How effective is surgery for treating back pain?

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  1. Dr. Mehmet Oz
     
    Dr. Mehmet Oz answered:
    Unresolved back pain sends more than 500,000 Americans into the operating room for major surgery each year. Not only is back surgery one of the most expensive procedures, but critics also call the operation overly invasive, citing statistics that surgery may be a temporary fix at best and can cause complications that involve nerve damage and even more pain.

    In most cases, back surgery is not the best solution for back pain. In fact, time is often the best antidote since 90% of back pain heals within a few weeks.

    When it comes to back pain, many doctors order tests immediately, but this can lead to unnecessary treatment since images can be misleading. For instance, a spine with a bulge can indicate sciatica (back pain and shooting leg pain), but it can also simply show natural degeneration of the spine, which does not actually cause pain. Physicians should abstain from ordering X-rays, MRI or CT scans for at least 6 weeks to see if the pain resolves on its own.

    Finally, 1 in 5 people who undergo back surgery will need another operation within a decade. Of course, there are times when surgery is absolutely necessary, but it should not be your first course of action. Most acute back pain -- especially garden-variety lower back pain -- will go away on its own; the tincture of time is usually the best medicine.
    More Related Answers from Dr. Mehmet Oz
    Unresolved back pain sends more than 500,000 Americans into the operating room for major surgery each year. Not only is back surgery one of the most expensive procedures, but critics also call the operation overly invasive, citing statistics... More