{"id":2045,"date":"2025-02-06T19:15:36","date_gmt":"2025-02-06T13:45:36","guid":{"rendered":"https:\/\/epionepainandspine.com\/bengaluru\/?p=2045"},"modified":"2025-12-31T13:16:18","modified_gmt":"2025-12-31T07:46:18","slug":"when-is-surgery-necessary-for-lower-back-pain","status":"publish","type":"post","link":"https:\/\/epionepainandspine.com\/bengaluru\/when-is-surgery-necessary-for-lower-back-pain\/","title":{"rendered":"When Is Surgery Necessary for Lower Back Pain"},"content":{"rendered":"<?xml encoding=\"utf-8\" ?><p>Back surgery is a major decision best considered after exploring alternatives to back surgery. Understand your pain&rsquo;s causes and weigh surgery&rsquo;s benefits and risks for informed choices and better outcomes.<\/p>\n<p>For severe cases with persistent pain, disability, or neurological symptoms like numbness, weakness, or bladder control loss despite conservative treatments, surgery is required. This blog aims to help you determine when lower back pain surgery is necessary, understand the conditions it addresses, and explore viable options for effective pain relief.<\/p>\n<h4><strong>When Is Surgery Necessary?<\/strong><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2766 size-full\" style=\"width: 100%;\" src=\"https:\/\/epionepainandspine.com\/bengaluru\/wp-content\/uploads\/2025\/02\/unnamed-18-300x203-1.webp\" alt=\"\" width=\"300\" height=\"203\"><\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Criteria for Considering Surgery<\/strong><\/h5>\n<p><span style=\"font-weight: 400;\">Surgery may be necessary if:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Conservative treatments fail after an extended period.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">There is significant nerve compression causing weakness, numbness, or loss of bowel\/bladder control.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Structural issues like herniated discs or spinal stenosis severely limit mobility.<\/span><\/li>\n<\/ul>\n<h5><strong>Quality of Life Impact<\/strong><\/h5>\n<p><span style=\"font-weight: 400;\">If chronic back pain interferes with daily activities, work, or sleep, <\/span><b>back pain surgery options <\/b><span style=\"font-weight: 400;\">are necessary to improve functionality and long-term comfort.<\/span><\/p>\n<p><b>Also Read:<\/b> <a href=\"https:\/\/epionepainandspine.com\/bengaluru\/non-surgical-treatments-for-lower-back-pain-what-works-best\/\">Non-Surgical Treatments for Lower Back Pain: What Works Best?<\/a><\/p>\n<p>&nbsp;<\/p>\n<h4><b>Types of Back Surgery for Lower Back Pain<\/b><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-4544\" src=\"https:\/\/epionepainandspine.com\/bengaluru\/wp-content\/uploads\/2025\/02\/Types-of-Back-Surgery-for-Lower-Back-Pain.png\" alt=\"\" width=\"980\" height=\"392\" srcset=\"https:\/\/epionepainandspine.com\/bengaluru\/wp-content\/uploads\/2025\/02\/Types-of-Back-Surgery-for-Lower-Back-Pain.png 980w, https:\/\/epionepainandspine.com\/bengaluru\/wp-content\/uploads\/2025\/02\/Types-of-Back-Surgery-for-Lower-Back-Pain-480x192.png 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 980px, 100vw\"><\/p>\n<h5><strong>Spinal Fusion<\/strong><\/h5>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It is the most common surgery for chronic nonspecific back pain with degenerative changes.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Joins two or more vertebrae to stabilize the spine and reduce pain caused by movement.<\/span><\/li>\n<\/ul>\n<h5><strong>Discectomy or Microdiscectomy<\/strong><\/h5>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Removes part or all of a herniated disc pressing on nerves to alleviate pain and improve mobility.<\/span><\/li>\n<\/ul>\n<h5><strong>Artificial Disc Replacement<\/strong><\/h5>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Replaces a damaged disc with an artificial one to maintain flexibility and support in the spine.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Recovery time may be shorter than for a spinal fusion.<\/span><\/li>\n<\/ul>\n<h5><strong>Minimally Invasive Surgery<\/strong><\/h5>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Minimally invasive spine surgery (MISS) uses smaller incisions and advanced techniques and tools to treat spinal issues.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">MISS causes less muscle damage, reducing recovery times and less pain.<\/span><\/li>\n<\/ul>\n<h4><b>Risks and Benefits of Back Surgery<\/b><\/h4>\n<h5><strong>Potential Benefits of Surgery<\/strong><\/h5>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Improved mobility and fitness.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Enhanced mood.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduced reliance on pain medication.