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Management of Chronic Low Back Pain: Surgical vs. Non-Surgical Pathways in Yemen? 9725f

Mu'tasem Al-Sayrafi
Jul 24, 2025
93 views
3 replies
M
Mu'tasem Al-Sayrafi
Member
Joined Jul 2025
Jul 24, 2025 4:25 PM
Original Post
Dear Colleagues, I'm seeking insights and current protocols on optimizing post-operative pain management following major orthopedic surgeries, such as total joint replacements or complex spine fusions, specifically within Yemeni clinical settings. What are your best practices, particularly regarding multimodal analgesia and opioid-sparing techniques, that are applicable given our resources? Are there any specific challenges or successful strategies you've implemented? Looking forward to your valuable contributions.
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Ali Al-Zarqa
Member
Jul 24, 2025 4:25 PM
#2
I agree, CT is essential for that non-union. Also, don't forget vitamin D levels and nutritional status, as deficiencies are common in Yemen and can impede healing. Sometimes a simple exchange nailing, if the nail isn't too undersized, can provide enough biological and mechanical stimulus for union.
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Ra'ed Al-Sarabi
Member
Jul 24, 2025 4:25 PM
#3
While PRP shows promise, I remain cautious for full-thickness tears due to inconsistent evidence, especially in our setting. Physical therapy remains paramount. For partial tears, it might be an adjunctive therapy, but shouldn't replace a solid rehabilitation plan.

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