Failed Back Surgery Syndrome
Back Pain
Pulsed Radiofrequency Treatment
Electric Stimulation Therapy
Laminectomy
Lumbar Vertebrae
Treatment Failure
Low Back Pain
Injections, Epidural
Spinal Cord Stimulation
Spinal Cord
Paresthesia
Spinal Cord Injuries
Effectiveness of a mucolythic agent as a local adjuvant in revision lumbar spine surgery. (1/33)
(+info)Preliminary results of a randomized, equivalence trial of fluoroscopic caudal epidural injections in managing chronic low back pain: Part 3--Post surgery syndrome. (2/33)
BACKGROUND: Post surgery syndrome resulting in persistent pain following lumbar spine surgery is common. Speculated causes of post lumbar surgery syndrome include stenosis, degeneration of adjacent segments, internal disc disruption, recurrent disc herniation, retained disc fragment, epidural or intraneural fibrosis, radiculopathy, and various other causes. Epidural injections are most commonly used in post surgery syndrome. There is lack of evidence for the effectiveness of epidural injections in managing chronic low back pain with or without lower extremity pain secondary to post surgery syndrome. STUDY DESIGN: A randomized, double-blind, equivalence trial. SETTING: An interventional pain management practice, a specialty referral center, a private practice setting in the United States. OBJECTIVES: To evaluate the effectiveness of caudal epidural injections in patients with chronic low back and lower extremity pain after surgical intervention with post lumbar surgery syndrome. METHODS: Patients were randomly assigned to one of 2 groups; Group I patients received caudal epidural injections with local anesthetic (lidocaine 0.5%), whereas Group II patients received caudal epidural injections with 0.5% lidocaine 9 mL mixed with 1 mL of 6 mg non-particulate Celestone. Randomization was performed by computer-generated random allocation sequence by simple randomization. OUTCOMES ASSESSMENT: Multiple outcome measures were utilized which included the Numeric Rating Scale (NRS), the Oswestry Disability Index 2.0 (ODI), employment status, and opioid intake with assessment at 3 months, 6 months, and 12 months post-treatment. Significant pain relief was described as 50% or more, whereas significant improvement in the disability score was defined as a reduction of 40% or more. RESULTS: Significant pain relief (> or =50%) was recorded in 60% to 70% of the patients with no significant differences noted with or without steroid over a period of one-year. In addition, functional assessment measured by the ODI also showed significant improvement with at least 40% reduction in Oswestry scores in 40% to 55% of the patients. The average procedures per year were 3.4 with an average total relief per year of 31.7 +/- 19.10 weeks in Group I and 26.2 +/- 18.34 weeks in Group II over a period of 52 weeks. LIMITATIONS: The results of this study are limited by the lack of a placebo group and the preliminary report size of only 20 patients in each group. CONCLUSION: Caudal epidural injections in chronic function-limiting low back pain in post surgery syndrome without facet joint pain demonstrated effectiveness with over 55% of the patients showing improvement in functional status with significant pain relief in 60% to 70%. (+info)Systematic review of percutaneous adhesiolysis and management of chronic low back pain in post lumbar surgery syndrome. (3/33)
BACKGROUND: Post lumbar surgery syndrome or failed back surgery syndrome with persistent pain continues to increase over the years. The speculated causes of post lumbar laminectomy syndrome include acquired stenosis, epidural fibrosis, arachnoiditis, radiculopathy, and recurrent disc herniation. Epidural fibrosis may account for as much as 20% to 36% of all cases of failed back surgery syndrome. Percutaneous epidural adhesiolysis has been employed in interventional pain management in the treatment of chronic, refractory low back and lower extremity pain after back surgery. STUDY DESIGN: A systematic review of randomized trials and observational studies. OBJECTIVE: To evaluate the effectiveness of percutaneous adhesiolysis in managing chronic low back and lower extremity pain due to post lumbar surgery syndrome. METHODS: A comprehensive literature search was conducted utilizing electronic databases, as well as systematic reviews and cross references from 1966 through December 2008. The quality of individual articles used in this analysis was assessed by modified Cochrane review criteria for randomized trials and the Agency for Healthcare Research and Quality (AHRQ) criteria for assessment of observational studies. Clinical relevance was evaluated using 5 questions according to the criteria recommended by the Cochrane Review Back Group. Analysis was conducted using 5 levels of evidence, ranging from Level I to III, with 3 subcategories in Level II. OUTCOME PARAMETERS: The primary outcome measure was pain relief (short-term relief of at least 6 months and long-term relief of more than 6 months). Secondary outcome measures were improvement in functional status, psychological status, return to work, and change in opioid intake. RESULTS: Of the 13 studies considered for inclusion, 3 randomized trials and 4 observational studies met the inclusion criteria for methodologic quality assessment and evidence synthesis based on methodologic quality scores of 50 or more. Evidence of percutaneous adhesiolysis in the management of chronic low back pain in post-lumbar surgery syndrome is Level I to Level II-1, with evidence derived from 3 randomized trials. LIMITATIONS: There is a paucity of efficacy and pragmatic trials. No trials have been published after 2006. CONCLUSION: The indicated level of evidence for percutaneous adhesiolysis is Level I or II-1 based on the US Preventative Services Task Force (USPSTF) criteria. (+info)Spinal cord stimulation for patients with failed back surgery syndrome: a systematic review. (4/33)
BACKGROUND: Failed back surgery syndrome is common in the United States. Management of post lumbar surgery syndrome with multiple modalities includes interventional techniques, resulting in moderate improvement, leaving a proportion of patients in intractable pain. The systematic reviews of long-term benefits and risks of spinal cord stimulation (SCS) for patients with failed back surgery syndrome showed limited to moderate evidence and cost effectiveness. However, with the exponential increase in surgery in the United States, spinal cord implants are also increasing. Thus, the discussion continues with claims of lack of evidence on one hand and escalating increases in utilization on the other hand. STUDY DESIGN: A systematic review of SCS in patients with failed back surgery syndrome. OBJECTIVES: This systematic review is undertaken to examine the evidence from randomized controlled trials (RCTs) and observational studies to evaluate the effectiveness of SCS in post lumbar surgery syndrome and to demonstrate clinical and cost effectiveness. METHODS: Review of the literature was performed according to the Cochrane Musculoskeletal Review Group Criteria as utilized for interventional techniques for randomized trials and the Agency for Healthcare Research and Quality (AHRQ) criteria for observational studies. The 5 levels of evidence were classified as Level I, II, or III with 3 subcategories in Level II based on the quality of evidence developed by the U.S. Preventive Services Task Force (USPSTF). Data sources included relevant literature of the English language identified through searches of PubMed and EMBASE from 1966 to December 2008, and manual searches of bibliographies of known primary and review articles. OUTCOME MEASURES: The primary outcome measure was pain relief (short-term relief < or = one-year and long-term > one-year). Secondary outcome measures of improvement in functional status, psychological status, return to work, and reduction in opioid intake were utilized. RESULTS: The indicated evidence is Level II-1 or II-2 for long-term relief in managing patients with failed back surgery syndrome. LIMITATIONS: The limitations of this review included the paucity and heterogeneity of the literature. CONCLUSION: This systematic review evaluating the effectiveness of SCS in relieving chronic intractable pain of failed back surgery syndrome indicated the evidence to be Level II-1 or II-2 for clinical use on a long-term basis. (+info)Effectiveness of spinal endoscopic adhesiolysis in post lumbar surgery syndrome: a systematic review. (5/33)
