You Won’t Believe the Most Common Question after Back Surgery

By Admin

As a healthcare professional in an orthopedic spine clinic, I field questions all day long from patients about their recovery.

The most common question after back injury or surgery is: “Doc, when can I have sex?”

Our LESS Institute Founder Dr. Kingsley R. Chin advises, “Remember -all our bodies are different, and your medical history, as well as the complexity of the injury or procedure ultimately determine how much time your body needs to heal.”

So although we can’t give an exact answer, there is a guideline that can help you answer that all-important question -just in time for Valentine’s Day.

Consult Your Surgeon

Before you attempt to engage in sexual activity, consult your surgeon to make sure your back is well enough.   You want to make sure that you don’t aggravate your pain or worsen your condition.

Learn

Learn more about your back condition.  Why is this happening? What can or can’t you do for now?  What precautions do you need to take?

Speak

Sit down and speak with your partner about what is happening. Tell them how you feel.  Communication is key as back pain can affect intimacy in the bedroom, as well as relationships in general.

Plan

Yes -that’s right: Plan your positions together.  Research how you can safely position your body to support your back and reduce your pain.  Also speak with your physical therapist for proper body mechanics or positions that will be safe during intercourse.

Explore

Be creative; be imaginative.  Surrender and approach new ideas together.  Try a little more sensuality versus sexuality by pleasuring your partner’s senses with some essential oils or music.

If you are experiencing back pain, don’t hesitate to contact us at the LESS Institute. We understand how challenging living with back pain can be and we’re here to help you.

About the LESS Institute

The LESS Institute uses a new philosophy of Less Exposure Surgery (LES), utilizing the least invasive techniques and technologies to achieve the best and most efficient outcomes so patients can return immediately to an active lifestyle. As LESS Institute Founder, Dr. Kingsley Chin, board certified spine surgeon, pursues endeavors of medical entrepreneurship, tourism & mentorship throughout Florida, New Jersey, New York, Arizona & Jamaica, treating thousands of patients globally each year. For more information or to get in touch with our team visit www.thelessinstitute.com or call 855-411-LESS.

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Option for Transverse Midline Incision and Other Factors That Determine Patient’s Decision to Have Cervical Spine Surgery

By Dr. Kingsley Chin

““I had my [cervical fusion and lumbar decompression] surgery ten days ago and I feel great, I’m wearing my heels and I’m ready to go!””

Introductory content by Fabio Pencle 

“[Dr. Chin] is a true professional… the whole team, the whole staff was great here at the LESS Institute.”

A newly published study has demonstrated that patients prefer a midline incision for cervical spine surgery.

The anterior approach to cervical spine surgery has become the standard for the treatment for degenerative disc, traumatic herniated disc and fracture dislocation. Cloward, Smith and Robinson have

devised operative techniques with modifications by several surgeons since 1958. There are varying types of skin incisions for cervical spine surgery; the incision is either on the right or left side of the trachea based on the surgical approach to the recurrent laryngeal nerve. Other factors determining the type of incision include a few pathological levels affected, if corpectomy is required and whetheraffected segments are contiguous.

Transverse midline incisions have been used by other surgical specialties such as ENT, vascular and general surgeons. This incision provides a more cosmetically acceptable result and allows for access to structures during surgery; however, few studies discuss the relevance of cosmesis. There are several named guidelines for determining surgical incision, most notably, Langer’s lines. A transverse midline incision would, however, follow the guideline by Kraissl, where the incision is made in a skin crease. The quality of surgery is judged immediately by the amount of relief of symptoms and the cosmetic.

Considering the patient-driven procedures offered to treat the same pathology, as well as recent trends in the increase in ambulatory surgery center (ASC) use, the authors felt it prudent to devise a questionnaire with the primary goal of determining the preferences of the patients. The secondary goal was to determine factors which lead to the decision to have anterior cervical spine surgery.

Scientific Paper

Fabio J.R. Pencle, Jason A. Seale, Amala Benny, Sephania Salomon, Ashley Simela, Kingsley R. Chin

To read the full paper & citations as published in the Journal of Orthopaedics, visit here.

Background

Authors aim to determine patients’ preference for surgical incision and factors affecting the decision for surgery to the anterior neck.

Methods

A questionnaire was presented prior to evaluation and if preceded to surgery followup given.

Results

243 patients completed questionnaire, with 60% female population and younger than 50 years. 151 patients preferred a transverse midline incision with a statistically significant increase in outcomes and cosmesis importance and a decrease in the importance of board certification.

Conclusion

Findings of questionnaire demonstrate that patients’ prefer a transverse midline anterior neck incision, with surgical outcomes being the overall factor affecting decision making.

About Author Dr. Kingsley R. Chin

Dr. Kingsley R. Chin, Founder of philosophy and practice of The LES Society and The LESS Institute

Dr. Kingsley R. Chin is a board certified Harvard-trained orthopedic spine surgeon and professor with copious business and information technology exposure. He sees a niche opportunity where medicine, business and info. tech meet – and is uniquely educated at the intersection of these three professions. He has experience as Professor of Clinical Biomedical Sciences & Admissions Committee Member at the Charles E. Schmidt College of Medicine at Florida Atlantic University, Professor of Clinical Orthopedic Surgery at the Herbert Wertheim College of Medicine at Florida International University, Assistant Professor of Orthopaedics at the University of Pennsylvania Medical School, VisitingSpine Surgeon & Professor at the University of the West Indies, Mona, and Adjunct Professor of Clinical Biomedical Studies at the University of Technology, Jamaica.

Learn more about Dr. Chin here and connect via LinkedIn.

About Less Exposure Surgery

Less Exposure Surgery (LES) is based on a new philosophy of performing surgery, leading the charge to prove through bench and clinical outcomes research that LES treatment options are the best solutions – to lowering the cost of healthcare, improving outcomes and increasing patient satisfaction. Learn more at LESSociety.org.

The LES Society philosophy: “Tailor treatment to the individual aiding in the quickest recovery and return to a pain-free lifestyle, using LES® techniques that lessen exposure, preserve unoffending anatomy and utilize new technologies which are safe, easy to adopt and reproducible. These LES®techniques lessen blood loss, surgical time and exposure to radiation and can be safely performed in an outpatient center. Less is more.” – Kingsley R. Chin, MD

About The LESS Institute

The LESS Institute is the world leader center of excellence in Less Exposure Surgery. Our safe, effective outpatient treatments help patients recover quickly, avoid expensive hospital stays and return home to their family the same day. Watch our patient stories, follow us on Facebook and visit TheLESSInstitute.com to learn more.

Scientific Paper Author & Citation Details

Authors

Fabio J.R. Penclead, Jason A. Sealead, Amala Bennyd, Sephania Salomond, Ashley Simelade, Kingsley R. Chinabcf

Author information

a. Less Exposure Surgery Specialists Institute (LESS Institute), United States
b. Herbert Wertheim College of Medicine, Florida International University, United States
c. Charles E. Schmidt College of Medicine, Florida Atlantic University, United States
d. Less Exposure Surgery (LES) Society, United States
e. Bronx Lebanon Hospital Center, United States
f. University of Technology, Jamaica

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