How to Manage Nerve Pain After Spine Surgery

Spine surgery is sometimes a necessary procedure to provide relief and improve the quality of life for individuals suffering from various spinal conditions. However, it is not uncommon for patients to experience nerve pain following spine surgery. Nerve pain, also known as neuropathic pain, can be challenging to manage. In this guide, we will explore several strategies and techniques to help manage nerve pain after spine surgery. Our goal is to provide you with valuable insights and practical tips to alleviate discomfort, enhance your recovery process, and improve your overall well-being.

Understanding Nerve Pain

Nerve pain can occur after spine surgery for several reasons. It can be caused by the manipulation of nerves during the procedure or due to inflammation in the surrounding tissues. Sometimes, nerve pain is a positive sign that the nerves have been freed up, and are ‘waking up’ after the pressure has been removed from them during surgery. Nerve pain can manifest in different ways, such as sharp, shooting sensations, tingling, numbness, or a burning feeling.

Communicating with Your Healthcare Team

Effective communication with your surgeon is important in managing nerve pain after spine surgery. Ensure that you openly discuss your symptoms, including the intensity, location, and frequency of the pain. Providing detailed information will help your healthcare providers develop a targeted treatment plan. Don’t hesitate to ask questions, seek clarification, and express any concerns you may have. Remember, your healthcare team is there to support you and guide you through your recovery journey.

Medication for Nerve Pain

Usually, time is the best healer of nerve pain. However, sometimes medication can play a role in managing nerve pain after spine surgery. These may include:

  • Analgesics: These pain relievers, such as acetaminophen, can help reduce mild to moderate nerve pain.
  • Nerve pain medications: gabapentin, pregabalin (Lyria), as well as amitriptyline can all be used to calm down your nerve pain.
  • Opioids: In some cases, opioids may be prescribed for severe nerve pain. However, due to the potential risks and side effects associated with opioids, they are typically used cautiously and for short durations.

It is essential to follow your healthcare provider’s instructions carefully when taking medications and to report any adverse effects or concerns promptly.

Nerve pain management

Physical Therapy and Rehabilitation

Physical therapy and rehabilitation are integral components of managing nerve pain and optimizing your recovery after spine surgery. A qualified physical therapist can design a personalized exercise program to improve your mobility, strengthen supporting muscles, and enhance overall function. Physical therapy may include stretching exercises, gentle aerobic activities, and targeted strengthening exercises to alleviate nerve pain and promote healing.

Transcutaneous Electrical Nerve Stimulation (TENS)

Transcutaneous Electrical Nerve Stimulation (TENS) is a non-invasive technique that involves applying low-voltage electrical currents to the skin to help relieve pain. TENS units are portable devices that deliver electrical impulses to specific areas, blocking pain signals and promoting the release of endorphins, which are natural pain-relieving chemicals in the body. TENS therapy can be a valuable adjunct in managing nerve pain after spine surgery and can be used under the guidance of your healthcare provider or physical therapist.

Psychological Support

Managing nerve pain after spine surgery not only requires physical interventions but also psychological support. Chronic pain can have a significant impact on mental health, leading to anxiety, depression, and decreased quality of life. Seeking counseling or therapy can help you cope with the emotional and psychological aspects of chronic pain. Additionally, relaxation techniques, meditation, and mindfulness exercises can contribute to stress reduction and overall well-being.

Lifestyle Modifications

Certain lifestyle modifications can also aid in managing nerve pain after spine surgery. These include:

  • Maintaining a healthy weight: Excess weight can put added stress on your spine, potentially exacerbating nerve pain. Focus on maintaining a healthy weight through a balanced diet and regular exercise.
  • Ergonomic adjustments: Ensure that your workstation, furniture, and sleeping arrangements are ergonomically designed to minimize strain on your spine.
  • Avoiding tobacco and alcohol: Smoking and excessive alcohol consumption can impede the healing process and increase inflammation. It is best to avoid or minimize these habits during your recovery.


Managing nerve pain after spine surgery requires a comprehensive approach that combines effective communication with your healthcare team, appropriate medications, physical therapy, and lifestyle modifications. By actively participating in your recovery process and following the guidance of your healthcare providers, you can optimize your chances of alleviating nerve pain and improving your overall well-being. Every individual’s experience with nerve pain is unique, and it is important to work closely with your healthcare team to develop a personalized plan that suits your specific needs. Dr Wheeler works closely with his patients when it comes to the best options with regards to pain management both pre and post spine surgery.



Dallas Orthopedic Spine Surgeon
Dr Michael R Wheeler, MD
Orthopedic Spine Specialist Procedures