BACKGROUND: Post lumbar surgery syndrome with persistent chronic low back and lower extremity pain is common in the United States. Epidural fibrosis may account for as much as 20% to 36% of all cases of failed back surgery syndrome (FBSS). Percutaneous adhesiolysis with a catheter or direct visualization of the spinal canal and the contents with an endoscope are techniques employed in resistant cases when patients fail to respond to conservative modalities of treatment, including fluoroscopically directed epidural injections. Some patients failing to respond to percutaneous adhesiolysis are candidates for spinal endoscopic adhesiolysis. However, literature evaluating the effectiveness of spinal endoscopic adhesiolysis is sparse and discussions continue about its effectiveness, utility, and complications. STUDY DESIGN: A systematic review of the available literature. OBJECTIVE: To evaluate the effectiveness and safety of spinal endoscopic adhesiolysis in the management of chronic low back and lower extremity pain in post surgical patients with chronic recalcitrant pain, non-responsive to conservative modalities of management and fluoroscopically directed epidural injections. METHODS: A search of relevant resources (PubMed, EMBASE, and the Cochrane database) was accomplished and the resulting publications were examined based on the inclusion/exclusion criteria set forth. Randomized controlled trials and observational studies were included in the search. Two reviewers assessed the studies' methodologies and outcomes. Randomized clinical trials were assessed and scored based on the criteria established by the Cochrane methodological assessment criteria of randomized clinical trials and the observational studies were assessed and scored based on the Agency for Healthcare Research and Quality (AHRQ) criteria. Clinical relevance was evaluated utilizing Cochrane review criteria. Analysis was conducted using 5 levels of evidence, ranging from Level I to III, with 3 subcategories in Level II. OUTCOME MEASURES: The primary outcome measure was pain relief (> or = 50%) in follow-up for at least 6 months. Pain relief for longer than 6 months was considered long-term and 6 months or less was considered short-term. The secondary outcome measures were functional and psychological status, return to work, patient satisfaction, and opioid intake. RESULTS: Of the 13 studies considered for inclusion, one randomized trial and 5 observational studies met inclusion criteria for evidence synthesis based on the inclusion criteria and methodologic quality scores of 50 or more. The indicated level of evidence for endoscopic adhesiolysis is Level II-1 or II-2 evidence for short- and long-term relief based on the U.S. Preventive Services Task Force (USPSTF) criteria. LIMITATIONS: There was a paucity of literature for randomized trials. CONCLUSION: Spinal endoscopic adhesiolysis may be used as an effective treatment modality for chronic refractory low back pain and radiculopathy that is related to epidural adhesions. (+info)Spinal cord stimulation for chronic pain of neuropathic or ischaemic origin: systematic review and economic evaluation. (6/33)
(+info)Evaluation of sympathetic response in cases with failed back surgery syndrome. (7/33)
OBJECTIVES: The aim of this study was to investigate whether sympathetic skin response (SSR) was affected in cases with failed back surgery syndrome (FBSS). METHODS: Twenty-nine cases admitted to our department and diagnosed as FBSS were recruited for the study. All the cases had back, leg or back and leg pain in the months or in one year following spinal surgery. The control group consisted of 13 healthy hospital personnel. Electrophysiologic nerve conduction studies and SSR recordings were applied on the symptomatic side (29 legs) in study cases and both sides (26 legs) in the control group. SSRs of the study group were compared with those of the sex-, body mass index- and age-matched control group of 13 people. Patients having peripheral nerve entrapment syndromes, peripheral vascular disease, neurologic or psychiatric disease, alcoholism, or drug abuse were excluded from the study. Pain intensity was recorded by visual analog scale (VAS) and depression was recorded by Beck Depression Inventory (BDI). RESULTS: Latency duration in SSR in the study group was significantly higher (p=0.006) when compared with the healthy controls. There was no SSR in 4 patients and there was a positive correlation between BDI and SSR (r=0.46). CONCLUSION: It was concluded that the sympathetic nervous system is affected in FBSS patients with changes in SSR, and that the dysfunction of the sympathetic nervous system may contribute to the intensity and chronicity of pain states in this group of patients. (+info)Monoradiculopathy and secondary segmental instability caused by postoperative pars interarticularis fracture: a case report. (8/33)
Instability can develop after lumbar spinal surgery. What is also known as secondary segmental instability is one of the important causes of failed back syndrome. In this paper, we described a 45-year-old female patient who was diagnosed with secondary segmental instability caused by left L3 pars interarticularis fracture after a high lumbar disc surgery and was subsequently treated with re-operation. We evaluated the clinical course, diagnosis, and treatment methods for secondary segmental instability caused by postoperative pars interarticularis fracture. Furthermore, we emphasized the importance of preserving the pars interarticularis during upper lumbar disc surgeries in order to avoid a potential stress fracture. (+info)Failed Back Surgery Syndrome (FBSS) is not a formally recognized medical diagnosis, but rather a term that is used to describe the condition of patients who continue to experience chronic pain in the spine or legs after having undergone one or more spinal surgeries. FBSS does not necessarily mean that the surgery was performed incorrectly, but rather that it did not achieve the desired outcome of relieving the patient's pain.
The symptoms of FBSS can vary from person to person, but often include chronic pain in the back or legs, numbness or tingling sensations, muscle weakness, and decreased mobility. The exact cause of FBSS is not always clear, but it may be due to a variety of factors, such as nerve damage, scar tissue formation, or continued spinal instability.
Treatment for FBSS typically involves a multidisciplinary approach that may include medication, physical therapy, injections, and psychological support. In some cases, additional surgery may be recommended, but this is usually considered a last resort due to the risks involved and the fact that previous surgeries have not been successful.
