
Chronic back pain
Pain that won’tlet go?
And someone has mentioned surgery.
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Two very different decisions
Spinal fusion
Buying a car without a test drive
- Joins two or more vertebrae for good
- You learn whether it helped after the surgery
- The right call when a clear structural problem needs fixing
Spinal cord stimulation
The test drive comes first
- A trial of about a week, before any implant
- Nothing is cut or fused in the spine
- Doesn’t work for everyone, and you find that out early
I do both operations. Which one fits depends on you, and that is what the videos are about.
Latest videos
01Why a spine surgeon started offering spinal cord stimulation
Every number has a source. Each study is checked against PubMed and linked, so you can read it yourself.
Ties declared up front. I consult for device makers. You should know that before you weigh anything I say.
Who it’s not for, too. Every option gets its limits and risks, not only its upside.

About
Hiro Katoh, MD, PhD
Spine surgeon and professor at a medical school in Japan. For twenty years I trusted the scalpel. Following my patients for more than a decade changed how I treat back pain.