Failed Back Surgery? There's Still Hope for Pain Relief

Following back surgery, between 10% and 40% of people experience persistent or recurring back pain, known as failed back surgery or failed back surgery syndrome (FBSS). 

When pain continues or returns, it’s disappointing. So much so, you may even wonder if surgery was the right option in the first place. 

At Sunshine Spine and Pain Specialists, PLLC, in Sarasota, Florida, our team of interventional pain doctors regularly assists people experiencing FBSS. 

Keep reading to learn what FBSS is, why it sometimes occurs, and what modern treatment options may help get your recovery back on track. 

What is failed back surgery syndrome?

Failed back surgery syndrome (FBSS) is a condition that causes persistent or recurring pain, numbness, or tingling following back surgery. 

These symptoms can range from mild to severe, but they often affect mobility and may involve the back, legs, or both. This ongoing pain leaves many patients wondering why their initial operation didn’t offer the relief that it promised.

The causes of FBSS vary, but some of the most common include:

• Scar tissue (fibrosis)
• Recurrent disc herniation
• New spinal problems, such as spinal stenosis (spinal narrowing)
• Incomplete decompression
• Failed fusion
• Spinal instability
• Technical complications during surgery

Regardless, just because your initial operation failed doesn’t necessarily mean you have to accept pain as part of your future. A variety of treatment options exist that can ease discomfort, restore mobility, and help you feel better. 

How to tell if you’re experiencing FBSS

Determining whether you’re experiencing FBSS isn’t always easy. After spinal surgery, it’s normal to have pain, swelling, and mobility issues. However, these symptoms typically improve within a few weeks or months and become less noticeable over time.

The good news is that there are certain signs to watch out for. These include:

• Pain that never improves or returns a few months later
• New nerve pain, numbness, or weakness
• Difficulty standing, walking, or sleeping due to pain
• Emotional symptoms related to ongoing pain, such as frustration or loss of confidence

If you experience any of these issues, even if only on occasion, don’t wait to get evaluated by a qualified professional. Prompt treatment can help prevent FBSS from worsening and improve your quality of life. 

Modern pain relief options that can help manage FBSS

Before we develop a personalized FBSS treatment plan, we review your health history, ask about your symptoms, and complete a comprehensive exam and imaging. 

This allows us to identify underlying issues, such as nerve compression or herniated discs, that might be responsible for your ongoing or recurring pain.

After gathering the necessary info, we may recommend:

Regenerative medicine

Regenerative medicine procedures, such as platelet-rich plasma (PRP) therapy and stem cell therapy, use natural growth factors found in the body to promote healing. 

When injected into carefully selected areas, such as a herniated disc or a compressed spinal nerve, these treatments may help improve blood flow, calm irritated tissues, and support the body’s natural healing process.

In some cases, regenerative medicine provides additional support during recovery and helps address lingering symptoms after surgery.

Medication management

Some causes of FBSS, such as spinal stenosis, require specialized pain management. Medications can be used strategically to target specific symptoms, including nerve pain, inflammation, and muscle spasms, often as part of a broader treatment plan. 

Physical therapy and targeted rehabilitation

FBSS is often worsened by weak core muscles, stiffness, and reduced mobility following surgery. A physical therapy program featuring targeted stretches and strengthening exercises can address your unique weaknesses and make it easier to move safely and comfortably. 

There is help for failed back surgery syndrome

If you’re experiencing post-surgical pain and worry you may have failed back surgery syndrome, schedule an appointment at Sunshine Spine and Pain Specialists, PLLC. Our experienced team can create a custom treatment plan to help you feel better.