How to avoid surgery in the future.

There are many factors that influence whether you will need surgery in the future. The following are some general ways you may participate to enhance your long-term well-being:

• Discontinue smoking or other tobacco usage.

• Don't overdo. The absence of pain does not mean healing is complete.

• Do not take pain medications in order to do more than you should.

• Begin exercising slowly. Increase as tolerated. Avoid getting competitive with your exercise--listen to your body.

• Tune in to physical sensations and listen for messages of "overload."

• Form a partnership with your physical therapist and discuss feelings openly. Work together on planning activity and exercise progression.

• Keep muscles of the spine strong - for the rest of your life.

• Use proper back mechanics - for the rest of your life.

• Treat osteoporosis vigorously. Ask your doctor about the condition of your bones if you do not know.