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What Happens if I Don't Wear a Back Brace after Lumbar Spine Surgery?

Written by The Barricaid Team | Sep 6, 2024 11:07:00 AM


Lumbar spine surgery, such as a lumbar discectomy or spinal fusion, is a significant procedure aimed at relieving pain and increasing mobility. Postoperative care is critical for a successful recovery, and one of the key components often recommended by healthcare providers is the use of a back brace. However, some patients may be tempted to skip wearing the brace, either out of discomfort or a belief they no longer need it. Unfortunately, failing to wear the prescribed back brace can have serious consequences that can undermine the success of the surgery. As you read on, you will learn about the potential consequences and the importance of following postsurgical guidelines to ensure a smooth recovery.

The Role of a Back Brace in Post-Surgery Recovery

A back brace is designed to support the spine during the healing process after lumbar spine surgery. It stabilizes the affected area, limits excessive movement, and reduces the strain on the surgical site. While some patients may find the brace uncomfortable or restrictive, wearing it as prescribed is crucial for a successful recovery. Ignoring the recommendation to wear a back brace can lead to several complications that may prolong your recovery or worsen your condition.

Increased Risk of Reinjury

One of the primary functions of a back brace is to protect the surgical site from undue stress. After lumbar spine surgery, the spine and surrounding tissues are in a vulnerable state, and even minor movements can cause reinjury. Without the brace, there is a higher risk of damaging the area that was operated on, which could result in a setback in your recovery process or the need for additional surgery.

The back brace limits certain movements, such as bending, twisting, or lifting, that could strain the healing tissues. Without this support, you may inadvertently engage in activities that could compromise the surgical repair, leading to pain, inflammation, and delayed healing.

Delayed Healing and Prolonged Recovery Time

Wearing a back brace can significantly contribute to a quicker and more efficient healing process. The brace minimizes movement in the lumbar region, allowing the surgical site to heal without disruption. When you choose not to wear the brace, the constant movement and strain on the spine can prevent the tissues from healing properly, leading to a prolonged recovery period.

In some cases, the lack of proper support can cause the fusion or surgical repair to fail, necessitating further medical intervention. This not only delays your return to normal activities but also increases the overall cost and burden of your recovery.

Development of Chronic Pain

Another potential consequence of not wearing a back brace after lumbar spine surgery is the development of chronic pain. The brace helps you maintain proper spinal alignment during the recovery phase, which is crucial for reducing pain and discomfort. Without it, the spine may shift or settle in an improper position, leading to ongoing pain that can become chronic.

Chronic pain after spine surgery can be debilitating and may require long-term pain management strategies, including medications, physical therapy, or additional surgeries. By wearing the back brace as prescribed, you can ensure your spine heals correctly, reducing the likelihood of persistent pain.

Increased Scar Tissue Formation

Scar tissue is a natural part of the healing process, but excessive scar tissue can become problematic. When you do not wear a back brace, the increased movement and strain on the surgical site can lead to the formation of more scar tissue. This excessive scar tissue can cause stiffness, limited mobility, and even nerve compression, which can result in pain and discomfort.

A back brace keeps the spine stable and reduces the risk of excessive scar tissue formation. By minimizing movement, the brace allows the tissues to heal in a more controlled manner, reducing the chances of complications related to scar tissue.

Compromised Spinal Stability

For patients who undergo spinal fusion surgery, the goal is to fuse two or more vertebrae together to stabilize the spine. The success of this procedure depends on the ability of the bones to fuse properly, which requires minimal movement in the affected area. A back brace plays a critical role in ensuring the spine remains stable during this fusion process.

If you do not wear a back brace, the increased movement can disrupt the fusion process, leading to an unstable spine. This instability can cause a range of issues, including increased pain, reduced mobility, and the potential need for additional surgery to correct the problem.

Mental and Emotional Impact

While the physical consequences of not wearing a back brace are significant, it is also important to consider the mental and emotional impact. The prolonged recovery time, increased pain, and potential for reinjury can lead to frustration, anxiety, and depression. The uncertainty and fear of not recovering fully can take a toll on your mental wellbeing.

Wearing a back brace can provide peace of mind, knowing you are doing everything possible to support your recovery. The reassurance that your spine is protected and healing properly can have a positive impact on your overall outlook and mental health.

After lumbar spine surgery, every step you take in your recovery matters. While it may be tempting to forego the brace, especially if it is uncomfortable or inconvenient, the potential consequences of doing so can be significant and can seriously undermine the success of the surgery. Patients should always follow their surgeons’ recommendations and wear their prescribed back braces as directed to ensure the best possible outcomes and safe and successful recoveries.

If you have lower back pain due to a herniated disc, lumbar spine surgery in the form of a discectomy may be discussed and potentially recommended if it is not responding to conservative treatment. Although this is generally a very successful procedure, having a large hole in the outer ring of the disc more than doubles the risk of needing another operation. A new treatment, Barricaid, is a bone-anchored device that closes this hole, and 95 percent of Barricaid patients did not undergo a reoperation due to reherniation in a 2-year study timeframe. This treatment is done immediately following the discectomy—during the same operation—and does not require any additional incisions or time in the hospital. 

If you have any questions about the Barricaid treatment, ask your doctor or contact us today.

For full benefit/risk information, please visit: https://www.barricaid.com/instructions.