Marc J. Levine, MD
Contact:
Orthopedic and Spine Institute

Marc J. Levine, MD
1 Hamilton Health Place, Suite 101
Hamilton, NJ 08690
Phone: 609-917-7720

 

Back Pain That Won’t Quit? It Might Be Time for a New Approach

Back Pain That Won’t Quit? It Might Be Time for a New Approach

Back Pain That Won’t Quit? It Might Be Time for a New Approach

Some pain comes and goes. Other pain lingers—nagging, persistent, unshakable. When back pain sticks around despite stretches, therapy, and every remedy you’ve tried, it’s time to ask: What’s next?

For many, the thought of surgery feels extreme. But sometimes, when everything else has failed, it’s the missing piece. Not a quick fix. Not a guarantee. But a targeted solution for specific conditions that just won’t heal on their own. Is it time for a different approach?

When Is Surgery Worth Considering?

Most back pain doesn’t require surgery. But when the pain becomes chronic—lasting months, even years—and starts interfering with daily life, it’s a conversation worth having. Surgery isn’t about chasing relief. It’s about correcting a structural issue that other treatments can’t fix.

You might be a candidate if:

  1. You have a herniated disc pressing on a nerve, causing severe, radiating pain.
  2. Spinal stenosis makes it hard to stand or walk for long periods.
  3. Your spine feels unstable due to degenerative disc disease.
  4. Sciatica won’t quit, even after physical therapy, medication, and injections.

Surgery is rarely the first step. But for the right cases, it can be the step that finally moves things forward.

What Type of Surgery Makes Sense?

Not all spine surgeries are created equal. Some are minimally invasive, quick recoveries. Others are major reconstructions. The key is matching the procedure to the problem.

  • Microdiscectomy – A small portion of a herniated disc is removed to relieve nerve compression.
  • Laminectomy (Spinal Decompression) – Expands space in the spinal canal to ease pressure on nerves.
  • Spinal Fusion – Locks two vertebrae together to stabilize the spine, often used for severe degeneration.
  • Artificial Disc Replacement – A damaged disc is swapped for a prosthetic, preserving movement.

Every spine, every case, every outcome is different. A spine specialist will guide the best choice, based on imaging, symptoms, and long-term goals.

Recovery – What’s Realistic?

Let’s be honest—spine surgery isn’t a magic switch that turns off pain overnight. Recovery takes time, effort, and patience. But modern techniques have made it far more manageable.

  1. Minimally invasive options mean smaller incisions and less downtime.
  2. Pain management strategies make the process smoother.
  3. Physical therapy helps regain strength and movement safely.

The goal? Not just relief. A return to normal movement—without constant discomfort.

Is Surgery the Right Move for You?

Surgery isn’t about desperation—it’s about strategy. The right procedure, for the right condition, at the right time. 

If your back pain has become the thing that controls your life, it’s worth exploring all the options—conservative, surgical, and everything in between. The right approach isn’t the most extreme. It’s the one that finally makes sense.