Failed back syndrome

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WHAT IS IT?

Failed back syndrome or post-laminectomy syndrome is a condition characterized by persistent pain following back surgeries. Failed back syndrome (FBS), also called "failed back surgery syndrome" (FBSS), refers to chronic back and/or leg pain that occurs after back (spinal) surgery.

It is characterized as a ---chronic pain syndrome.

 

Contributing factors include
  1. Residual or recurrent disc herniation
  2. Persistent post-operative pressure on a spinal nerve
  3. Altered joint mobility
  4. Joint hypermobility with instability
  5. Scar tissue (fibrosis)
  6. Depression
  7. Anxiety
  8. Sleeplessness
  9. Spinal muscular deconditioning.

An individual may be predisposed to the development of FBS due to systemic disorders such as diabetes, autoimmune disease and peripheral blood vessels (vascular) disease. Smoking is a risk for poor recovery.

 
Common symptoms
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associated with FBS include diffuse, dull and aching pain involving the back and/or legs. Abnormal sensibility may include sharp, pricking, and stabbing pain in the extremities

 
The treatments of post

physical therapy, minor nerve blocks, transcutaneous electrical nerve stimulation (TENS), behavioral medicine, non-steroidal anti-inflammatory (NSAID) medications, membrane stabilizers, antidepressants, spinal cord stimulation, and intrathecal morphine pump. Use of epidural steroid injections may be minimally helpful in some cases. The targeted anatomic use of a potent anti-inflammatory anti-TNF therapeutics is being investigated

 
Resistant cases
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spinal cord stimulation.

 
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