Postlaminectomy Failed Back Syndrome

Understanding Failed Back Surgery Syndrome

Failed back surgery syndrome (FBSS) refers to chronic pain persisting or developing after spine surgery. Despite the name, it doesn’t necessarily mean the surgery was performed incorrectly. It describes the complex condition where pain continues or returns after procedures like laminectomy, discectomy, or spinal fusion.

Why Does It Occur?

• Incomplete nerve decompression
• Formation of scar tissue (epidural fibrosis) around nerves
• Adjacent segment degeneration above or below fusion
• Recurrent disc herniation
• Spinal instability
• Nerve damage during surgery
• Incorrect initial diagnosis

Common Symptoms

• Persistent lower back pain
• Radiating leg pain (sciatica)
• Sharp, burning, or stabbing pain
• Increased pain with activity
• Difficulty standing or walking for extended periods
• Pain that may be worse than before surgery

Comprehensive Evaluation

At Riceland Healthcare, we conduct thorough assessments to understand your specific situation including detailed review of surgical history and outcomes, physical examination, advanced imaging (MRI, CT scans), and diagnostic procedures to pinpoint the active pain source.

Multidisciplinary Treatment Approach

Managing FBSS requires a comprehensive strategy tailored to your needs. Conservative management includes targeted physical therapy and rehabilitation, pain medication optimization, psychological support, and lifestyle modifications. When necessary, advanced procedures are used.

• Epidural steroid injections
• Nerve root blocks
• Adhesiolysis (scar tissue removal)
• Radiofrequency ablation
• Peripheral nerve stimulation

Spinal Cord Stimulation: A Game-Changer

For many FBSS patients, spinal cord stimulation is an advanced therapy that interrupts pain signals before they reach your brain. It provides significant relief with customizable and rechargeable options for long-term management.

Hope After Failed Surgery

Having unsuccessful spine surgery doesn’t mean you’re out of options. Many FBSS patients find significant relief through appropriate pain management. Our goal is to reduce your pain, improve function, enhance quality of life, and help you return to the activities you enjoy.