Understanding Failed Back Surgery Syndrome
Failed back surgery syndrome (FBSS) is a fairly common condition that affects a range of patients who have undergone spinal surgery. This condition is characterized as persistent pain that worsens after the surgery is performed and the site finishes healing. Although some discomfort after surgery can be expected, debilitating and worsening pain is not normal and might indicate a problem. This does not mean the surgery was incorrectly performed necessarily, rather it indicates the expected pain relief was not achieved. There are several reasons why this might occur, including scar tissue formation around nerve roots, improper diagnosis of the original pain source, pre-existing nerve damage, or spinal instability that wasn’t adequately addressed.
At BEST Health System, we understand how frustrating a condition like failed back surgery syndrome can be. Our team of interventional pain management doctors works closely with patients to perform in-depth diagnostic testing and to create functional treatment plans. Our goal is to help patients achieve relief and return to an active lifestyle through conservative therapies and minimally invasive procedures.
Why Some Spinal Surgeries Fail
Spine surgeries can fail for various reasons, often because the underlying cause of pain was not fully addressed or complications arose during or after the procedure. One of the most common reasons is an improper diagnosis. If the exact source of the patient’s pain is not correctly identified before surgery, the procedure may not provide relief. Some conditions, such as nerve pain from compressed or damaged nerves, may persist even after a structural issue is corrected.
Aside from this, scar tissue formation is another major factor. After surgery, the body naturally produces scar tissue, but excessive scarring around nerve roots can lead to irritation and persistent pain, mimicking the original symptoms. Additionally, mechanical issues can contribute to failed spine surgeries. If spinal fusion doesn’t heal properly, known as a nonunion, the spine may remain unstable, leading to ongoing pain. In some cases, a previously treated disc may re-herniate, causing symptoms to return.
Finding Relief from Failed Back Surgery Syndrome
Finding relief from failed back surgery syndrome can be a complicated process but it is necessary for patients seeking relief. Oftentimes, the treatment process will begin with conservative therapies including physical therapy, medications, hot/cold therapy, and more. During this time, patients will monitor their symptoms to see if they are at all improving. If patients continue to experience discomfort, they may consider minimally invasive surgery to reduce symptoms and help them get back on their feet.
BEST Health System specializes in minimally invasive solutions for common chronic pain disorders like FBSS. At our clinics located across the country, patients can meet with board-certified pain management specialists to get started on their path to relief.
Neuromodulation with BEST Health System
Neuromodulation is a minimally invasive therapy often recommended to patients suffering from nerve-related pain or discomfort. This therapy involves the surgical implantation of a small device in the lower back which has lead wires that connect to the spine. The device will administer low-level electrical stimulation to block pain signals from reaching the brain. This is an excellent option for patients seeking relief from chronic pain without the need for traditional surgery.
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