What is Failed Back or Neck Syndrome and How Can It Be Treated?

Failed back or neck syndrome, commonly referred to as Failed Back Surgery Syndrome (FBSS), is a condition that describes patients who continue to experience pain even after undergoing spine treatment or surgery. This persistent or recurrent discomfort can affect the lower back and/or legs, and its causes are manifold.
Illustration of Failed Back Syndrome

Several reasons may contribute to the onset of FBSS. These include surgical nerve damage, the formation of scar tissue, inflammation or infections, muscle strain, and poor body mechanics. Structural problems with the spine or even an incorrect initial diagnosis can also play a part. Axial spinal pain, encompassing both low back or neck pain, is a prevalent symptom in post-laminectomy syndrome. This discomfort often stems from abnormalities in the structures in or around the spinal column. Among the causes, muscle spasm, usually due to trauma or poor muscle conditioning, stands out as a notable factor.

For almost three decades, Spinal Cord Stimulation (SCS) has emerged as a promising treatment for many stubborn back pain conditions. When it comes to FBSS, SCS has shown significant efficacy. A recent randomized controlled trial even showcased the remarkable superiority of SCS over conventional medical therapy for treating patients diagnosed with FBSS.

Treating Failed Back or Neck Syndrome often necessitates a blend of patience and versatility. Multiple approaches, ranging from non-invasive and minimally invasive to support therapies, might be required to alleviate the symptoms. In some cases, another round of corrective surgery might be the most suitable course of action. For those seeking guidance on structural surgery, neuromodulation, or a combination of both, institutions like Northwell Neurosurgery provide a beacon of hope.

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Furthermore, for individuals keen on exploring a plethora of pain disorders, Stanford’s Functional Neurosurgery Program offers treatments for conditions such as causalgia, chronic pain, glossopharyngeal neuralgia, neuropathic pain, and reflex sympathetic dystrophy. Learn more at Stanford’s Functional Neurosurgery Division.

To conclude, while FBSS can indeed seem daunting to many patients, it is crucial to remember that there are a multitude of treatments available. With proper medical guidance and persistence, alleviating the pain associated with Failed Back or Neck Syndrome is a tangible reality.

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