07/10/2026
Surgery can be used to treat back pain that does not improve after non-invasive treatments such as Physiotherapy or pain-relieving injections.
There are two main types of spine surgery, Decompression and Fusion, but a number of different methods can be used to achieve the end goal.
Decompression surgery is used to treat conditions that result in impingement of the nerves that radiate out from your spinal column. These include Spinal Stenosis – narrowing of a section of the spinal column, a damaged or herniated (slipped) disc, Spinal injuries or Cancer.
Often, the nerve that is affected is the Sciatic which controls the legs and feet. If this nerve is compressed the patient experiences pain, tingling and weakness down the leg and any movement is painful and difficult.
The two main types of decompression surgery are Laminectomy and Discectomy. In a Laminectomy, a small section of bone is removed from the vertebrae to relieve pressure whereas, in a Discectomy it is a section of disc that is removed or trimmed.
Spinal Fusion surgery is used to strengthen and stabilise your spine. Two or more vertebrae are joined together using bone grafts, screws or rods. The bone grafts could be from somewhere else in your body or be artificial. Another method of bone fusion is Vertebroplasty, where a type of bone cement is injected into the spine to repair a collapsed vertebra. This is usually because of Osteoporosis or serious trauma to the bones.
The majority of spine surgery is done using open surgery which means there will be an incision in the skin and muscles in order to reach the spine. Healing times will vary depending on your health and fitness before the operation. You will need Physiotherapy help to safely regain your strength and movement and will have exercises to do at home during your recovery. Exercise and movement after surgery is key to reducing excess scar tissue build up and making sure the new tissue heals in an efficient and effective way.
Scar massage during the first two years after surgery can help to reduce swelling, improve blood flow and increase range of motion by releasing tension in the tissues and increasing flexibility of the scar tissue. If you would like more information about how this can help, please get in touch or comment below.