Failed Back Syndrome Treatment Options
While the majority of patients experience positive outcomes following back surgery, a small proportion continue to experience symptoms despite undergoing the procedure by exceptionally skilled surgeons.
Non-surgical treatment is aimed at addressing pain and improving physical function. Options for management include:
- Anti-inflammatory and pain medicines (NSAIDs, Tylenol, muscle relaxants, opioids)
- Antidepressants and antiepileptics that are effective for nerve pain
- Chiropractic and Acupuncture
- Physical therapy
- Epidural steroid injections
Surgical management may be indicated in carefully selected candidates if a surgically correctable abnormality is found. Treatment options include:
- Revision decompression surgery including a minimally invasive laminectomy or an ultra-minimally invasive endoscopic laminectomy
- Stabilization surgery including a minimally invasive outpatient fusion.
- Pain management techniques such as radiofrequency ablation, nerve blocks, and epidural steroid injections.
- Cognitive behavioral therapy.
Examples of reasons for surgical intervention include misalignment, spinal imbalance, nonunion (when a bone graft does not properly fuse the bones around it), nerve compression, or recurrent disc herniation. For a recurrent herniated disc, the disc may need to be partially, or completely removed with either a minimally invasive tubular microdiscectomy or via an ultra-minimally invasive endoscopic discectomy.
For a nonunion, another bone graft or bone graft substitute with possible hardware may be needed to stabilize the lumbar spine. In almost all situations, Dr. Singh is able to correct the non-union via a minimally invasive outpatient lumbar spinal fusion.
Each case of failed back surgery syndrome is unique and treatment is always personalized based on the underlying causes and symptoms. It is important for patients to work closely with their healthcare team including Chicago spine surgeon Dr. Kern Singh, pain management specialists and physical therapists to tailor a plan to their needs.
Schedule a consultation
When you or a loved one is experiencing back and leg pain after back surgery, contact Dr. Kern Singh to schedule a consultation to receive the correct diagnosis and all your treatment options.
Dr. Kern Singh, MD is an internationally renowned spine surgeon specializing in outpatient minimally invasive and motion-preserving techniques and endoscopic spine surgery at Midwest Orthopaedics at Rush and Professor in the Department of Orthopaedic Surgery at Rush University Medical Center in Chicago, Illinois. Dr. Kern Singh is one of the nation’s Top 100 spine surgeons and is beloved by his patients for his compassionate care and excellent outcomes. He welcomes nationally and internationally – based patients.
- Sebaaly A, Lahoud MJ, Rizkallah M, Kreichati G, Kharrat K. Etiology, Evaluation, and Treatment of Failed Back Surgery Syndrome. Asian Spine J. 2018 Jun;12(3):574-585. doi: 10.4184/asj.2018.12.3.574. Epub 2018 Jun 4. PMID: 29879788; PMCID: PMC6002183.
- Krauss P, Motov S, Bonk MN, Prescher A, Scorzin J, Hajiabadi MM, Schulte DM, Sommer B, Seiz-Rosenhagen M, Ahmadi R, Maciaczyk J, Lehmberg J, Shiban E. sPinal coRd stimulatiOn coMpared with lumbar InStrumEntation for low back pain after previous lumbar decompression (PROMISE): a prospective multicentre RCT. BMJ Open. 2023 Apr 3;13(4):e067784. doi: 10.1136/bmjopen-2022-067784. PMID: 37012023; PMCID: PMC10083801.
At A Glance
Dr. Kern Singh
- Minimally invasive and endoscopic spine surgeon
- Inventor and surgeon innovator with multiple patents in spinal surgery and instrumentation
- Author of more than 10 textbooks in minimally invasive spinal surgery
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