Non Surgical Options
Chiropractic Care | Exercise | Medications | Physical Therapy | Epidural Injections
For most people who have their first experience with low back pain, the main question that
they often ask themselves is, "will I be able to get better without surgery?"

Fortunately, the numbers are on your side.

Over 95% of people who have back pain do not need surgery, and they should recover within a two month time frame.

Unfortunately, getting better isn't always easy, and it can be very difficult to make sense of all
the choices that are out there in terms of who to turn to when your back hurts.

As with most things in life, the best place to start is with more education.

In the following sections, we cover the topics of exercise and medications in the treatment of low back pain.

Surgical Procedures
Anterior Lumbar Interbody Fusion (ALIF) | Lumbar Microdisectomy | Laminectomy
Transforminal Lumbar Interbody Fusion (TLIF)
| Posterior Interbody Lumbar Fusion (PLIF)
Surgery involving the spine can occur anywhere along a persons vertebral column. 
This includes their cervical (neck), thoracic (upper back) or lumbar (lower back) spine area. 
While no surgery is common, our straight forward section discussion types of spinal surgery that is routinely done by Dr. Aslie. 

Our complex section outlines procedures which include fusions. 

The minimally invasive section describes innovative techniques through smaller incisions.

Minimally Invasive Procedures
Minimally Invasive Lumbar Laminotomy/Discectomy | Spinal Fusion Surgery
This is spinal surgery that is done with smaller incisions, less blood loss, less operative time, and less pain to the patient than a standard open operation. There are times when a minimally invasive operation is not appropriate for a patient but it is important to have the opportunity to discuss all options available.

The type of minimally invasive surgery varies depending on the goal of surgery, and should be compared to a standard open operation in terms of success rate and patient satisfaction.

Examples of minimally invasive surgery include percutaneous pedicle screw placement in the lumbar spine (Sextant pedicle screws), and a unilateral muscle splitting approach and transforaminal lumbar interbody fusion in the lumbar spine.


Recovery Information
Recovery time varies between patients, the magnitude of the surgery and type of surgery.

After lumbar fusion, the patient should expect to have significant pain 2-3 weeks post operatively.

During the first three months following surgery, activity should include walking and mild exercise. Patients should increase activity and exercise after three months. The patient should expect follow up visits with their surgeon after two weeks, two months and again after six months from operation date. Returning to normal activity depends on the individual patient.

Disectomy: Expect pain 2 weeks post operatively. Patient will be seen two weeks after surgery and again after two months. Returning to normal activity depends on the individual patient.

Anterior Cervical Fusion: Patient will be in a device called an immobilizer for three months after surgery and will be seen in the doctor's office two weeks post operatively anf then again after three months. Returning to normal activity depends on the individual patient.

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