The epidural space is the potential space located outside the dura mater, which is the outermost of the three membranes covering the brain and spinal cord (the meninges). This space runs the entire length of the spinal canal and contains fatty tissue, blood vessels, and nerve roots. It is often used as a route for administering anesthesia during childbirth or surgery, as well as for pain management in certain medical conditions. The injection of medications into this space is called an epidural block.
Back pain is a common symptom characterized by discomfort or soreness in the back, often occurring in the lower region of the back (lumbago). It can range from a mild ache to a sharp stabbing or shooting pain, and it may be accompanied by stiffness, restricted mobility, and difficulty performing daily activities. Back pain is typically caused by strain or sprain to the muscles, ligaments, or spinal joints, but it can also result from degenerative conditions, disc herniation, spinal stenosis, osteoarthritis, or other medical issues affecting the spine. The severity and duration of back pain can vary widely, with some cases resolving on their own within a few days or weeks, while others may require medical treatment and rehabilitation.
Tissue adhesions, also known as scar tissue adhesions, are abnormal bands of fibrous tissue that form between two or more internal organs, or between organs and the walls of the chest or abdominal cavity. These adhesions can develop after surgery, infection, injury, radiation, or prolonged inflammation. The fibrous bands can cause pain, restrict movement of the organs, and potentially lead to complications such as bowel obstruction. Treatment options for tissue adhesions may include medication, physical therapy, or surgical intervention to remove the adhesions.
Pulsed radiofrequency (PRF) treatment is a minimally invasive therapeutic procedure used in pain management and interventional medicine. It involves the use of electrical pulses, delivered via a specialized needle-like probe, to target specific nerves or nerve roots. These electrical pulses are delivered in a controlled and precise manner, at a frequency that does not cause heat damage to the surrounding tissues.
The goal of PRF treatment is to modulate the transmission of pain signals from the affected area to the brain, thereby reducing the perception of pain. The exact mechanism by which PRF works is not fully understood, but it is thought to involve changes in the electrical properties of nerve cells and the release of various chemical mediators that influence pain processing.
PRF treatment is typically performed under local anesthesia or conscious sedation, depending on the patient's preference and the specific procedure being performed. It is generally considered a safe and well-tolerated procedure, with few reported side effects. However, as with any medical intervention, there are potential risks and benefits that should be discussed with a qualified healthcare provider before undergoing treatment.
Electric stimulation therapy, also known as neuromuscular electrical stimulation (NMES) or electromyostimulation, is a therapeutic treatment that uses electrical impulses to stimulate muscles and nerves. The electrical signals are delivered through electrodes placed on the skin near the target muscle group or nerve.
The therapy can be used for various purposes, including:
1. Pain management: Electric stimulation can help reduce pain by stimulating the release of endorphins, which are natural painkillers produced by the body. It can also help block the transmission of pain signals to the brain.
2. Muscle rehabilitation: NMES can be used to prevent muscle atrophy and maintain muscle tone in individuals who are unable to move their muscles due to injury or illness, such as spinal cord injuries or stroke.
3. Improving circulation: Electric stimulation can help improve blood flow and reduce swelling by contracting the muscles and promoting the movement of fluids in the body.
4. Wound healing: NMES can be used to promote wound healing by increasing blood flow, reducing swelling, and improving muscle function around the wound site.
5. Muscle strengthening: Electric stimulation can be used to strengthen muscles by causing them to contract and relax repeatedly, which can help improve muscle strength and endurance.
It is important to note that electric stimulation therapy should only be administered under the guidance of a trained healthcare professional, as improper use can cause harm or discomfort.
A laminectomy is a surgical procedure that involves the removal of the lamina, which is the back part of the vertebra that covers the spinal canal. This procedure is often performed to relieve pressure on the spinal cord or nerves caused by conditions such as herniated discs, spinal stenosis, or tumors. By removing the lamina, the surgeon can access the affected area and alleviate the compression on the spinal cord or nerves, thereby reducing pain, numbness, or weakness in the back, legs, or arms.
Laminectomy may be performed as a standalone procedure or in combination with other surgical techniques such as discectomy, foraminotomy, or spinal fusion. The specific approach and extent of the surgery will depend on the patient's individual condition and symptoms.
The lumbar vertebrae are the five largest and strongest vertebrae in the human spine, located in the lower back region. They are responsible for bearing most of the body's weight and providing stability during movement. The lumbar vertebrae have a characteristic shape, with a large body in the front, which serves as the main weight-bearing structure, and a bony ring in the back, formed by the pedicles, laminae, and processes. This ring encloses and protects the spinal cord and nerves. The lumbar vertebrae are numbered L1 to L5, starting from the uppermost one. They allow for flexion, extension, lateral bending, and rotation movements of the trunk.
Treatment failure is a term used in medicine to describe the situation when a prescribed treatment or intervention is not achieving the desired therapeutic goals or objectives. This may occur due to various reasons, such as:
1. Development of drug resistance by the pathogen or disease being treated.
2. Inadequate dosage or frequency of the medication.
3. Poor adherence or compliance to the treatment regimen by the patient.
4. The presence of underlying conditions or comorbidities that may affect the efficacy of the treatment.
5. The severity or progression of the disease despite appropriate treatment.
When treatment failure occurs, healthcare providers may need to reassess the patient's condition and modify the treatment plan accordingly, which may include adjusting the dosage, changing the medication, adding new medications, or considering alternative treatments.
Low back pain is a common musculoskeletal disorder characterized by discomfort or pain in the lower part of the back, typically between the costal margin (bottom of the ribcage) and the gluteal folds (buttocks). It can be caused by several factors including strain or sprain of the muscles or ligaments, disc herniation, spinal stenosis, osteoarthritis, or other degenerative conditions affecting the spine. The pain can range from a dull ache to a sharp stabbing sensation and may be accompanied by stiffness, limited mobility, and radiating pain down the legs in some cases. Low back pain is often described as acute (lasting less than 6 weeks), subacute (lasting between 6-12 weeks), or chronic (lasting more than 12 weeks).
Epidural injection is a medical procedure where a medication is injected into the epidural space of the spine. The epidural space is the area between the outer covering of the spinal cord (dura mater) and the vertebral column. This procedure is typically used to provide analgesia (pain relief) or anesthesia for surgical procedures, labor and delivery, or chronic pain management.
The injection usually contains a local anesthetic and/or a steroid medication, which can help reduce inflammation and swelling in the affected area. The medication is delivered through a thin needle that is inserted into the epidural space using the guidance of fluoroscopy or computed tomography (CT) scans.
Epidural injections are commonly used to treat various types of pain, including lower back pain, leg pain (sciatica), and neck pain. They can also be used to diagnose the source of pain by injecting a local anesthetic to numb the area and determine if it is the cause of the pain.
