Can a tummy tuck help my back pain?

20 Feb

Photos from before and after at end of post.

There are a few studies that show an Abdominoplasty or tummy tuck has helped improve back pack in some patients but most evidence is subjective.  If you ask a plastic surgeon, they will tell you it might happen but not to count on it.  I felt strongly that a tummy tuck, specifically the muscle repair was going to provide me relief.  The reason was based on my specific back pain issues.

As I began searching for the causes of my back pain, I kept coming back to a couple of things.  My pain was a lot of musculoskeletal pain from being out of alignment. I would joke that I was a car that just needed a front end alignment, you know what, I was right and didn’t even realized it for a long time.  My legs were off so I walked with a wobble, this set everything else off and my hips were off, my knees hurt, my legs hurt, and most of all my back hurt.  Doctors would tell me that I had to use my core more to hold up my back.  One PT had me tighten my core, to be honest, I couldn’t find my core.  There was nothing to tighten because the muscles were so separated that they didn’t work.  I don’t know why any of these doctors or specialists couldn’t see the big picture and say, hey, your abdominal muscle separation is causing you a huge problem or at least, if your muscles were repaired, your core would be able to support your back so much better. I really had almost no core support and on top of that I was forward heavy.  You know how women with very large breasts get breast reductions to help with back pain, well, all my insides were essentially herniating between my separated abdominal muscles and pushing out giving me this giant belly that caused all this forward weight on me and ruined my posture, hurting my back.  I may have looked like I had a fat stomach but my weight told a different story.  I wasn’t that overweight.  And after I had the surgery, if it had been fat, my stomach would have remained rounded and it didn’t. It just needed everything pulled back behind the abdominal wall.

After looking at my situation:

  • Posture is terrible, leads to pain
  • Posture can be fixed with less weight pushing forward from belly
  • Weight is reasonable so bulge is most likely from ab muscles not holding organs back
  • Cant get any contraction of core muscles now
  • Doctors stress tight core will really help my pain

It seemed to me that I could medically benefit from a tummy tuck / admomhinoplasty with muscle repair.  Could I get insurance to cover it?  Maybe but doubtful.  It would take so much work and effort and even if they found it medically necessary for me they don’t want to,set a precedent so they would probably deny for that reason alone.  I cared more about my health than fighting an insurance company so we just paid out of pocket.

Results?  It has only been two months so the jury is still out.  I have noticed a significant difference in my posture. I have core strength that I did not have before.   My body is adjusting to the new posture and I feel changes.  My right knee used to hurt, now my left knee hurts, but hopefully that means I am putting more even pressure on my joints.  My hip pain and back pain is currently down 40%.  That might change as I am dealing with complications from the surgery and have open wounds and scar pain right that hurt more than the back, so I haven’t been able to fully cut back on meds to see if I can go lower because I need them for the wound pain right now.  In another 6 months (or a year at most) I hope to have this wound and scar stuff fixed and can better evaluate the original pain.  However, so far I am very encouraged.  I also look much nicer now that my abs hold back my other organs.

stomach protrudes

stomach protrudes


abs now hold in all organs, only a little fat, lost 10 pounds after surgery

abs now hold in all organs, only a little fat, lost 10 pounds after surgery


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