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June 2020 - Atlanta Spine & Orthopaedic

Locations

Conyers office - Get directions

Decatur office- Get directions

Surgery Center - Get directions

McDonough office: - Get directions

Sandy Springs office: - Get directions

Make an Appointment

Or call: 678-369-6934

Send us an email

Will Losing Weight Alleviate Your Back Pain? 

Back pain often lends itself to the creation of a vicious cycle. When people have back pain, they find themselves unwilling or unable to go about their everyday activities or exercise. These periods of “rest” often do more harm than good, and the back pain continues. This is why many experts recommend low-impact activities, like walking, to help heal from back pain. 

Unfortunately, these periods of rest and inactivity may also cause weight gain… and experts believe that weight gain may increase your risk of back pain. 

Which begs the question: will losing weight alleviate your back pain? 

It’s a straightforward question, but the answer isn’t so simple, despite many strong connections between back pain and being overweight. If you are concerned that your back pain may be connected to your weight, read on. 

Statistics about Weight Gain and Back Pain 

Reports from the CDC say that seven out of 10 Americans over the age of 20 are overweight. Seven out of 10 adults also experience low back pain at one point or another in their lifetime. 

Now, you don’t have to be overweight to experience back pain. And not every overweight person experiences back pain, either. But even beyond those two pretty damning stats above, a number of studies show that the two may be linked. 

It’s pretty simple, really. If you are overweight, you face a higher risk of:

  • Any musculoskeletal pain 
  • Joint pain
  • Fatigue 
  • Inability to complete everyday activities 

These symptoms, along with other postural changes in the body, can all contribute to different types of back pain. 

So, if you are overweight and concerned about back pain, it may be wise to check in with a specialist to assess your health. Your doctor may have different concerns depending on where you carry your weight. Patients who carry excess weight around their midsection, for example, face higher risk than others. A professional can help you identify areas where excess weight is being held and assess your risk of back pain, joint pain, and other symptoms. 

How Weight Gain May Cause Pain in Your Back

Why does the location of your excess weight matter when it comes to back pain? Because while weight gain doesn’t cause back pain in and of itself, it may cause various traumas or postures that lead to back pain. 

Excess weight around the stomach, for example, needs to be carried by the body. If an overweight person is not being cautious of their posture, their body may carry their weight by pulling the pelvis forward. This demands more work from the lower back. 

This work may only result in minor strain, but the problem could also become much more serious. In fact, this rearrangement of the low back may cause damage to the actual structure of the spine. This is why people who are overweight may experience a herniated disc, in which the disc bulges out of its spot between the vertebrae of the spine. 

If the disc comes out of its place, it could place pressure on the surrounding nerves. If the lumbar nerve is pinched, a patient may experience sciatica pain. 

As these changes occur, the body may try to reduce pain through inflammation. Unfortunately, excess inflammation can lead to other types of back pain, including ankylosing spondylitis and other forms of spinal arthritis. Persisting inflammation can cause lasting damage, including joint fusion and other damage. 

The longer a patient lives with excess weight and strains their back, the higher their risk for more permanent damage. Even if you are experiencing mild pain and are slightly overweight, it might be time to reassess your health and make some changes to alleviate the back pain. 

How to Lose Weight When Experiencing Pain in the Back

The vicious cycle of back pain includes an inability (or lack of desire) to exercise. Straining your back further can cause more damage. But continuing to rest will not help you lose weight or strengthen the muscles needed to realign your spine. 

If you have not been exercising regularly, start slow with low-impact activities. Walking around the block after meals can help to burn calories and increase your metabolism. Swimming uses every muscle in the body without putting high pressure on the joints. Lifting small weights is better than lifting no weights. 

Reach out to a professional as you begin this journey. If you have a herniated disc or sciatica pain, you may want to steer clear of certain exercises that will exacerbate your pain. A spine specialist may recommend treatments alongside your new exercise routine. 

Do not forget to ask about nutrition and making adjustments to your current diet, too. Exercise is just one piece of the health and wellness puzzle. An anti-inflammatory diet, for example, can help to reduce pain caused by ankylosing spondylitis or spinal arthritis. 

Will Weight Loss Alleviate Back Pain Forever?

Unfortunately, there is no one solution to alleviate back pain. Every case is different. While losing weight may take some pressure off of the pelvis and spine, other damage may have already been done. 

A herniated disc, for example, may not resume its proper place just because you lose some weight. Slimming down doesn’t always “unpinch” nerves. If your pelvis has permanently shifted due to excess weight, you may need to undergo treatment or therapy to realign it and take the strain off of your lower back. 

Bottom line? 

If you are overweight and experiencing back pain, you may find some relief as you start to lose weight. But consider other options. Be aware of your posture. Be aware of how your back feels as you engage in different levels of physical activity. Share your symptoms with a spine specialist who can help to assess your pain and help you take the next steps to living a pain-free life. 

Recovering from Back Surgery: What You Should Know

The success of your spinal treatment depends heavily on how well you adhere to your orthopedic surgeon’s recovery plan. While the earliest stages of recovering from back surgery involve heavy restrictions against bending, lifting, twisting — even driving — those first few days post-op look much different than just a few weeks (and especially a few months) later.

The closer you follow your personalized recommendations, the more likely you will experience dramatic reductions in pain and other associated symptoms. You should also see significant improvement in the ability to participate in day-to-day activities over time. Upon full recovery, most of Atlanta Spine & Orthopaedics Clinic’s patients are able to return to work and pre-surgery activities as normal. 