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Return to work and increased productivity.<\/span><\/li>\n<\/ul>\n<h5><strong>Risks and Complications<\/strong><\/h5>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Potential for infection or bleeding.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Risk of nerve damage or incomplete pain relief.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Possibility of surgery failure, requiring additional procedures.<\/span><\/li>\n<\/ul>\n<h5><strong>Recovery and Rehabilitation<\/strong><\/h5>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Depending on what type of surgery and whether it is an open surgery or a MISS, you might go home the same day or need to stay in the hospital for up to 5 days.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Patients must follow activity restrictions to promote healing and prevent complications.<\/span><\/li>\n<\/ul>\n<p><b>Also Read:<\/b> <a href=\"https:\/\/epionepainandspine.com\/bengaluru\/top-5-ways-to-relieve-back-pain\/\">Top 5 Ways to Relieve Back Pain<\/a><\/p>\n<h4><b>Natural Alternatives to Back Surgery<\/b><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-4546\" src=\"https:\/\/epionepainandspine.com\/bengaluru\/wp-content\/uploads\/2025\/02\/Natural-Alternatives-to-Back-Surgery.png\" alt=\"\" width=\"980\" height=\"392\" srcset=\"https:\/\/epionepainandspine.com\/bengaluru\/wp-content\/uploads\/2025\/02\/Natural-Alternatives-to-Back-Surgery.png 980w, https:\/\/epionepainandspine.com\/bengaluru\/wp-content\/uploads\/2025\/02\/Natural-Alternatives-to-Back-Surgery-480x192.png 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 980px, 100vw\"><\/p>\n<h5><b>Physical Therapy<\/b><span style=\"font-weight: 400;\">:<\/span><\/h5>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2763 size-full\" style=\"width: 100%;\" src=\"https:\/\/epionepainandspine.com\/bengaluru\/wp-content\/uploads\/2025\/02\/unnamed-19-300x203-1.webp\" alt=\"\" width=\"300\" height=\"203\"><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Targeted stretches and exercises strengthen muscles and improve flexibility under the guidance of a licensed physical therapist.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">A <a href=\"https:\/\/bmchealthservres.biomedcentral.com\/articles\/10.1186\/s12913-015-0830-3\">study <\/a>confirmed that guideline adherent physical therapy was associated with lower utilization of advanced imaging, lumbar spinal injections, spine surgery, and opioid use.<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\"><br>\n<\/span><b style=\"color: #333333; font-size: 16px;\">Lifestyle Changes:<br>\n<\/b><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2764 size-full\" style=\"width: 100%;\" src=\"https:\/\/epionepainandspine.com\/bengaluru\/wp-content\/uploads\/2025\/02\/unnamed-20-300x203-1.webp\" alt=\"\" width=\"300\" height=\"203\"><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Incorporate ergonomic adjustments, regular exercise, and a healthy diet to support back health.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Try doing Yoga and Pilates 3 to 4 times a week for up to an hour as yoga reduces back pain.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h4><b>Back Pain Surgery Alternatives: Exploring Non-Surgical Options<\/b><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-4545\" src=\"https:\/\/epionepainandspine.com\/bengaluru\/wp-content\/uploads\/2025\/02\/Back-Pain-Surgery-Alternatives_-Exploring-Non-Surgical-Options.png\" alt=\"\" width=\"980\" height=\"392\" srcset=\"https:\/\/epionepainandspine.com\/bengaluru\/wp-content\/uploads\/2025\/02\/Back-Pain-Surgery-Alternatives_-Exploring-Non-Surgical-Options.png 980w, https:\/\/epionepainandspine.com\/bengaluru\/wp-content\/uploads\/2025\/02\/Back-Pain-Surgery-Alternatives_-Exploring-Non-Surgical-Options-480x192.png 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 980px, 100vw\"><\/p>\n<h5><strong>Epidural Steroid Injections:&nbsp;<\/strong><\/h5>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Steroid injections into the epidural space have treated LBP since the early 1950s.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If pain exceeds for more than 6 months, the doctor may recommend epidural injections.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It provides temporary relief by reducing inflammation around the nerve roots.<\/span><\/li>\n<\/ul>\n<h5><strong>Radiofrequency Ablation:&nbsp;<\/strong><\/h5>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It is also called radiofrequency neurotomy and uses heat to disable nerves transmitting pain signals to the brain, offering long-term relief for people with chronic pain, especially in the lower back.