Donald Corenman, MD, DC
Moderator
Post count: 8379

You are asking whether you need a fusion for lower back pain. The answer is that it depends upon the cause of your lower back pain. Degenerative disc disease can be quite painful and possibly you could need a fusion to relieve your pain.

Have you had a conservative treatment? This includes medications and injections (epidurals)? I assume that you have a strong core so PT might not be necessary.

Have you had a workup? This means possible facet blocks and/or a discogram? Depending upon your examination findings, it might be that the facets are causing your pain and you do not need a fusion but need rhizotomies (see website). If there is more than one disc that is degenerative, you might need a discogram to make sure this lower disc is the painful disc.

A lumber fusion are generally very good for pain relief in the right patient. I am a bit worried that you plan to go back to squats and dead lifts as these actions place tremendous sheer forces on the discs. In my opinion, these actions should be avoided in your case.

Dr. Corenman

PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
 
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.