Breast Reduction Surgery for Back Pain

Breast Reduction Surgery for Back Pain

Breast Reduction Surgery for Back Pain

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Big Breasts can cause back pain!  This is obviously a sensitive topic,  but a common one discussed in many spine surgeon’s offices.   Just so it is clear,  spine surgeons do NOT perform Breast Reduction Surgery.  We,  however, are asked if the large sized breasts are the source of neck and or upper back pain.  Breast Reduction Surgery  often requires documentation of medical necessity.  In other words,  a spine specialist must often give the opinion that the source of neck and upper back pain is secondary to the disproportionately sized large breasts.

This documentation requires obtaining an accurate history.  The questions can seem embarrassing to some,  but by the time anyone is considering such an operation,  the pain overcomes any issues of embarrassment or modesty.

Most of the time,  accurate height,  weight,  and breast measurement are documented.  Then the history  of the breast development is discussed.  Time is spent detailing when the pains occurred.  Sometimes delicate questions of types of restraining clothing are also discussed.  In addition, the spine specialist must document the time and duration of the pain,  as well as the attempts to control the pain with the traditional physical therapy,  weight loss and exercise.

In addition,  to make sure there are not other sources of the pain,  often times diagnostic studies such as MRI’s of the neck , upper back and or the lower back are necessary to rule out other sources of the pain.

As a spine specialist,  I am often asked to render these opinions after a person has already seen a breast reduction surgeon.  Some patients are disappointed that I will not just write a document to “rubber stamp” the recommendation.  To me,  I have a duty to the patient to make sure the Breast Reduction Surgery will be a reasonable option to treat the  neck and back pain.  If I am not sure the pain has been properly worked up,  or if I am not convinced the proper counseling has been given,  I probably will not generate that letter.  In the end,  I still would worry that a person would go through a rather difficult Breast Reduction Surgery,  and still have a neck or back pain despite the surgery.  In that scenario,  the large breasts may not have been the source of the pain.

While there can never be a guarantee of any surgical result,  certain parameters should be discussed, and met prior to making a surgical recommendation.   For Breast Reduction Surgery,  the spine specialist should be able to give the opinion that the history was consistent with the breasts causing the pain,  there is no other explanation for the pain,  and  non surgical treatments have been tried.

Citations

  • Lewin R, Göransson M, Elander A, Thorarinsson A, Lundberg J, Lidén M. Risk factors for complications after breast reduction surgery. J Plast Surg Hand Surg. 2014 Feb;48(1):10-4. PubMed PMID: 23627557

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Author and Contributor to www.Spine-Health.com – July, 2015

www.Spine-Health.com/author/john-h-shim-md-facs

Chief of Surgery, Mease Countryside and Mease Dunedin Hospitals, Safety Harbor and Dunedin, Florida. 2014-2016.

Orthopaedic Section Chief Mease Countryside Hospital; Safety Harbor, Florida Mease Dunedin Hospital; Dunedin, Florida.2008-2013

Board Member Morton Plant Mease Research Council

Co-Director of Mease Neuro-Ortho Spine Center Mease Dunedin Hospital; Dunedin, Florida.

One of “6 Spine Physicians Ranked #1 on Google” – December 2016

Top Ten Most Liked Spine Surgeons on the Internet – July 2016

2016 Spine Surgeons to Know list – January 2016

2014 Spine Specialists to know list – September 2014

One of Ten Leaders of Certified Spine Programs – December 2011

 

The Best Orthopedics in Tampa

The information provided on this website does not provide or should be considered medical advice. It is not a substitute for diagnosis or treatment of any condition. The information provided is for informational purposes only. You should not rely solely on the information provided on this website in making a decision to pursue a specific treatment or advice. You should consult directly with a professional healthcare provider.

As a condition of using the information on this website, ShimSpine and its physicians are not responsible for any advice, diagnosis, treatment or outcome you may obtain.

ShimSpine.com is completely self-funded. No outside funds are accepted or used. This website does not utilize paid advertising as a source of revenue.
Outpatient Spine Surgery Considerations. www.Spine-Health.com. January 2016.

What is Spinal Stenosis? www.Spine-Health.com. October 2015.

Surgeon insights on the Changing Landscape of Orthopedic Care. OrthopedicToday. June 2014

Chapter 33: Interspinous Spacers. Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

Chapter 35: Minimally Invasive Percutaneous Lumbar Fusion Technique.Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

March 2010 Minimally Invasive Transforaminal Lumbar Interbody Fusion American Academy of Orthopaedic Surgeons Annual Meeting New Orleans, Louisiana February 2010

February 2010 A Review of Dynamic Stabilization in the Lumbar Spine Selby Spine Symposium; Park City, Utah

November 2009 Lumbar Spinal Stenosis Community Based Lecture; Tampa, Florida

September 2009 Instructor/Proctor Minimally Invasive Lumbar Cadaver Lab; Tampa, Florida

February 2009 New Spinal Technology: Cervical Disc Replacement and Interspinous Spacers. Selby Spine Symposium; Park City, Utah

February 2008 The Degenerative Spine: The Role of Dynamic Lumbar Stablization and Interspinous Spacers Selby Spine Symposium; Park City, Utah

October 2008 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

September 2007 Emerging Technology in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

October 2006 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

May 2005 The Role of Kyphoplasty in the Treatment of Vertebral Compression Fractures Mease Neurosciences Symposium; Clearwater, Florida
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