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Back surgery continues to be a big opportunity with 500,000 of surgeries done per year.
But does back surgery actually help people and back pain?
There is no need for surgeons to prove that surgeries work.
There are no drug companies pushing for testing, and there is no approval process for new surgical procedures.
For this reason, we have to dig deep to see if back surgery helps.
We need to know if it helps, does nothing, or maybe even hurts people.
There was a landmark study to determine if a common back surgery for lumbar disc herniation is effective.
Let’s look at that.
In this study, researchers split up patients into two groups.
One group received surgery, and the other group received things like opiates, physical therapy, and NSAID drugs.
What do you think the outcome was?
Certainly, the people who had surgery fared better, right?
One of the reasons that people get surgery is to reduce pain.
So, does back surgery really help?
It didn’t quite work out for people who had the surgery.
But what about actual physical function?
Surely, the surgery that’s been done by the millions must help people be more flexible.
It must make it possible for them to be able to perform better at their jobs.
It must make them able to sleep better and able to have better sex.
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Well, not really.
Take a look question:
In the beginning, the people in the surgery group were very slightly ahead, but within a year function was equal.
There was no benefit to the surgery.
There was very little difference except that the people who had the surgery had more pain than the people who did not.
The people who had gone through the nonsurgical options were no worse off and had less pain.
So, do you think that this finding has reduced the number of such back surgeries?
Nope.
In a landmark article in the New York Times, they discussed this and other studies that show back surgeries do no good.
One of the doctors actually said that
”I’ve met with two groups [of back surgeons] who said they fear the results will take away their practice.”
Despite the lack of evidence that back surgery helps, more back surgeries have been done than ever.
According to HealthDay, 500,000 back surgeries are done each year.
Some of these undoubtedly help patients, but most don’t.
http://jama.jamanetwork.com/article.aspx?articleid=204281
With Costs Rising, Treating Back Pain Often Seems Futile
http://www.nytimes.com/2004/02/09/us/with-costs-rising-treating-back-pain-often-seems-futile.html
Back Surgery
https://consumer.healthday.com/encyclopedia/back-care-6/backache-news-53/back-surgery-645795.html
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