While epidural injections are generally safe, they do carry some risks, such as infection, bleeding, nerve damage, or allergic reactions to the medication. It's important to discuss these risks with your healthcare provider before undergoing the procedure.
A syndrome, in medical terms, is a set of symptoms that collectively indicate or characterize a disease, disorder, or underlying pathological process. It's essentially a collection of signs and/or symptoms that frequently occur together and can suggest a particular cause or condition, even though the exact physiological mechanisms might not be fully understood.
For example, Down syndrome is characterized by specific physical features, cognitive delays, and other developmental issues resulting from an extra copy of chromosome 21. Similarly, metabolic syndromes like diabetes mellitus type 2 involve a group of risk factors such as obesity, high blood pressure, high blood sugar, and abnormal cholesterol or triglyceride levels that collectively increase the risk of heart disease, stroke, and diabetes.
It's important to note that a syndrome is not a specific diagnosis; rather, it's a pattern of symptoms that can help guide further diagnostic evaluation and management.
The lumbosacral region is the lower part of the back where the lumbar spine (five vertebrae in the lower back) connects with the sacrum (a triangular bone at the base of the spine). This region is subject to various conditions such as sprains, strains, herniated discs, and degenerative disorders that can cause pain and discomfort. It's also a common site for surgical intervention when non-surgical treatments fail to provide relief.
Fluoroscopy is a type of medical imaging that uses X-rays to obtain real-time moving images of the internal structures of the body. A continuous X-ray beam is passed through the body part being examined, and the resulting fluoroscopic images are transmitted to a monitor, allowing the medical professional to view the structure and movement of the internal organs and bones in real time.
Fluoroscopy is often used to guide minimally invasive procedures such as catheterization, stent placement, or joint injections. It can also be used to diagnose and monitor a variety of medical conditions, including gastrointestinal disorders, musculoskeletal injuries, and cardiovascular diseases.
It is important to note that fluoroscopy involves exposure to ionizing radiation, and the risks associated with this exposure should be carefully weighed against the benefits of the procedure. Medical professionals are trained to use the lowest possible dose of radiation necessary to obtain the desired diagnostic information.
Spinal stenosis is a narrowing of the spinal canal or the neural foramina (the openings through which nerves exit the spinal column), typically in the lower back (lumbar) or neck (cervical) regions. This can put pressure on the spinal cord and/or nerve roots, causing pain, numbness, tingling, or weakness in the affected areas, often in the legs, arms, or hands. It's most commonly caused by age-related wear and tear, but can also be due to degenerative changes, herniated discs, tumors, or spinal injuries.
Postoperative pain is defined as the pain or discomfort experienced by patients following a surgical procedure. It can vary in intensity and duration depending on the type of surgery performed, individual pain tolerance, and other factors. The pain may be caused by tissue trauma, inflammation, or nerve damage resulting from the surgical intervention. Proper assessment and management of postoperative pain is essential to promote recovery, prevent complications, and improve patient satisfaction.
Spinal cord stimulation (SCS) is a medical procedure that involves the use of an implanted device to deliver electrical pulses to the spinal cord. The pulses are intended to interrupt or mask the transmission of pain signals to the brain, thereby reducing the perception of pain. SCS is typically offered as a treatment option for patients with chronic pain who have not found relief from other therapies, such as medication or surgery.
During the procedure, electrodes are placed in the epidural space of the spinal cord, and connected to a pulse generator that is implanted under the skin, usually in the abdomen or buttocks. The patient can use a remote control to adjust the intensity and location of the stimulation, allowing them to customize the therapy to their individual pain patterns.
SCS is generally considered safe, although there are some risks associated with the procedure, such as infection, bleeding, and nerve damage. It is important for patients to discuss these risks with their healthcare provider before deciding whether to undergo SCS.
The spinal cord is a major part of the nervous system, extending from the brainstem and continuing down to the lower back. It is a slender, tubular bundle of nerve fibers (axons) and support cells (glial cells) that carries signals between the brain and the rest of the body. The spinal cord primarily serves as a conduit for motor information, which travels from the brain to the muscles, and sensory information, which travels from the body to the brain. It also contains neurons that can independently process and respond to information within the spinal cord without direct input from the brain.
The spinal cord is protected by the bony vertebral column (spine) and is divided into 31 segments: 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal. Each segment corresponds to a specific region of the body and gives rise to pairs of spinal nerves that exit through the intervertebral foramina at each level.
The spinal cord is responsible for several vital functions, including:
1. Reflexes: Simple reflex actions, such as the withdrawal reflex when touching a hot surface, are mediated by the spinal cord without involving the brain.
2. Muscle control: The spinal cord carries motor signals from the brain to the muscles, enabling voluntary movement and muscle tone regulation.
3. Sensory perception: The spinal cord transmits sensory information, such as touch, temperature, pain, and vibration, from the body to the brain for processing and awareness.
4. Autonomic functions: The sympathetic and parasympathetic divisions of the autonomic nervous system originate in the thoracolumbar and sacral regions of the spinal cord, respectively, controlling involuntary physiological responses like heart rate, blood pressure, digestion, and respiration.
Damage to the spinal cord can result in various degrees of paralysis or loss of sensation below the level of injury, depending on the severity and location of the damage.
Paresthesia is a medical term that describes an abnormal sensation such as tingling, numbness, prickling, or burning, usually in the hands, feet, arms, or legs. These sensations can occur without any obvious cause, often described as "pins and needles" or falling asleep in a limb. However, persistent paresthesia can be a sign of an underlying medical condition, such as nerve damage, diabetes, multiple sclerosis, or a vitamin deficiency. It is important to consult with a healthcare professional if experiencing persistent paresthesia to determine the cause and appropriate treatment.
Spinal cord injuries (SCI) refer to damage to the spinal cord that results in a loss of function, such as mobility or feeling. This injury can be caused by direct trauma to the spine or by indirect damage resulting from disease or degeneration of surrounding bones, tissues, or blood vessels. The location and severity of the injury on the spinal cord will determine which parts of the body are affected and to what extent.
The effects of SCI can range from mild sensory changes to severe paralysis, including loss of motor function, autonomic dysfunction, and possible changes in sensation, strength, and reflexes below the level of injury. These injuries are typically classified as complete or incomplete, depending on whether there is any remaining function below the level of injury.
Immediate medical attention is crucial for spinal cord injuries to prevent further damage and improve the chances of recovery. Treatment usually involves immobilization of the spine, medications to reduce swelling and pressure, surgery to stabilize the spine, and rehabilitation to help regain lost function. Despite advances in treatment, SCI can have a significant impact on a person's quality of life and ability to perform daily activities.
