Failed Back Syndrome or Post Laminectomy Syndrome:
Failed Back or Post Laminectomy Syndrome refers to patients who have previously undergone surgical procedures to treat neck or back conditions but have persistent post-surgical pain. Failed neck or back syndrome does not imply there was a problem with the surgery or that something went wrong during the surgery.
Factors that may contribute to Failed Back Syndrome:
- recurrent, residual disc herniation
- altered joint mobility
- instability
- scar tissue (fibrosis)
- smoking
- depression/anxiety
- deconditioning
- diabetes, autoimmune disease, vascular disease
Treatments can include:
- exercise
- physical therapy
- acupuncture
- cognitive behavioral therapy
- epidural injections, nerve blocks
- radiofrequency ablation
- spinal cord stimulation
- prescription medications
- intrathecal pain pumps