Failed Back Syndrome (Post-Laminectomy Syndrome)

Covenant Spine & Neurology offers comprehensive evaluation and treatment for Failed Back Syndrome (FBS), also known as Post-Laminectomy Syndrome. This condition describes persistent or recurring pain following spinal surgery. While many procedures successfully relieve discomfort, some patients may continue to experience pain due to residual nerve irritation, scar tissue, or unresolved structural issues. Our team specializes in identifying the underlying cause of post-surgical pain and providing effective treatment options to help patients regain comfort, mobility, and confidence.

Understanding Failed Back Syndrome

Failed Back Syndrome can occur when spinal surgery does not fully address the original problem or when new complications arise during the healing process. Scar tissue formation, incomplete decompression of nerves, or degenerative changes in adjacent areas of the spine can all contribute to lingering symptoms. In many cases, the condition is not the result of a “failed” procedure, but rather the natural complexity of spinal healing and the body’s response to surgery.

Symptoms of Failed Back Syndrome

Common symptoms of Failed Back Syndrome may include:

 

  • Chronic back or leg pain that persists after spinal surgery

  • Tingling, numbness, or weakness in the arms or legs

  • Reduced flexibility and mobility that interfere with daily activities

  • Dependence on pain medication for temporary relief

Symptoms may vary based on the type and location of the original surgery, as well as the severity of nerve involvement.

Diagnosis

Accurate diagnosis is essential to developing a successful treatment plan. Evaluation may include:

 

  • Comprehensive Physical and Neurological Exams: Assessing movement, strength, and reflexes.

  • Imaging Studies: MRI or CT scans to evaluate scar tissue, hardware placement, and spinal alignment.

  • Diagnostic Injections: Used to pinpoint the exact source of pain within the spine.

Treatment Options for Failed Back Syndrome

At Covenant Spine & Neurology, treatment plans are tailored to address both the physical and neurological components of persistent post-surgical pain.

 

Nonsurgical Treatments

  • Epidural Steroid Injections (ESI): Target inflammation around the spinal nerves to reduce pain and swelling.

  • Physical Therapy & Rehabilitation: Strengthens muscles, improves posture, and enhances flexibility.

  • Pain Management: Focused on reducing discomfort while minimizing dependence on medication.

Advanced Treatments

  • Spinal Cord Stimulation (SCS): A small device implanted near the spine delivers mild electrical pulses to interrupt pain signals before they reach the brain.

  • Minimally Invasive Revision Surgery: Corrects any residual structural or mechanical problems from the original procedure, using smaller incisions and faster recovery times.

Long-Term Management

With the right care and follow-up, many patients experience meaningful pain relief and improved function. Maintaining good spinal health, engaging in regular exercise, and following a personalized rehabilitation plan can help prevent symptoms from returning.

Schedule a Consultation

If you are still experiencing pain after spinal surgery, Covenant Spine & Neurology can help. Our team will perform a thorough evaluation to identify the cause of your discomfort and develop a comprehensive plan to restore your quality of life. Contact us today to schedule a consultation and explore your options for long-term relief or click here to find one of our locations near you.

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For more information or to schedule an appointment call us at 336-761-4020.

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