Aging brings with it a series of physical and mental challenges. Yesterday, my very best friend went to the last of three doctors, up the medical chain, to obtain relief from a pinched nerve. She was shocked when he prescribed Tramadol and refused her surgery, without explanation. I asked AI why?
“It points out that one may understandably feel frustrated when a doctor declines surgery for a pinched nerve. This is especially true when you believe it’s the best option. Doctors often consider several factors, including age and overall health, when recommending treatment for a pinched nerve. While you may feel healthy, age-related changes in the spine can make surgery riskier. Non-surgical treatments are often effective for pinched nerves, especially in older adults.
Why Surgery Might Not Be Recommended:
• Age and Health:
While you may feel healthy, age-related wear and tear on the spine like arthritis can make surgery more complex and risky for someone 85.
• Non-Surgical Options:
Many pinched nerves can be effectively treated without surgery. Doctors often try non-surgical approaches first, such as:
◦ Time and Rest: Resting the affected area and allowing the nerve to heal on its own can be effective.
◦ Medications: Over-the-counter pain relievers (like acetaminophen or NSAIDs) or stronger anti-inflammatory medications (including corticosteroids, either oral or injected) can help reduce pain and inflammation.
◦ Physical Therapy: Exercises and stretches can help relieve pressure on the nerve, strengthen supporting muscles, and improve flexibility.
◦ Splints or Cervical Collars: These can limit movement and provide support to the affected area.
◦ Epidural Steroid Injections: These injections can reduce inflammation and pain in the area, sometimes allowing for more effective physical therapy.
When to Seek Further Advice:
• Persistent Symptoms:
If your symptoms don’t improve with non-surgical treatments after a few weeks, it’s worth revisiting the issue with your doctor.
• Progressive Symptoms:
If you experience worsening numbness, weakness, or pain, it’s crucial to seek further evaluation. This could indicate nerve damage, and your doctor may want to explore other options, including surgery, according to Total Ortho Sports Medicine (https://www.totalorthosportsmed.com/do-i-need-to-go-to-the-er-for-a-pinched-nerve/).
• Second Opinion:
Don’t hesitate to seek a second opinion from another doctor or specialist (like a neurosurgeon or spine specialist) if you are not satisfied with the current treatment plan.”
After reading this lengthy explanation, I still could not suggest a next step for my friend.
Life Gets Better 