Adhesions after ACDF - what type of doctor helps with internal scars?

Hi! Thank you for sharing your history and concerns. Scar tissue that forms internally after surgeries like ACDF (anterior cervical discectomy and fusion) can sometimes cause persistent symptoms, especially if it’s pressing on structures like the esophagus or carotid artery. Here’s some guidance:

Specialists involved: Internal scar tissue (adhesions) in the neck is typically managed by spine surgeons, neurosurgeons, or sometimes ENT (otolaryngology) surgeons, depending on the location and structures involved. In complex cases, multidisciplinary consultation may be helpful.

Treatment approaches:

Surgical adhesiolysis or revision surgery is often considered when scar tissue is causing compression or functional problems.

Minimally invasive options are limited in this region due to the complexity and proximity of critical structures (blood vessels, nerves, esophagus). Some surgeons may use endoscopic or limited-access techniques, but candidacy depends on the exact anatomy and severity of adhesions.

Non-surgical management: Physical therapy, massage, or scar mobilization techniques are usually more effective for superficial or soft tissue scars; internal adhesions often require surgical intervention if they’re causing functional symptoms.

In short, the best next step is a referral to a spine or neurosurgeon experienced with post-ACDF revision surgery. They can review imaging, evaluate risks, and discuss whether a minimally invasive or open approach is appropriate for your situation.