Implanted electrodes are medical devices that are surgically placed inside the body to interface directly with nerves, neurons, or other electrically excitable tissue for various therapeutic purposes. These electrodes can be used to stimulate or record electrical activity from specific areas of the body, depending on their design and application.
There are several types of implanted electrodes, including:
1. Deep Brain Stimulation (DBS) electrodes: These are placed deep within the brain to treat movement disorders such as Parkinson's disease, essential tremor, and dystonia. DBS electrodes deliver electrical impulses that modulate abnormal neural activity in targeted brain regions.
2. Spinal Cord Stimulation (SCS) electrodes: These are implanted along the spinal cord to treat chronic pain syndromes. SCS electrodes emit low-level electrical pulses that interfere with pain signals traveling to the brain, providing relief for patients.
3. Cochlear Implant electrodes: These are surgically inserted into the cochlea of the inner ear to restore hearing in individuals with severe to profound hearing loss. The electrodes stimulate the auditory nerve directly, bypassing damaged hair cells within the cochlea.
4. Retinal Implant electrodes: These are implanted in the retina to treat certain forms of blindness caused by degenerative eye diseases like retinitis pigmentosa. The electrodes convert visual information from a camera into electrical signals, which stimulate remaining retinal cells and transmit the information to the brain via the optic nerve.
5. Sacral Nerve Stimulation (SNS) electrodes: These are placed near the sacral nerves in the lower back to treat urinary or fecal incontinence and overactive bladder syndrome. SNS electrodes deliver electrical impulses that regulate the function of the affected muscles and nerves.
6. Vagus Nerve Stimulation (VNS) electrodes: These are wrapped around the vagus nerve in the neck to treat epilepsy and depression. VNS electrodes provide intermittent electrical stimulation to the vagus nerve, which has connections to various regions of the brain involved in these conditions.
Overall, implanted electrodes serve as a crucial component in many neuromodulation therapies, offering an effective treatment option for numerous neurological and sensory disorders.
Gabor B. Racz
Dirk De Ridder (neurosurgeon)
Neuromodulation (medicine)
Failed back syndrome
Neuropathic pain
Spinal cord stimulator
Buyck family
Sciatica
Epidural lysis of adhesions
Jaseng Hospital of Oriental Medicine
Neurostimulation
Sitting disability
Minimally invasive spine surgery
Breaking the chain
Bursitis
Broken finger
Hypopnea
Tethered spinal cord syndrome
Carpenter syndrome
Bertolotti's syndrome
Laminectomy
Chester v Afshar
Sprengel's deformity
Obstructed defecation
Latissimus dorsi muscle
Emerson, Lake & Palmer
Snapping scapula syndrome
Wittmann Patch
Alex Kiwomya
Landeros v. Flood
![Clinical insomnia and associated factors in failed back surgery syndrome: a retrospective cross-sectional study [Abstract]](data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAMAAAAoLQ9TAAAApVBMVEUAAADc7ffE4fKgqa0aICHi///f8Prt///////W9P/a6/Xp9Pju+v/h8/7o/P/0///Q8f/N6/3F4/TO7Punw9CVoaRfZmc2P0N4ho1XZWmhtr1/kpkuNDWwyNWjvMmGmqRWW1uJjpDZ7Otte4Dh9vW/1eJGUVJma2+Sp7MjKSnD4uyMmJmWq7Vkc3qFl6IOERDR3eNBSlAxMS9ERkY6Q0dbaHCfucrcAX3QAAAA10lEQVQYlTWN21aDMBREDxECSeWSQzSUS0OLFEpJMFr8/08T6nLWrHnYD3vgNY5pTGnsbctpkgLNiMgIbs0RmXyDd1UcVVnVzanWaQEtnOHSwYeGXILsr8UAL3443sIRcIZe1tN9A4GuwwpmDSUDE+3AqtAuq/a7SMHnHwjs0beujaZN+gTMjGDNdeLma5faR9b2IAs3l833flupxu9db5bKrAMMTlaufJyaZm3Noi6QsLR1KUOGeajHIAEqmBoDgQQxJ0Jw4OKnY0ieQSQcDh5PKPf+c/gFHi4U3dA6C38AAAAASUVORK5CYII=)
Clinical insomnia and associated factors in failed back surgery syndrome: a retrospective cross-sectional study [Abstract]
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FBSS26
- By worsening pain, mood, and physical functioning, insomnia could lead to the negative clinical consequences of patients with failed back surgery syndrome (FBSS). (medsci.org)
- Failed back surgery syndrome (FBSS) refers to the condition of patients who continue to experience pain after back surgery. (premieruclv.com)
- Persistent Spinal Pain Syndrome Type 2 (PSPS Type 2), formerly known as Failed Back Surgery Syndrome (FBSS), refers to a subset of patients who have new or persistent pain after spinal surgery for back or leg pain. (memberclicks.net)
- Failed back surgery syndrome (FBSS or FBS) is a condition in which a patient experiences back pain after surgery . (saratogaspine.com)
- In a study intended to explore gender differences in patients with failed back surgery syndrome (FBSS) or chronic visceral pain, men and women have. (neuronewsinternational.com)
- Failed Back Surgery Syndrom (FBSS) is a condition that occurs in patients who have had one or more lower back surgeries without long-term relief of symptoms, and they have persistent or recurring pain in their lower back and legs. (nourianmd.com)
- This is often referred to as failed back surgery syndrome (FBSS). (innovativehealthandwellness.net)
- FBSS, according to various experts, is the chronic back or neck pain that occurs when a spine surgery doesn't achieve its expected results. (innovativehealthandwellness.net)
- Failed Back Surgery Syndrome (FBSS) or Failed Back Syndrome is a general term used to describe a condition where patients experience continued pain or discomfort after undergoing back or spine surgery. (kamranaghayev.com)
- Given the complexity of FBSS, revision surgery is often required, which can entail a variety of surgical interventions. (kamranaghayev.com)
- Is Old Age a Primary Risk Factor for Failed Back Surgery Syndrome (FBSS)? (discectomy.net)
- That is a story that demands to be read by anyone who suffers from back or neck pain, but worries that he or she might have missed the window for safely undergoing back surgery without a dramatically increased risk for failed back surgery syndrome (FBSS) due to advanced age. (discectomy.net)
- This is commonly known as Failed Back Surgery Syndrome (FBSS). (sydneylaserhealthsolutions.com.au)
- Verdolin M, Hatheway J, Roy L. A large retrospective, multi-center cohort study evaluating a novel SCS workflow for Failed Back Surgery Syndrome (FBSS) back and leg pain: final analysis with 3+ month outcomes. (clinicalpainadvisor.com)
- Failed back surgery syndrome (FBSS) can occur when a traditional open spine surgery does not effectively treat a patient's spine condition, or when it causes new pain or symptoms to arise. (usaspinecare.com)
- The painful symptoms of FBSS can be as bad, if not worse, than the original spinal condition that the failed surgery was intended to treat. (usaspinecare.com)
- Our board-certified surgeons+ perform minimally invasive procedures that may be able to help you find relief from your FBSS neck or back pain. (usaspinecare.com)
- Failed back surgery syndrome (FBSS) occurs when a spinal procedure is not successful at treating your neck or back pain. (usaspinecare.com)
- If you experience these symptoms or are not seeing improvement in your condition following surgery, you'll want to consult with a physician to determine if it is due to FBSS. (usaspinecare.com)