<\/span><\/li>\n<\/ul>\n<h5><b>Regenerative Medicine:<\/b><\/h5>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2765 size-full\" style=\"width: 100%;\" src=\"https:\/\/epionepainandspine.com\/bengaluru\/wp-content\/uploads\/2025\/02\/unnamed-21-300x203-1.webp\" alt=\"\" width=\"300\" height=\"203\"><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Unlike steroids, which suppress inflammation, regenerative medicine stimulates the repair of damaged structures.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Regenerative therapies include <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9941606\/\"><span style=\"font-weight: 400;\">marrow-derived stem cells (MSCs), growth factors, platelet-rich plasma (PRP), and prolotherapy.&nbsp;<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Techniques like PRP or stem cell therapy promote tissue repair and reduce pain.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Activated PRP is composed of activated platelets and high levels of growth factors that are responsible for tissue healing and regeneration.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">In PRP, blood is drawn, centrifuged to concentrate platelets, and activated to release growth factors before being injected into the target area.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A trial found that both lumbar facet steroid injections and <a href=\"https:\/\/epionepainandspine.com\/bengaluru\/how-prp-therapy-can-effectively-heal-back-pain-without-surgery\/\">PRP<\/a> reduced pain, but PRP offered longer-lasting relief.<\/span><\/li>\n<\/ul>\n<h4><b>Conclusion<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">surgery should be the last option after exploring <a href=\"https:\/\/epionepainandspine.com\/bengaluru\/lower-back-pain-causes-symptoms-treatment-options\/\">lower back pain<\/a> surgery options. For <\/span><a href=\"https:\/\/epionepainandspine.com\/bengaluru\/conditions-treated\/low-back-pain\/\"><span style=\"font-weight: 400;\">lower back pain treatment in Bangalore<\/span><\/a><span style=\"font-weight: 400;\">, consult to discuss your symptoms and find the best treatment for lasting relief with <a href=\"https:\/\/epionepainandspine.com\/bengaluru\/\">Epione<\/a>.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Discuss your symptoms and explore the best treatment options for lasting relief.<\/span><\/p>\n<p><b>Also Read:<\/b><\/p>\n<p>1. <a href=\"https:\/\/epionepainandspine.com\/bengaluru\/the-link-between-lower-back-pain-and-sciatica\/\">The Link Between Lower Back Pain and Sciatica<\/a><\/p>\n<p>2. <a href=\"https:\/\/epionepainandspine.com\/bengaluru\/lower-back-pain-causes-symptoms-treatment-options\/\">Lower Back Pain: Causes, Symptoms &amp; Treatment Options<\/a><\/p>\n<p>3.<a href=\"https:\/\/epionepainandspine.com\/bengaluru\/is-your-job-contributing-to-lower-back-pain-how-to-identify-occupational-risks\/\"> Is Your Job Contributing to Lower Back Pain? How to Identify Occupational Risks<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Back surgery is a major decision best considered after exploring alternatives to back surgery. Understand your pain&rsquo;s causes and weigh surgery&rsquo;s benefits and risks for informed choices and better outcomes. For severe cases with persistent pain, disability, or neurological symptoms like numbness, weakness, or bladder control loss despite conservative treatments, surgery is required. This blog [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":4543,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2045","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/epionepainandspine.com\/bengaluru\/wp-json\/wp\/v2\/posts\/2045","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/epionepainandspine.com\/bengaluru\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/epionepainandspine.com\/bengaluru\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/epionepainandspine.com\/bengaluru\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/epionepainandspine.com\/bengaluru\/wp-json\/wp\/v2\/comments?post=2045"}],"version-history":[{"count":9,"href":"https:\/\/epionepainandspine.com\/bengaluru\/wp-json\/wp\/v2\/posts\/2045\/revisions"}],"predecessor-version":[{"id":4547,"href":"https:\/\/epionepainandspine.com\/bengaluru\/wp-json\/wp\/v2\/posts\/2045\/revisions\/4547"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/epionepainandspine.com\/bengaluru\/wp-json\/wp\/v2\/media\/4543"}],"wp:attachment":[{"href":"https:\/\/epionepainandspine.com\/bengaluru\/wp-json\/wp\/v2\/media?parent=2045"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/epionepainandspine.com\/bengaluru\/wp-json\/wp\/v2\/categories?post=2045"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/epionepainandspine.com\/bengaluru\/wp-json\/wp\/v2\/tags?post=2045"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}