Back Surgery or Not? How to Decide | Stuart McGill, Ph.D.

Partially SupportedFurther investigation and potential surgery may be indicated when pain patterns do not fit typical presentations or are not alleviated by addressing spinal stress.

Partially SupportedSurgery is most effective for severe spinal stenosis with neural canal encroachment from thickened facet joints and disc bulges, often requiring multi-level laminectomy.

Partially SupportedA 'virtual surgery' protocol for back pain involves mimicking forced rest, strategic desensitization of pain mechanisms, retuning the body with mobility and stability, and movement skill training to avoid stress concentrations.

Partially SupportedCervical spondylomyelopathy can cause balance issues and falls, mimicking intoxication, and may co-present with back pain.