 2. Research demonstrates the domino effect is caused by cervical and lumbar spinal fusions and may cause patients to need additional spine surgery3,4,5, and unfortunately, repeat surgery increases