Depression and Spine Surgery

Depression and Spine Surgery

Depression and Spine Surgery

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Unfortunately,  there is a bit of the “chicken or the egg” analogy in terms of the association of depression and chronic pain.   By definition (NIH) chronic pain is a continuous constant pain that is more than three months in duration.  Pain,  in the acute setting,  is a very important response.  While not pleasant (understatement,  I know),  acute pain functions to let our body know there is a problem,  and we should investigate to prevent further harm,  or change activities to initiate healing.  Chronic pain,  however,  no longer is as useful for feedback and can cause unintended negative situations for the body as well as the mind.  One of the negative reactions is development of depression.  Depression can be a serious mental illness manifesting with feelings of hopelessness,  fatigue,  irritability,  insomnia, lack of concentration,  or even contemplation of suicide.  In addition,  it also manifests in aches,  pains that do not improve despite medical treatments.

As you can see,  chronic pain,  and depression are inter-related,  and poses a difficult problem,  especially when trying to predict a successful outcome with surgery.

In terms of Depression and Spine Surgery,  unfortunately,  the science has not been supportive of having Spine Surgery when depressed.  Recently,  at the North American Spine Society Meeting  (San Fransisco, November 2014),  Miller et al  Presented “The Impact of Preoperative Depression on Quality of Life Outcomes Following Lumbar Surgery”.  There was a retrospective look at patients who had lumbar decompression or fusion from 2008 and 2012.  Preoperative pain and depression measures were compared.

The study concluded that worse preoperative pain and depression are associated with less improvement in the quality of life following the Spine Surgery.

This is not new information,  and confirms what we already know.

If you have depression,  and are contemplating spine surgery,  please be evaluated for depression.  Sometimes,  moderating or curing your depression will also cure your chronic back pain.  After treatment,  you should feel mentally better.  More importantly,  you may also be able to avoid surgery,  or have a better outcome if you have surgery.

Citations

  • Mccubbin T, Dimidjian S, Kempe K, Glassey MS, Ross C, Beck A. Mindfulness-based stress reduction in an integrated care delivery system: one-year impacts on patient-centered outcomes and health care utilization. Perm J. 2014 Fall;18(4):4-9. PubMed PMID: 25662520

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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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