All these munchies getting spinal fusions make me laugh. Going to try not to powerlevel too much but I’ve been around a lot of people who’ve had spinal fusions, most who also have codiagnosis of EDS, either Hypermobile or kyphoscolitic type. The resounding research and beliefs of 99.99% of physicians says you do NOT put anyone under for a fusion unless they have demostratable neurological deficit, absent or hypereflexia of reflexes, or radiological spondylolisthesis (slipping or dislocation of vertebra). Basically, if you are doing a fusion for any reason other than to prevent progression of neurological deficit or nerve impingement, your patient is likely to be so shocked by the pain from fusion that the result is going to suck.
Spinal fusion doesn’t help 95% of musculoskeletal pain. The only time it would be possible to reduce MS type pain would be if a patient has a demonstrated spondylolisthesis that is causing intense muscle pain and spasm from the muscles overworking to stabilize the spine. The only catch is that, in EDS patients, they may need upright or flexion/extension MRI to demonstrate spondylolisthesis, as the joint may realign on supine MRI.
All these munchies who are faking symptoms and pain are getting a rude wake up call that spinal fusion is one good way to actually develop pain and neurological issues, that likely won’t be helped with narcotics. The doctor doing this surgery without demonstrating neurological involvement may one day be involved in a huge lawsuit, IMO. They may have retired to the Virgin Islands with millions by then.
Basically, if you are having terrible nerve pain or reduced function, spinal fusion isn’t going to affect you much. Yes, post op pain is bad for a day or two but overall, you’ll be feeling much better with reduction of nerve pain so recovery is easy. Contrarily, have surgery when you had little to no pain prior, and you’re going to wish you died.
Edited to Add:
Munchies flock to Dr Henderson because he’s one of the few that will operate on them without radiographic and reflexic evidence they need surgery. People who don’t know any better are flocking to him because he has marketed himself to people with EDS as this God of surgery that will fix everything from your Chiari that’s causing daily headaches to spinal instability that’s causing POTS. Keep in mind we still have zero research that demonstrates the actual cause of POTS. But, this guy goes to all the EDS conferences, puts out all these videos, has his own “special” MRI method of determining spinal instability and whether there is nerve compression, and promises to cure all these symptoms in a population of people who are tired and hurt all the time. Of course they want to feel better.