Failed Back Surgery Syndrome

Failed back surgery syndrome is a title used to describe the condition of patients who have had spine surgery that failed to manage their neck or back pain. Symptoms occur when the problem has not been relieved, or other more significant problems arise and cause continuing or worsening pain. FBSS is a chronic pain syndrome and results in physical disability as well as emotional and financial consequences for the patient.

Causes of FBSS

There are numerous factors that contribute to failed back surgery syndrome, including:

Failure to accurately identify conditions

Failure to adequately decompress a nerve root

Spinal fusion failure

Implant migration

Scar tissue formation

Nerve damage

decompressing a nerve root during spine surgery causes temporary inflammation. Usually, the inflammation subsides but in some cases nerve damage can occur, leading to chronic pain and weakness in certain muscle groups.

Symptoms of FBSS

Everyone heals differently. Discomfort during the healing process is normal. Some symptoms are indicative of a more serious problem. Persistent chronic pain that is not associated with healing processes are:

-New pain at a different level from the treated location

-Inability to recuperate

-Restricted mobility

-Sharp, stabbing back pain

-Numbness or pain radiating to the lower back and into legs

-Back spasms

-Anxiety, depression, and sleeplessness

-Dependence on drugs for pain treatment

Treatment of FBSS

Physicians will review treatment history and how your symptoms evolved following the surgery. They will perform a physical examination, and some form of imaging like an X-ray, MRI, or CT scan.

Conservative treatments like pain medication, injections, physical therapy, and exercise are recommended to relieve your chronic postoperative symptoms. If the pain is coming from facet or sacroiliac joints, chiropractic care may be recommended. If there are correctable structural problems, additional surgery may be performed to address issues brought on by failed back surgery syndrome. Sometimes no correctable cause for FBSS can be identified. In these cases, spinal cord stimulation or narcotic pumps may be used for pain control.

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