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Failed Back Surgery Syndrome

Post Laminectomy Syndrome

POST LAMINECTOMY SYNDROME or FAILED LOW BACK SURGERY SYNDROME - is a condition that 

sometimes occurs after Cervical, Thoracic, or Lumbar spine surgery.  It may happen after any open

surgery where the spine is exposed, such as open surgery for disc herniations, spinal stenosis, cervical or lumbar fusions and others.  If the initial surgery is successful, symptoms usually improve or disappear for a time, then after a period of time similar symptoms to the ones which caused you to have surgery in the first place may reoccur.  This is because scar tissue may form around spinal nerves where they were

manipulated during surgery.  The scar tissue may cause irritation or be pulling on these nerves and cause

your pain to recur.  If this happens, usually more surgery will only cause more scar tissue to form, and the condition to worsen.  Fortunately, this condition does not routinely occur after open surgery.  

TREATMENT initially Physical Therapy and pain medications may help somewhat.  Usually a medication

which treats nerve pain such as Gabapentin (Neurotin) or Pregablin (Lyrica) or others, as well as a 

narcotic medication may be tried.  Should these fail, treatments that will usually be helpful are:

 

1. EPIDURAL STEROID INJECTION

2. EPIDURAL LYSIS of ADHESIONS

3. SPINAL CORD STIMULATOR

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