- The board-certified + surgeons at USA Spine Care specialize in providing minimally invasive spine surgery that can be appropriate as an initial spinal procedure or to address FBSS. (usaspinecare.com)
- Failed back surgery syndrome (FBSS) is a term that applies to symptoms such as persistent or recurring low back pain, paresthesia, sciatica, or numbness after spine surgery. (e-jar.org)
- To study the role of magnetic resonance neurography (MRN) of the lumbosacral plexus in management of patients with failed back surgery syndrome (FBSS). (elsevierpure.com)
- FBSS is one of the major problems in health care, affecting up to 40% of patients after spine surgery. (elsevierpure.com)
- Failed Back Surgery Syndrome (FBSS) occurs in 10-40% of patients treated surgically due to disk herniation (DH). (bvsalud.org)
- Failed back surgery syndrome (FBSS) is defined as persistent or recurrent pain despite having had spinal surgery. (rxwiki.com)
- By some estimates, up to 40% of spinal surgeries result in FBSS. (rxwiki.com)
Post laminectomy syndrome3
- What is Post Laminectomy Syndrome? (saratogaspine.com)
- Post laminectomy syndrome is a type of FBS. (saratogaspine.com)
- Many factors influence whether a patient will develop post laminectomy syndrome. (saratogaspine.com)
Complex regional4
- He has worked in the field of chronic back pain and complex regional pain syndrome (CRPS). (wikipedia.org)
- Complex regional pain syndrome is a chronic pain condition that most often affects the arms, legs, hands, or feet. (medtronic.com)
- He has extensive experience treating cancer pain, neuropathic pain, complex regional pain syndrome, chronic spinal pain, sciatica, spinal stenosis, and musculoskeletal pain of the back and neck. (spine-health.com)
- complex regional pain syndrome (CRPS) was strong for short-term pain relief and moderate for long-term relief. (medscape.com)
Lumbar spine4
- Results After the persistent pain following lumbar spine surgery worsened, 63.4% of patients reported a change from mild to severe insomnia. (medsci.org)
- Estimates suggest that 10-40% of lumbar spine surgery patients experience persistent post-surgical pain (PPSP). (frontiersin.org)
- This report describes the integration of an online, live-instructor delivered single-session pain self-management intervention (Empowered Relief) into the standard of care for lumbar spine surgery. (frontiersin.org)
- Global estimates suggest that close to 313 million surgeries are performed annually ( 1 ) with approximately 500,000 lumbar spine surgeries each year in the United States ( 2 ). (frontiersin.org)
Pain syndrome1
- A newer term, "persistent spinal pain syndrome," has been proposed by pain management physicians. (memberclicks.net)
Treatments6
- Even with easy access to chiropractic treatments, acupuncture and other alternative health care, many Americans still choose to undergo invasive back surgery rather than attempt less painful modes of care. (innovativehealthandwellness.net)
- In 2019, U.S. Health and Human Services identified brief and digital behavioral treatments as important for pain management after surgery. (frontiersin.org)
- The Vanderbilt Spine Center provides innovative non-surgical and surgical treatments for back and neck pain, sciatica and other spine conditions. (vanderbilthealth.com)
- Spine intervention consists of a wide range of treatments for the neck, lower and mid-back conditions. (floridaortho.com)
- The bottom line is that SCS can help some people when other treatments have failed. (rxwiki.com)
- But let's say you have chronic back pain that hasn't been helped by other treatments, including surgery. (rxwiki.com)
Symptoms of Failed Back Sur1
- Symptoms of failed back surgery syndrome include dull and aching pain involving the back or neck and possibly the legs and even arms. (innovativehealthandwellness.net)
Undergone3
- If you've undergone back surgery and continue to experience back pain your doctor will likely describe your condition as failed back surgery syndrome. (saratogaspine.com)
- For those in Woodstock who have undergone the painful and invasive procedure of back surgery, yet still suffer from chronic pain, relief is available. (innovativehealthandwellness.net)
- W e've noticed in our clinic that quite a number of patients have undergone invasive back surgeries due to chronic pain. (sydneylaserhealthsolutions.com.au)
CRPS1
- CRPS usually develops in a limb after an injury (such as a broken bone) or surgery. (medtronic.com)
Causes of Failed Back Sur2
- What are the Causes of Failed Back Surgery Syndrome? (saratogaspine.com)
- There are a number of causes of failed back surgery syndrome, some of which occur as a result of an error during surgery (less likely), or because of a misdiagnosis and therefore improper treatment. (globalneuroandspine.com)
Minimally invasive7
- Download your minimally invasive spine surgery info packet and receive our e‑newsletter. (usaspinecare.com)
- Whether or not you have had spine surgery before, the minimally invasive procedures available at USA Spine Care are a safer and effective alternative to traditional surgery. (usaspinecare.com)
- It is a minimally invasive, percutaneous intervention for treating chronic spinal pain often due to scarring after post lumbar surgery syndrome, sometimes called failed back surgery, and also low-back and radicular pain from spinal stenosis, a disease of aging. (wikipedia.org)
- Dr. Christopher Yeung is a board-certified, fellowship-trained orthopedic spine surgeon, with a special interest in minimally invasive spine surgery techniques with a philosophy of choosing the least invasive yet most effective method to treat spine problems. (sciatica.com)
- Learn more about this innovative and minimally invasive spine surgery in this article! (sciatica.com)
- Also, new interventional spine techniques are an exceptional, minimally invasive alternative to conventional surgery. (floridaortho.com)
- An Epidural Steroid Injection can relieve your neck, back, leg and even arm pain caused by inflamed spinal nerves by way of a minimally-invasive procedure. (floridaortho.com)
Spinal cord stimul7
- Large, carefully conducted clinical trials have shown spinal cord stimulation to have superior results, at lower cost, than repeat back surgery for the treatment of PSPS Type 2. (memberclicks.net)
- Novel 10-kHz High-frequency Therapy (HF10 Therapy) Is Superior to Traditional Low-frequency Spinal Cord Stimulation for the Treatment of Chronic Back and Leg Pain: The SENZA-RCT Randomized Controlled Trial. (spine-health.com)
- Both the trial period and insertion of most permanent spinal cord stimulation devices involve an implant and surgery. (spine-health.com)
- A novel standardized spinal cord stimulation (SCS) workflow may effectively and consistently alleviate back and leg pain associated with failed back surgery syndrome, according to research presented at the American Academy of Pain Medicine Annual Meeting , held April 25 to 29, 2018, in Vancouver, Canada. (clinicalpainadvisor.com)