That said, it is important to maintain realistic expectations about what recovery looks like for you, how long it will take to get there, and what you need to do to ensure it happens.

What to Expect When Recovering from Back Surgery

Regardless of the type of back surgery you have, there are some basic first-aid maintenance and hygienic practice requirements that must be met in order to ensure your best recovery. 

Basic First-Aid Maintenance

Your surgeon will cover the exact protocol in watching, cleaning, and dressing your wound, but typically your initial bandage or tape will come off within the first week to 10 days after surgery. After that, most patients are allowed to remove the bandaging themselves. 

Signs of Infection

You may feel numbness, soreness, or mild pain around the incision site, and there may be a bit of swelling and redness. This is all normal. Keep the area clean and dry as prescribed by your doctor. Signs you’re looking for during your daily care routine are: 

  • Increased redness, swelling, or drainage of excess fluid
  • If the skin feels warm to the touch
  • Whether the incision appears to be reopening

These are all signals of infection, and you need to reach out to your surgeon immediately for advice. 

Advice Worth Repeating: DON’T SMOKE!

Smoking and using tobacco products significantly slows your body’s natural healing process. This can be especially troublesome for those recovering from more serious procedures — including fusions and grafts.

Pain Management

In addition to keeping the area clean and healthy, you may also need to manage varying levels of pain throughout the recovery process. That first prescription your surgeon writes at the hospital? Fill it immediately so you have something on hand. 

When you have an activity planned that might cause significant pain (physical therapy, for instance), take the medicine about 30 minutes prior to start time. 

Physical Activity

Once those two areas of recovery are addressed, it’s time to think about how physical activity may affect your recovery plan. You’re going to initially need to change how you do things. This includes but is not limited to: 

  • How long you sit or stand
  • The position(s) you sleep in
  • Whether and when you can resume sexual activity

Plan on needing physical assistance for nearly every task — even getting out of the bed, getting dressed, and using the restroom — at least in the beginning.

General Rules of Acceptable Physical Activity

Initially, there are very few activities you should be doing while recovering from back surgery. In good time though, a good rule of thumb is to limit yourself to activities that meet the following criteria: 

  • Activities that do not cause pain
  • Motions that do not jar the spine 
  • Movements that do not require extreme ranges of motion

Basically, if it doesn’t feel good on your back, you shouldn’t be doing it right now — or really ever. 

No Pain, No… Pain

This includes the kind of pain that doesn’t surface until a few hours to a few days later. Stay in tune with how your spine feels as you move through your day to ensure proper protection and care. 

Avoid Jarring the Spine

Depending on the location of your surgery site and severity of the condition, barred activities can range from simply riding in a car or walking to heavy running and jumping. 

Stay within a Safe Range of Motion

Note that when talking about an extreme range of motion, the word “extreme” can easily be within the confines of “normal” human range of motion right now. It depends on your personal circumstances and recovery needs.

Over time, your customized treatment plan may include walking up 1-2 miles a day and/or incorporate a physical therapy program. If you have specific questions about what you should or should not be doing while recovering from back surgery, contact your spinal clinic.

In the meantime, there are a few general tips for speedy healing that apply to every spine surgery patient in recovery.

Four Tips for Ensuring Your Best Back Surgery Recovery

The professionals at Atlanta Spine & Orthopaedics Clinic have treated thousands of patients suffering from debilitating back pain. The answer for many has been some type of minimally invasive surgery. 

From our vast pool of experience, we’ve developed a sense of what our patients have done to achieve a speedier, more successful recovery. 

Listen to Your Body

You had back surgery. This is a big deal. Your body is working hard to ensure the safety and well-being of one of the most vulnerable parts of your vital systems. Trust yourself. Honor your body’s fatigue. Take things slowly. Rest often. We promise it will help. 

Put Needless Worry on a Shelf

Oftentimes, we get calls from patients very early on in surgical recovery. Understandably, they are worried about pains or tingling sensations in unexpected places. They are afraid the surgery didn’t work, and that they went through the experience for nothing. 

Here’s the thing. This isn’t the same as getting Lasik, where you wake up the next morning with 20/20 vision. Keep calling. Keep asking. All of that is perfectly okay. It helps us keep a close watch on signs of real trouble. But we also want to say now — it takes time. Chances are, everything you’re feeling is normal. 

Ask for and Accept Offered Help

When you researched and planned for this surgery, we imagine you weren’t thinking you would go it alone. In fact, here at Atlanta Spine & Orthopaedics Clinic, we recommend at every step that you have a trusted network of family and friends to help. Use them. 

If a family member says they want to stay with you and take care of you, let them. If friends ask to bring food over or to help around your home, say yes! And when your doctor prescribes temporary assist devices like a cane or back brace, use them as prescribed.  

Stay the Course on Your Recovery

For the next few months, at least, you may experience good and not-so-good days. That is how recovering from back surgery feels. Remember, you have just come out of a procedure that, no matter how minimally invasive, required surgical manipulation of tissues that touch, house, and protect some of your most vital organs. 

Take care of yourself through recovery in order to maximize the benefits of such a huge decision as back surgery. By staying the course with your surgical professional’s recovery plan, and trusting your body’s internal process, you’re sure to get back to a sense of normalcy soon enough — you’ve already come this far!