Failed Back Surgery refers to new or persistent pain after spinal surgery for back or leg pain. The pain might be reduced but still present, or sometimes may get worse within a few months after surgery due to a buildup of scar tissue around spinal nerve roots, accompanying persistent tissue pain and muscle spasm. The term failed back surgery refers to a condition of continuing pain and is not meant to entail there was necessarily a problem during surgery.
Which back surgeries results in failed back surgery syndrome?
Failed back surgery may result from any type of back surgery; the most common type includes laminectomy and discectomy. The reason why discectomy and laminectomy have a higher rate of failures may have to do with the fact that these spinal surgeries overall are among the most commonly given to patients.
What happens after a back surgery has been failed?
If your back surgery is failed then your doctor may suggest having a 2nd surgery, which is called a revision surgery, but, of course, this depends on many things such as the type of surgery you had originally, the type of pain you experience after the surgery and more. And if the revision surgery also doesn’t relieve your symptoms, your doctor would even encourage you to undergo yet another invasive procedure.
Many people report that the subsequent 2nd and 3rd surgeries procedures work just fine and their pain and other symptoms are finally gone, and their backs now feel as good as new.
Top most causes of failed back surgery
- Poor Candidate for Surgery
- Incorrect Procedure or Diagnosis
- Surgeon Error
- Scar Tissue Formation
- Recurrent Disc Herniation
- Adjacent Segment Disease
- Hardware Failure and Implant Rejection
How to treat a failed back surgery?
The treatment of failed back surgery can be difficult. It includes physical therapy, help of pain specialists, spine surgeons, and psychiatrists.
- Non-steroidal anti-inflammatory drugs (NSAIDs), paracetamol, opioids, muscle relaxants, antiepileptic drugs, antidepressants, and tramadol
- Physical therapy, exercise and behavioral rehabilitation
- Interventional procedures
- Neuromodulation and implantable technologies
- Nerve blocks
- Spinal cord stimulation
- Intrathecal drug infusion
Zaki Anwar MD is an Anesthesiologist and Interventional Pain Management Specialist. He has great expertise for the diagnosis and treatment of back pain, headaches, migraines, neck pain, sciatica pain and various pain conditions. His center has offering various treatment options including stem cell therapy, amniotic fluid injection and much more.
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