- Robb LP, Cooney JM, McCrory CR, Evaluation of spinal cord stimulation on the symptoms of anxiety and depression and pain intensity in patients with failed back surgery syndrome. (tcd.ie)
- Spinal cord stimulation has been demonstrated as a therapeutic option for patients with persistent lumbar radicular pain secondary to failed back surgery syndrome. (iasp-pain.org)
- You should discuss spinal cord stimulation (SCS) therapy with your doctor if you have continued, disabling, radiating pain following surgery for a herniated disc. (rxwiki.com)
Laminectomy2
- It describes a patient who experiences back pain after a specific procedure called laminectomy . (saratogaspine.com)
- This case report demonstrates a successful percutaneous spinal cord stimulator (SCS) trial followed by surgical placement of a permanent SCS to treat lumbar radicular pain and axial low back pain in a patient with severe thoracolumbar scoliosis status after laminectomy and spinal fusion surgery. (iasp-pain.org)
Undergo5
- The exact prevalence of failed back surgery syndrome (FBBS) is not well-documented, but current estimates put the number anywhere between 20 to 40 percent of patients who undergo low back surgery. (globalneuroandspine.com)
- The bottom line, according to a Royal College of Surgeons study in Great Britain, was that the primary factor in determining whether a patient should undergo a particular type of surgery is not age, but overall health. (discectomy.net)
- The decision to undergo invasive surgery for chronic pain is sometimes unavoidable, but this should really be the absolute last resort, when all other treatment options have been exhausted. (sydneylaserhealthsolutions.com.au)
- There is always some risk involved when choosing to undergo spinal surgery, but the likelihood of having failed back surgery syndrome increases with how invasive the procedure is. (usaspinecare.com)
- The NORDSTEN (Norwegian Degenerative Spinal Stenosis) trial included 437 patients scheduled to undergo surgical decompression for lumbar spinal stenosis, with the following MRI findings being evaluated before surgery: morphologic (Schizas) and quantitative (cross-sectional area) grade of stenosis, disc degeneration (Pfirrmann), facet joint tropism, and fatty infiltration of the multifidus muscle. (medscape.com)
Injections2
- At Premier Urgent Care, patients with failed back surgery syndrome can experience lasting pain relief from injections and pain management techniques. (premieruclv.com)
- Evaluation of transforaminal epidural steroid injections for discogenic axial lumbosacral back pain utilizing PROMIS as an outcome measure. (rochester.edu)
Disc herniation5
- Includes recurrent spinal stenosis or disc herniation, inadequate decompression of a nerve root, preoperative nerve damage that fails to heal after surgery, and nerve damage caused by surgery. (premieruclv.com)
- The contributing factors may vary, ranging from a recurrent disc herniation to a failed spinal fusion. (kamranaghayev.com)
- The two most common scenarios that necessitate revision surgery are recurrent disc herniation and failed fusion. (kamranaghayev.com)
- When the problem is a recurrent disc herniation or a failed fusion, fusion surgery is often the treatment of choice. (kamranaghayev.com)
- Recurrent Disc Herniation After Spine Surgery - Another common cause of recurrent pain after spine surgery is a recurrent disc herniation. (globalneuroandspine.com)
Complication2
- While failed back surgery syndrome is a condition that most often occurs after a surgery to the spine, this complication can occur after almost any back surgery, although it is most likely after surgeries to the back or neck. (globalneuroandspine.com)
- Between 5 to 40% of patients undergoing back surgeries experience this complication. (sydneylaserhealthsolutions.com.au)
Patients20
- Background Insomnia frequently occurs to patients with persistent back pain. (medsci.org)
- Failed Back Surgery Syndrome is a term used to describe the condition of patients who have not had a successful result following back surgery and have continued back pain after surgery. (ozziesmithcenter.com)
- The number one reason back surgeries are not effective and why some patients experience pain after surgery is because the anatomy operated on is not in fact the cause of the pain. (ozziesmithcenter.com)
- Most patients coming to therapy with Failed Back Surgery Syndrome have had traditional physical therapy in the past and are reluctant to try it again because it simply didn't work in the past. (ozziesmithcenter.com)
- Patients with failed back surgery syndrome may experience a wide range of potential symptoms depending on the area affected, the cause of the condition, and complications. (globalneuroandspine.com)
- Vital Steps Chiropractic has been helping patients with back pain for years, and we have experience helping patients in Lancaster, SC avoid surgery. (vitalstepschiropractic.com)
- Yet their pain has persisted post-surgery with a number of my patients even reporting worsened pain due to new scars. (sydneylaserhealthsolutions.com.au)
- Whilst Low Level Laser is very effective in helping to manage the side effects and pain post-surgery, I often wish I had the opportunity to see these patients before they go under the knife. (sydneylaserhealthsolutions.com.au)
- We've been treated hundreds of patients with acute and chronic back pain, with many getting their lifestyle back from debilitating pain. (sydneylaserhealthsolutions.com.au)
- In this retrospective study, the deidentified records of 114 patients treated with SCS workflow for failed back surgery syndrome at 7 different centers between July 2016 and September 2017 were analyzed. (clinicalpainadvisor.com)
- Results are typical, but not guaranteed, each patients experience with spine surgery will differ. (usaspinecare.com)
- After surgery, patients will experience some pain as they heal from the surgery. (usaspinecare.com)
- A follow-up study performed for more than 10 years showed that 74.6% of patients had residual LBP after surgery. (e-jar.org)
- Up to 80% of spine surgery patients experience post-surgery discomfort ( 3 ) and 20% will experience persistent post-surgical pain (PPSP). (frontiersin.org)
- The perioperative period is a critical time to apply non-pharmacological interventions that target pre-surgery anxiety, help patients set reasonable expectations for surgery, and support lifestyle behaviors that facilitate recovery after surgery, including adaptive skills to self-manage acute post-operative pain. (frontiersin.org)
- The COVID-19 pandemic has created major symptom challenges for patients seeking pain care and spine surgery, including exacerbated pain, increased distress, and decreased health promoting behaviors, such as physical activity ( 6 ). (frontiersin.org)
- Pain DETECT: A new screening questionnaire to identify neuropathic components in patients with back pain. (medigraphic.com)
- Kaki AM, Youseif E. Identifying neuropathic pain among patients with chronic low-back pain: use of the leeds assessment of neuropathic symptoms and signs pain scale. (medigraphic.com)
