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Considering A Spinal Surgery Or Joint Replacement?

Dec 13, 2019


Click here to watch a replay of this Facebook LIVE discussion. 

Over the next few weeks I’ll be helping you discover if you are a good fit for my upcoming online training course and coaching program, How to Lose Weight After 50™. On the flip side, you may not be a good fit, but maybe you know someone who is.

Enrollment will be from January 1-10, 2020 and doors won’t open again until July. 


Action Steps To Take TODAY:

  1. Register for my FREE online masterclass, The 3 Behind-the-Scenes Secrets to Lose Weight After 50. 
  2. Share this information with a friend, a loved one, a relative, a spouse, a coworker. Someone who is considering a spinal surgery or joint replacement, or has already had one, to help them optimize their results, have less pain, and improved mobility. 


Considering A Spinal Surgery Or Joint Replacement?

As a Board-Certified Clinical Specialist in Geriatric Physical Therapy, I’ve helped many adults rehab from spinal and joint surgeries. It’s painful, it’s hard, and it sucks. One of my total-knee patients always brought her rosary to the gym with her while we did range of motion on her knee, bless her heart. 

If surgery can be avoided, it should be. Sometimes it’s not the surgery itself that is so bad, but the secondary complications. 

Some serious physical side effects I’ve seen are:

  • Blood clots in the legs or lungs
  • Severe constipation
  • Infections
  • Failed surgeries that require revisions
  • Total knees that don’t regain movement and require manual manipulation under anesthesia to get the range of motion, and
  • Falls from the side effects of the pain medications

Aside from the physical side-effects, the mental and emotional ones can be just as bad. 

  • Lost time at work (and money)
  • Social isolation
  • Pain limiting one’s ability to help around the house
  • Feeling like a burden
  • Boredom
  • Loneliness
  • Feeling like they aren’t able to contribute at work or home

Then there are the financial costs that I won’t even bother covering, surgery is an obvious “meet the deductible” kind of deal. 

It’s just so much better to avoid all of this together if at all possible. 

I know so many people who undergo surgery, sometimes multiple surgeries, looking for a quick fix solution to their problems. 

The most common of these surgeries are spinal surgery and joint replacements. Years of extra weight and poor health habits (namely nutrition and exercise) have taken a toll and surgery appears to be the simplest, fastest way to reduce their pain and improve mobility. 


You May Be In One Of Two Camps

You Already Had Surgery

If you are in this camp, I hope that you are extra motivated to change your health habits so that you can optimize the results of that surgery. It’s never fun to have to go back under the knife. But it happens a lot. It’s expensive, exhausting, and time-consuming to go through surgery and rehab. 

You already went through surgery once. Don’t you want to do ALL you can to never need it again? To ensure that your time, money, and hard-work recovering from surgery was well-spent?

You Are Considering Surgery

Maybe you’ve been to the doctor and had imaging done and you are “bone on bone,” or have a spinal problem only surgery will fix. No amount of physical therapy, chiropractic, massage, or pain meds will fix the problem. Fine. That happens. But know that your surgical outcomes will be SO much better, and your recovery will be SO much faster if you work on losing weight and changing your health habits prior to surgery. 

Here are just a few quotes from the research I found linking a high body mass index (weight) to increased risk of needing a joint replacement and experiencing post-surgical complications. 

In reference to the acceptable weight category of body mass index less than 25, the risk for Total Knee Arthroplasty/Replacement (TKA) and Total Hip Arthroplasty/Replacement (THA) was: (Bourne, Robert, et al.)

  • 3.20-fold higher (TKA) and 1.92-fold higher for THA higher for overweight individuals (body mass index 25-29.9)
  • 8.53-fold higher (TKA) and 3.42-fold higher (THA) higher for those in the obese Class I category (body mass index 30-34.9)
  • 18.73-fold higher (TKA) and 5.24-fold (THA) higher for those identified in obese Class II category (body mass index 35-39.9)
  • 32.73-fold higher (TKA) and 8.56-fold (THA) higher for people in obese Class III group (body mass index > 40)

This research study makes it clear. If you want to lower your chance of needing a joint replacement, get to a healthy weight.

Another study found “there is a significant increase in complications, specifically infection and surgical complications, in patients with BMI ≥ 35 following lumbar spine surgery, with that rate further increasing with BMI ≥ 40.” (Bono, Olivia J., et al)

Again the research is clear, if you want to lower your risk of post-surgical complications, get to a healthy weight. 

Think about how much less force will be going through your joints if you are at a healthy weight. I love when people who have lost 20 or 30 pounds lift up that same amount of weight and think it’s heavy. I like to remind them, “You used to carry that around all the time!”

How I Can Help You

If you are looking to get the best outcomes you can from your surgery, or potentially avoid surgery by changing your health habits, register for my FREE online masterclass, The 3 Behind-the-Scenes Secrets to Lose Weight After 50. In this masterclass you will get actionable items to implement right away, along with an overview of my course to determine if you want to sign-up. 

My course is a lot less expensive than surgery I’ll promise you that! Plus, even if you do end up needing surgery, you can feel confident that you did all you could to avoid it, and that you are doing all you can to get the post possible surgical outcome. 


By The End Of My 12-Week Course, You Will Have: 

  • Nailed down how to actually lose weight (and keep it off). 
  • A solid understanding of what foods, and how much, your body needs to lose fat while minimizing the loss of muscle. 
  • Mastered how to identify the different macronutrients - carbohydrates, proteins, and fats - and why each is needed for your body to function at its highest level. 
  • Developed a sense of confidence about your self-control and food choices whether eating in or dining out. 
  • Started a healthy exercise program, knowing how much you need to do and how hard you should be working to see results. 
  • Optimized your sleep and stress habits to augment your weight loss and maintenance efforts. 
  • A new nutritional baseline for how to structure a health meal, and how to incorporate meal planning/prepping into your weekly routine. 


  • Lost inches from your hips, thighs, and waist, pounds from your body, and gained loads of energy and confidence. 

But above all else, How to Lose Weight After 50™ will help reshape your health today and future tomorrow so you can be there for your loved ones and keep doing all the things you need, want, and love to do. 

Register for my FREE online masterclassThe 3 Behind-the-Scenes Secrets to Lose Weight After 50.



  1. Bono, Olivia J., et al. "Body mass index predicts risk of complications in lumbar spine surgery based on surgical invasiveness." The Spine Journal 18.7 (2018): 1204-1210.
  2. Bourne, Robert, et al. "Role of obesity on the risk for total hip or knee arthroplasty." Clinical Orthopaedics and Related Research® 465 (2007): 185-188.

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