There are two fundamental aspects to the perception of pain:
The source: Three Sources of Chronic Pain
- Possible structural problem
- Inflammation of soft tissues
- Neurophysiological Disorder – “short circuits”
The receptor—your brain
Three additional variables affect your perception of pain:
“I Can Only Fix What I Can See”
The exact source of your LBP is usually unclear. Many assume if you are pursuing a diagnosis with your doctor then there must be an indentifiable problem that is solvable with surgery. Surgery is felt to be the “definitive” solution.
- It is only definitive if you can see the problem.
- Even then the potential benefits must outweigh the risks.
- I often compare spine surgery to dentistry. (Back Pain vs. Mouth Pain)
I feel that a high percent of spine surgery should never be performed.
- What many surgeons are defining as “structural” is simply normal aging anatomy.
- Degenerative disc disease is not a disease.
- All intervertebral discs lose water content with age.
- They have been shown not to be the source of your chronic LBP.
- A fusion for a degenerated disc has a success rate of < 30%.