03/19/2026
Let's talk about something difficult but important: Failed Back Surgery Syndrome (FBSS) π
What is FBSS? When spine surgery doesn't provide the expected pain relief, or pain returns after initial improvement. Also called "persistent post-surgical pain." Surgeons like me will often prefer the term βpost laminectomy syndromeβ.
Why does it happen?
πΉ Surgical factors: Incomplete decompression, recurrent disc herniation, adjacent segment degeneration, hardware issues, scar tissue
πΉ Patient factors: Smoking (impairs fusion healing), obesity, continued returning to heavy labor too soon, poor compliance
πΉ Diagnostic factors: Wrong diagnosis to begin with, missed pathology
Treatment options: Non-surgical:
β’ Medication adjustment
β’ Physical therapy
β’ Pain psychology (yes, it's real and helps!)
β’ Comprehensive pain management
Surgical:
β’ Revision decompression if incomplete
β’ Revision or placement of hardware if necessary
β’ Adjacent level surgery if new problem
β’ Correction of failed fusion
β’ Spinal cord stimulator or dorsal root ganglion stimulator (can be life-changing!)
β’ Intrathecal pain pump
Spinal cord stimulator - a game changer!
For many FBSS patients, this IS the solution.
β’ Implanted device sends electrical signals to spinal cord
β’ "Confuses" pain signals
β’ Adjustable by patient
β’ Trial before permanent implant (try it before you buy it!)
β’ Many patients get significant relief (nothing else had helped, but this did!)
If you have FBSS: Please know:
1. It's NOT your fault
2. You're NOT crazy - the pain is REAL
3. There ARE options, even if imaging does not show a surgical βfixableβ problem
4. Don't give up
5. Second opinions are valuable (and welcomed!)
Had previous spine surgery that didn't work? Let's figure out what's going on and what we can do about it.
π 386-222-2792