Why we stop

Your surgeon just banned ibuprofen after spine surgery. Here’s the real reason why. Here’s what you need to know — especially if you’ve had (or are facing) spine surgery. Ibuprofen is an NSAID. It works by blocking prostaglandins, which reduces inflammation and pain. That’s helpful for a temporary flare-up of back or neck pain. But after spine surgery — particularly fusion — we generally avoid it. Why? The early inflammatory response is actually part of the healing process. Bone needs that controlled inflammation to form new bone and achieve a solid fusion. When NSAIDs shut that response down, they can slow or impair healing and increase the risk of non-union. So what do we use for pain instead? Patients still get effective pain control. We typically rely on a carefully planned multimodal approach that may include acetaminophen, muscle relaxants, short-term prescription medication when needed, ice, and early gentle movement — all tailored to protect the healing process while keeping you as comfortable as possible. The goal is controlled pain relief without compromising the fusion. Here’s what you actually need to know for everyday (non-surgical) use: Ibuprofen reduces inflammation and can take the edge off acute low back or neck pain. That’s why it’s often one of the first things recommended for a sudden flare-up. But it has clear limits: • Best used short-term only (FDA guidance: no more than 10 days without talking to a doctor) • Lowest effective dose is the goal (typically 200–400 mg every 4–6 hours, max 1,200 mg/day over the counter) • It does not correct the underlying disc, joint, or nerve issue The risks go up the longer you take it — stomach ulcers/bleeding, kidney strain, elevated blood pressure, and increased cardiovascular risk, especially if you’re over 60, have a history of ulcers, heart or kidney problems, or drink alcohol regularly. Bottom line from a spine surgeon’s perspective: Ibuprofen can buy you temporary relief while you stay active and address the real problem. It is not a treatment plan. -Dr. Steven Cyr | Orthopedic Spine Surgeon | 📍San Antonio & Houston If your pain keeps coming back, is getting worse, or you’re relying on these pills daily — it’s time for a proper evaluation instead of more bottles… our contact info is in the bio. #BackPain #SpineHealth #LowBackPain #SpineSurgeon #PainManagement