Spine Surgery FAQ

Answers to the questions patients ask most often, from Dr. Robert J. Ames, a fellowship-trained orthopedic spine surgeon in Sewell and Cherry Hill, New Jersey. These are general answers. Your own plan depends on your diagnosis, imaging, and health.

Do I need surgery for back pain?

Usually not. Most back and neck pain improves with time, physical therapy, activity changes, and medication. Surgery is considered when a specific structural problem, such as a pinched nerve, is causing symptoms that have not improved with conservative care, or when there is progressive weakness or spinal cord compression.

What are the warning signs that need urgent care?

Loss of bladder or bowel control, numbness in the groin, rapidly worsening leg or arm weakness, or difficulty walking and balancing. These can signal serious nerve or spinal cord compression and need prompt evaluation.

What is minimally invasive spine surgery?

Surgery done through small incisions with specialized instruments, cameras, or robotic guidance, designed to disturb less muscle and tissue. It often means less pain after surgery and a faster return to activity. Not every problem can be treated this way. See Endoscopic Spine Surgery and Robotic Spine Surgery.

Is disc replacement an alternative to fusion?

For some patients, yes. Disc replacement preserves motion at the treated level, while fusion joins the vertebrae permanently. Candidacy depends on your anatomy and diagnosis. See Artificial Disc Replacement.

How long is recovery after spine surgery?

It depends on the operation. Many patients go home the same day after a microdiscectomy or endoscopic procedure and return to desk work in one to two weeks. Fusion and deformity surgery take longer, with recovery measured in months.

When can I drive after spine surgery?

Most patients can drive once they are off narcotic pain medication and can turn and brake comfortably, often within one to three weeks after smaller procedures. Your surgeon will give you specific guidance.

Will I need physical therapy after surgery?

Often, yes. Physical therapy helps rebuild strength and flexibility and lowers the risk of future problems.

Should I get a second opinion?

A second opinion is reasonable before any major spine surgery. See Spine Surgery Second Opinion.

Where does Dr. Ames see patients?

At Virtua Reconstructive Orthopaedics in Sewell (570 Egg Harbor Rd, Suite C4) and Cherry Hill (325 NJ-70), New Jersey. Call (609) 267-9400 to schedule.

Request an Appointment