Question
Hi Dr. Rahamimov,

In 2003, I had a lumbar laminectomy (L4-5 repair). I've had back and shoulder problems since 1998. I have 2 other HNP's (L2-3, L3-4). After the surgery, I had a Functional Capacity Evaluation. The neuorsurgeon issued me a 7% whole person impairment rating. My Worker's Comp. case is just about to be settled. I have begun working with a 50 lb. lifting limitation. I'm not having any problems but I'm scared when lifting things, afraid I may reinjure my back. I'm looking for an objective opinion. After such a surgery, what is your opinion about the reliability of it's success? Is it viable for me to return to any kind of work that requires standing for long periods of time and any kind of lifting? Your opinion is much appreciated-thank you.  

Answer
Dear Dan,

A lumbar Laminectomy is a decompressive procedure, meaning it is surgery intended to decompress the nerve roots that are contained within the spinal canal. It is usually done for leg pain caused by compression of the nerves that innervate the legs. It is not done for back pain and it can not relieve it. In most cases, after a recovery and rehabilitation period, most patients can return to their previous level of activity with out any limitation. In certain cases, the decompression might destabilize the spine and cause, or worsen existing, back pain.
If you feel no pain, I see no reason why you should be concerned. Provided the surgery was done competently, you are at no greater risk now than you were before the operation. Your back's condition might deteriorate with time- but refraining from work will not prevent it.

Sincerely,

Dr. N. Rahamimov