Nonsurgical treatments
- Physical therapy: core stabilization, flexibility, posture and body mechanics, coordinated with therapists in Baton Rouge and Hammond.
- Medication: anti-inflammatories, short courses of oral steroids, nerve pain medication and muscle relaxants when appropriate, while avoiding long-term narcotics.
- Spinal injections: epidural, facet and nerve root injections.
- Bracing: for some fractures and acute injuries.
- Activity and lifestyle guidance: weight management, smoking cessation, ergonomic changes and a safe return to exercise.
When to consider surgery
Surgery becomes a reasonable option when a specific structural problem matches your symptoms and you've given conservative care a fair trial, or sooner if there is progressive weakness, spinal cord compression or instability. When surgery is recommended, Dr. Ferachi favors minimally invasive techniques whenever they're appropriate.
Common questions
Will a spine surgeon push me toward surgery?
Dr. Ferachi's approach is conservative first. Most patients he sees are treated without an operation, and surgery is discussed only when it is likely to help.