- For some patients, relief from back pain doesn't have to mean surgery. (floridaortho.com)
- He has cared for patients with hantavirus cardiopulmonary syndrome since 1993. (cdc.gov)
Joint Pain2
- The best pain care center Trissur focusses on the management of acute pain, back pain, chronic pain, pain in head, nerve pain, disease pain, neck pain, cancer pain , joint pain and disk pain. (viesearch.com)
- PCA pain care center is dedicated to relieving back pain, neck pain, joint pain, cancer pain , bursitis, shingles with Tucson pain management doctors. (viesearch.com)
Cancer Pain2
- Get the news for all type of advanced pain management for severe cancer pain and other type of pains like pain less delivery in Kolkata, back pain treatment in Kolkata etc. (viesearch.com)
- Radiance Pain Management Hospital provides best pain management services like chronic pain management, back pain, knee pain, neck pain, cancer pain etc. (viesearch.com)
Occurs1
- Improper Preoperative Patient Selection Before Back Surgery - This is the most common cause of failed back surgery syndrome, and often occurs from a misdiagnosis, leading to the wrong area being treated or the wrong treatment being provided. (globalneuroandspine.com)
Facet1
- Facet joint syndrome. (sciatica.com)
Experience3
- some even experience new pain after surgery. (innovativehealthandwellness.net)
- Our team has been recognized for high quality spine surgery care and outstanding patient experience. (vanderbilthealth.com)
- If you experience lower back pain symptoms for over a month that have not responded to more conservative measures (physical therapy, massage or anti-inflammatory medications) and find yourself growing less and less able to participate in rehabilitation efforts, consider a consultation for spine intervention with our specialists. (floridaortho.com)
Relieve2
- If back surgery fails to relieve your back pain, you may want to think about electoral stimulation of the spine. (rxwiki.com)
- It is a safer alternative than taking opioids to relieve back pain. (rxwiki.com)
Fibrosis1
- Metalloproteinase-2 in failed back surgery syndrome caused by epidural fibrosis: can it play a role in persistent pain? (bvsalud.org)
Surgical4
- Treating Failed Back Surgery Syndrome is a complex process requiring an accurate diagnosis, meticulous surgical technique, and a comprehensive rehabilitation plan. (kamranaghayev.com)
- Failed back surgery syndrome refers to a group of conditions that can occur after undergoing a surgical procedure involving the back. (globalneuroandspine.com)
- So, if you are a senior who needs back surgery to treat a degenerative spine condition but feel your age may be a barrier to receiving surgical treatment, don't feel like you're alone. (discectomy.net)
- One report documented up to one-third of delayed elective spine surgeries remained rescheduled 8 months later, with fears of COVID-19 exposure cited as the primary reason for surgical deferment ( 8 ). (frontiersin.org)
Spine Care1
- To learn more about the benefits of walking in easing the pain and discomfort associated with failed back surgery syndrome, as well as how USA Spine Care can help you find lasting relief, read the following article. (usaspinecare.com)
Alleviate2
- He was able to alleviate my back pain. (nourianmd.com)
- The Times of India also reported that the guru was up and walking again within four days of his procedure, and he attributed his quick recovery from surgery to alleviate the symptoms of a prolapsed disc to his own inner strength and will power. (discectomy.net)
Procedure3
- It's important to note that revision surgery is more technically challenging than the initial procedure. (kamranaghayev.com)
- The procedure is somewhat similar to an epidural and is used when conventional methods have failed. (wikipedia.org)
- Before you pursue an endoscopic rhizotomy for chronic low back pain, it's helpful to know what to expect with the procedure. (sciatica.com)
Scar tissue1
- The pain can be reduced but still present, or may get worse within a few months after surgery due to a buildup of scar tissue around spinal nerve roots, along with persistent tissue pain and muscle spasm. (memberclicks.net)
Discomfort1
- Interventional treatment options are often more efficient and effective than traditional therapy for your spine (back and neck) pain and discomfort. (floridaortho.com)
Spasms1
- Chronic lower back pain or spasms. (sciatica.com)
Treatment6
- Severe back pain may require advanced treatment, such as chiropractic adjustment, physical therapy, and additional surgery. (premieruclv.com)
- We know that people who have failed spine surgery can be hesitant to try a new treatment approach when nothing has worked, and that's why we offer free consultations to discuss your pain and how The Ozzie Smith Centers of Springfield can help you get back to living your life. (ozziesmithcenter.com)
- Because failed back surgery syndrome has so many potential causes, there is no single treatment for this condition. (globalneuroandspine.com)
- REDWOOD CITY, Calif. , Nov. 20, 2023 /PRNewswire/ -- Nevro Corp. (NYSE: NVRO), a global medical device company that is delivering comprehensive, life-changing solutions for the treatment of chronic pain, today announced the publication of new 24-month data from the SENZA Nonsurgical Refractory Back Pain (NSRBP) multicenter randomized controlled trial (RCT) in the Journal of Neurosurgery: Spine . (mywabashvalley.com)
- Ozone Therapy as a Treatment for Low Back Pain Secondary to Herniated Disc: A Systematic Review and Meta-analysis of Randomized Controlled Trials Pain Physician. (medigraphic.com)
- He was the site principal investigator for a CDC sponsored open trial of IV Ribavirin and subsequently the overall principle investigator through a National Institutes of Health collaborative antiviral study group sponsored controlled trial of IV Ribavirin for the treatment of hantavirus cardiopulmonary syndrome in North America. (cdc.gov)
Insomnia1
- Kim, S.H. Clinical insomnia and associated factors in failed back surgery syndrome: a retrospective cross-sectional study. (medsci.org)
Chronic lower back2
- Since chronic lower back pain is one of the most common complaints among the general population, with an estimated 60 to 80% of people dealing with it at some point in their lives, it's a critical issue to address. (sciatica.com)
- Efficacy of pulsed electromagnetic therapy for chronic lower back pain: a randomized, double-blind, placebocontrolled study. (medigraphic.com)
Refers1
- The term refers to a condition of continuing pain and is not meant to imply there was necessarily a problem during surgery. (memberclicks.net)
Diagnosis1
- [ 10 ] Because of the variable causes of spinal stenosis, imaging of the spine remains central to the diagnosis and the presurgical and postsurgical management of the patient with symptomatic back pain. (medscape.com)
Definition1
- Van Buyten JP, Linderoth B. The failed back surgery syndrome: definition and therapeutic algorithms anupdate. (medigraphic.com)
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