Patient handout · Spine surgery
Adjacent Segment Disease
What it is
After a spinal fusion, the levels next to the fusion may take on extra stress. Over time, they can wear down. This is called adjacent segment disease.
Common symptoms
- New or returning back or neck pain after a period of relief
- Leg or arm pain, numbness or weakness
- Pain with walking that eases with sitting (stenosis)
What to expect at GSMC
- At your visit: A spine specialist asks about your symptoms and checks your strength, feeling and walking.
- Tests: You may need X-rays, an MRI or a CT scan.
- Your plan: Many people start with care that does not involve surgery. Surgery is discussed only if it may help.
Self-care tips
- Stay as active as you can. Short, easy walks may help.
- Change position often. Try not to sit for more than 30 to 45 minutes at a time.
- Heat or ice for 15 to 20 minutes may ease pain. Put a towel between it and your skin.
- Lift with your legs, keep the load close to your body, and do not twist.
When to call us
- Pain that keeps getting worse, or does not get better with care
- New numbness, tingling or weakness in an arm or leg
- Pain with fever, chills or weight loss you cannot explain
- Pain that keeps you from sleeping or doing daily tasks
Call 911 or go to the emergency room for loss of bladder or bowel control, numbness in the groin or inner thighs, or sudden leg weakness.
This handout is general information and is not a substitute for medical advice.