When to Seek Treatment for Failed Back Surgery

Undergoing spine surgery is often a hopeful step toward relief from chronic pain, but, unfortunately, that expected improvement and relief do not materialize for some patients. Instead, they continue to experience discomfort, mobility issues, or even worsening symptoms, a condition known as Failed Back Surgery Syndrome (FBSS).

At ADR Spine, we understand how devastating it can be to go through the financial and time investment required for surgery and not find the relief you need. Founded and led by leading spinal neurosurgeon Dr. Todd H. Lanman, our team evaluates complex spinal cases and develops innovative, personalized plans to address these cases of ongoing pain after back surgery.

Understanding Failed Back Surgery Syndrome (FBSS)

Failed Back Surgery Syndrome is the general term used when a patient experiences persistent or recurring pain following one or more spinal procedures. FBSS is not a single diagnosis but an umbrella term that can describe several underlying issues.

Common Symptoms of FBSS

• Ongoing back or neck pain
• Radiating pain in the arms or legs
• Numbness, tingling, or weakness in the limbs
• Limited mobility or difficulty performing daily activities

These symptoms can emerge shortly after surgery or develop months or even years later.

Causes of Failed Back Surgery

Several factors may contribute to FBSS, including:

Inadequate Initial Diagnosis: If the original cause of pain was not correctly identified, the procedure may not have targeted the right spinal level or condition.

Surgical Complications: Issues such as nerve damage, infection, or incomplete decompression can lead to ongoing or new symptoms.

Hardware Problems: Malpositioned, broken, or loosened surgical implants can cause irritation or instability.

Adjacent Segment Disease: Fusing one level of the spine may increase stress on the levels above or below, leading to new degeneration and pain.

Recurrent Disc Herniation: A previously treated disc may herniate again, or a nearby disc may become symptomatic.

Scar Tissue Formation: Epidural fibrosis, or the development of scar tissue near spinal nerves, can lead to nerve irritation and chronic pain.

Patient-Related Factors: Smoking, obesity, and certain medical conditions can affect healing and outcomes.

Recognizing When to Seek Additional Treatment

It may be time to consult a specialist if you experience:

• Pain that persists beyond the normal recovery period
• New or worsening neurological symptoms
• Decreased ability to move or perform everyday tasks
• Imaging that reveals continued or new spinal issues

Treatment Options for Failed Back Surgery

Non-Surgical Treatments

Many patients with FBSS benefit from conservative therapies. These include:

• Physical Therapy: Exercises and/or manual therapy to improve function and reduce pain
• Medications: Anti-inflammatories, analgesics, and neuropathic pain medications
• Injections and Nerve Blocks: Targeted treatments to relieve localized inflammation
• Spinal Cord Stimulation: Electrical impulses that help mask pain signals
• Psychological Support: To address the mental and emotional toll of chronic pain

Revision Surgery

In some cases, additional surgery may be necessary. This may involve:

• Removing or repositioning hardware
• Extending a fusion to include new levels
• Repeating decompression procedures

A careful review of your surgical history and new diagnostic imaging is essential in determining the most appropriate surgical plan.

The Role of Artificial Disc Replacement in Revision Surgery

Artificial disc replacement (ADR) can be an excellent option for some FBSS patients, particularly those experiencing adjacent segment disease. Unlike fusion, which restricts the natural motion of the spine, ADR helps to preserve motion at the treated level while potentially reducing future degeneration.

ADR is best suited for patients who have maintained some spinal mobility and have not undergone extensive prior fusions. The benefits may include:

• Improved range of motion
• Reduced likelihood of additional surgeries
• Shorter recovery time

Managing Expectations and Recovery

Whether or not you undergo a revision surgery as part of your failed back surgery treatment, part of your treatment plan requires setting realistic expectations. Your goals should include reduced pain, improved mobility, and better overall function. Rehabilitation and consistent follow-up care are essential for long-term success.

Lifestyle modifications, such as posture correction, weight management, and regular exercise, can support spinal health and reduce the risk of future problems.

Why Choose ADR Spine for Failed Back Surgery Treatment?

At ADR Spine, we bring decades of experience to treating complex spinal conditions. An internationally-renowned leader in motion-preserving spinal surgery, including ADR, Dr. Lanman’s approach in his own practice and across all of ADR Spine includes:

• Thorough evaluation and diagnosis
• Personalized treatment plans tailored to each patient
• Advanced surgical and non-surgical techniques

FAQs: Failed Back Surgery

What are the most common causes of failed back surgery?
Causes include misdiagnosis, incomplete decompression, hardware failure, scar tissue, and degeneration of adjacent segments.

How do I know if I am a candidate for revision surgery?
A consultation with a leading spine specialist, including imaging and a thorough history review, will determine whether revision surgery is appropriate.

What is the role of artificial disc replacement in treating failed back surgery?
ADR may help preserve motion and reduce further degeneration, especially in cases of adjacent segment disease.

What are the potential outcomes of revision surgery?
While no surgery guarantees total relief, many patients experience significant improvements in pain and function.

How can I manage my pain after failed back surgery?
A combination of medication, physical therapy, injections, and psychological support may help manage pain.

What should I look for in a spine specialist for failed back surgery?
Choose a specialist with experience in revision procedures and expertise in motion-preserving techniques such as ADR.

Find Hope After Failed Back Surgery

You don’t have to accept a life of persistent pain after spine surgery. We’re here for you every step of the way, beginning with your complimentary, comprehensive consultation. Contact ADR Spine today to explore your options and take control of your spinal health.