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Posts Tagged ‘back pain tummy tuck’

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

 
 

Abdominoplasty / Tummy tuck for core strength to help back pain patients

30 Dec

Living with severe chronic back pain is very difficult but there are many of us out there. The problems I have found comes from a small checklist of known items that can be seen on a scan the hat cause pain and if you see a doctor and your scan does not show one of those known items such as a slipped disc or stenosis, then you are out of luck. No one has the ability to go beyond that list, after that you get shots and physical therapy, and in many people those are also ineffective.

Personally, I find it frustrating as I have begun to piece together my problems but there is no doctor who treats my issues…. I am structurally out of alignment and each out of alignment piece causes wear and tear and then pain on other pieces. A chiropractic is the closest person who figured me out, only they can only pop me into place for a day and then I pop back out… I need a permanent fix. I tried physical therapists but they are so by the manual, no one can look at my pain and issues individually rather than look at a “back pain” means this treatment. That doesn’t work when my back pain is stemming from overall skeletal misalignment.

So, I continue to be my own best doctor and research to try and put the puzzle pieces together for myself. I have a misaligned pelvis and this gives me one leg shorter than another. I have problems with my hip stability and si joints and my psoas muscle. I have no core stability and overwork my surrounding muscles to try and offset my weak core. Yet efforts to improve core strength have not gone well and are hindered by my overall misalignment and pain.

If only I could rebuild myself somehow, I thought. Well, then I started reading about the diasastis recti, the abdominal muscles that get pulled apart, often by childbirth. My internal organs poke through terribly and clearly set my back off balance just from my posture alone with my large chest and my big tummy. I tightened my muscles (the best I could) and sucked it in and realized it didn’t take much for a big change.

So, I took my hypothesis to the internet. Do people with back pain get relief after muscle retightening in a tummy tuck procedure? The answer was, anecdotally,”yes.” No doctor would make that promise because in part it depends on what is causing your back pain but in my case, it seemed logical that starting that alignment process with something we can fix, align, and rebuild, it would bring me things that my back were lacking and could provide some relief. I was not expecting to be cured but a reduction of 10-40% would be a success in my opinion.

I also knew that worst case and I don’t get relief, at least, I will get a better looking body so there was no downside. If I felt I had a chance to fight the insurance for payment for the medical necessity because of my back, I would have but after losing another fight that was clear cut that we should have won, I learned it isn’t about showing you can prove this or that, they will just say no and don’t have to have a good reason. So I just paid for my procedure with money we had saved for medical expenses.

The typical tummy tuck patient (news to me) is a thin woman who has an area on her tummy that is no longer perfectly flat after having children. In my eyes, these ladies all still had great bodies, especially compared to what I saw when I looked in the mirror but everyone has the right to have their bodies exactly as they want them and so they want to get back that perfect flat tummy and a tummy tuck will do that for them. Most plastic surgeons want you at your ideal weight before surgery and want to know you can hold that weight. I didn’t know much about the procedure but I did learn it is not a weight loss procedure. The doctor may cut off 1-5 pounds of skin but 5 is actually on the high side. You can request extra lipo if you want, some doctors don’t think it is safe to do much lipo during a tummy tuck.

So, I met with a PS and told him I wanted a TT with muscle repair, in hopes of helping my back. He scheduled me for a drainless tummy tuck with a shot of Experal. The Experal was supposed to make the first few days easier. They still hurt like hell so I don’t know, I guess it would have been worse. I needed a walker to walk for the first week. I had to wear a compression garment for two weeks. I didn’t have much swelling the first week but by week two, the swelling doubled and lasted for 10 weeks.

I normally take oxycontin for back pain and I was taking a higher dose for the first week but after that I was able to drop to my old dose with ibuprofen in the middle.

My back pain is currently down about 40% but I am still numb, dealing with other pain, not on my regular movement and exercise schedule so I am waiting to see how things change as time goes on.

Physically, I was very shocked to see how much my body was impacted by that 3 cm gap in my muscles. It is a shame that insurance doesn’t care that this muscle repair is a huge medical issue for some women, not just cosmetic. Even my bowel habits seem better. You also feel full sooner and now my weight matches how I look.

There are going to be many more benefits that I am going to discover from this adventure that I didn’t even realize. I have a whole new respect for this surgery and women who want to do it for whatever the reason.

Update:  I added two new posts to this series, another where I talk about back pain.  Another one is about the wound issues that I had after the surgery.  Not everyone has complications but I did (as did a few others who were having surgery the same time as I did).  It took over 2 months to get through most of the wound issues and I am still not “done” with it but hopefully, I am on the road to being better.  I would still do it, however, as the impact on my back pain was worth it.

My weight now falls in the normal BMI range, I lost 14 pounds since before I went into surgery (5 was skin) and I like how I look (minus the scars) and once the wound pain ends, I am anxious to fully assess my back pain but right now, my guess is about 40% better.

Here are some photos:

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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