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Once we see a surgeon, we’re destined for the operating room. That’s the long-standing myth, anyway, and its persistence can spark fear and resistance in those seeking medical care from a trained surgical professional. It makes a certain amount of sense to those of us without medical degrees—surgery is in a surgeon’s job title, after all. But orthopedic spine surgeon Stephanie de Vere, MD, FRCS, explains only “approximately ten percent of patients that present to a spinal surgeon will require surgery.”
Dr. de Vere’s surgical practice treats a wide range of conditions from herniated discs to spinal tumors, and her approach to individualized patient care means surgery is only one treatment option of many. “Before proceeding with surgery, I prioritize exploring conservative treatment options. These alternatives may include physical therapy, pain management techniques, anti-inflammatory medications, and targeted corticosteroid injections. By employing nonsurgical interventions first, I aim to avoid unnecessary surgical procedures whenever possible.”
It’s important to remember both conservative and surgical approaches have their merits. “A conservative approach is associated with reduced risks, shorter recovery periods, and the opportunity for spontaneous improvement in some cases,” says Dr. de Vere. However, “research also highlights that surgery can provide more immediate relief for severe or rapidly progressing spinal conditions, address the root cause of the injury, and improve long-term outcomes.”
According to Dr. de Vere, most cases of back and neck pain are not a cause for serious concern and can improve with time and self-care. However, some “red flag” symptoms may indicate a more serious issue, including severe or progressive pain, pain after trauma or injury, pain at rest, numbness or weakness, loss of bowel or bladder control, and more.
One reason patients often feel uneasy about surgical treatments is the idea that surgeons have rushed to that decision without considering alternative courses of action. Dr. de Vere’s solution? “I was advised by a mentor to always book long appointment times. While it may seem counterintuitive from a “business” standpoint, it allows me the opportunity to discuss each available option with the patient.”
If surgery does end up being her recommended treatment, Dr. de Vere ensures the patient feels confident in the necessity of the procedure, understands potential outcomes and risks, and is well-informed about post-operative care. “Research suggests that patients retain very little of this discussion, so I also forward helpful videos and will have follow-up visits when the patient has family members if needed. My aim is to empower the patient with knowledge and instill confidence.” The best, most necessary treatment is the one that fits your needs. If you’re heading to the operating room, be sure you feel confident that your surgeon considered all the options first.