Failed Back Surgical Syndrome

Physiotherapy

Joint Mobilization

Manual Hand Therapy

Sport Injury Therapy

Laser Therapy

Occupational Therapy

Geriatic Therapy

Trigger Point Therapy

Neurological Therapy

Understanding Back and Neck Pain

Radiculopathy occurs when a nerve root in the spine becomes compressed or inflamed, leading to pain, numbness, and weakness. It can affect both the lumbar (lower back) and cervical (neck) regions, often causing distress but is typically treatable. The compression of the nerve can result from various factors, including herniated discs, spinal stenosis, or degenerative changes in the spine. Symptoms can radiate down the arms or legs, depending on the location of the affected nerve. While radiculopathy can cause significant discomfort, treatment options such as physical therapy, medications, and in some cases, surgery, can help alleviate symptoms and improve mobility. Early diagnosis and intervention are key to managing the condition effectively.

Lumbar Radiculopathy

This condition results from nerve compression in the lower back, often due to herniated discs, degenerative disc disease, or spinal stenosis. Symptoms include sharp pain, tingling, numbness, or weakness radiating down the legs, commonly referred to as sciatica. Activities like bending, lifting, or twisting can aggravate the pain.

Cervical Radiculopathy

Cervical radiculopathy involves nerve compression in the neck, often caused by herniated discs or bone spurs. Symptoms include neck pain, tingling or numbness radiating into the arms, hands, or fingers, and weakness in the arms or hands, which may affect motor skills or grip strength.

Symptoms

Pain: Sharp, burning, or stabbing pain radiating into the limbs.
Numbness: Pins and needles sensation or loss of sensation along the nerve path.
Weakness: Decreased strength in affected muscles, leading to difficulty with movements.
Reduced Reflexes: Diminished or absent reflexes in the affected limb.

Diagnosis
A physical examination helps identify muscle strength, reflexes, and sensory deficits. Imaging tests like MRI or CT scans pinpoint the source and location of compression, and electromyography (EMG) may further assess nerve and muscle function.

Why Choose Harmony Pain Management?

Personalized Care

Custom treatment plans tailored to your needs

Advanced Treatments

Safe, effective interventional pain solutions

Comprehensive Approach

Multi-modal therapies to restore function

Compassionate Expertise

Care led by Dr. Manjunath Shetty with empathy and professionalism

Full Support

Guidance through every step of your recovery and documentation

Support for Personal Injury Cases

We specialize in treating patients injured in auto accidents, workplace incidents, or other personal injury cases. Our team works closely with attorneys, insurance adjusters, and medical providers to ensure your treatment and documentation are handled with precision throughout your recovery process.

Overview and Treatment

FBSS is a condition where chronic pain persists after spinal surgery, such as disc surgery or spinal fusion, intended to alleviate symptoms. Despite surgery, the pain continues or worsens, affecting the patient’s quality of life.

Symptoms

Chronic Pain: Persistent back, neck, or limb pain, similar to pre-surgery symptoms, but more intense.
Numbness/Tingling: Nerve irritation or compression causing sensations in the affected area.
Weakness: Muscle weakness, often in the legs or arms, limiting movement.
Decreased Mobility: Difficulty with daily activities like bending, walking, or lifting.
Surgical Complications: Issues such as infection, nerve damage, or scar tissue formation can worsen symptoms.

Causes

Inadequate Resolution: Surgery may fail to fully address the root cause.
New Nerve Compression: Post-surgical scarring can compress nerves.
Adjacent Segment Disease: Degeneration in spinal segments near the surgery site.
Scar Tissue Formation: Epidural fibrosis causing ongoing pain.
Surgical Errors: Improper technique, such as incomplete nerve decompression.
Psychological Factors: Stress, anxiety, and depression can exacerbate pain.

Diagnosis
Diagnosis involves a thorough physical exam, imaging tests (X-rays, MRI, CT scans), nerve conduction studies (EMG), and detailed pain assessments to identify the underlying cause of persistent symptoms.

Treatment

Physical Therapy: Exercises to strengthen muscles and improve flexibility, reducing pain.
Medications: NSAIDs for inflammation, opioids or muscle relaxants for severe pain, and antidepressants or anticonvulsants for nerve pain.
Epidural Steroid Injections: Reduce inflammation and relieve pain.
Spinal Cord Stimulation: Electrical impulses to block pain signals.
Surgery: Correcting surgical errors or decompressing nerves in severe cases.
Psychological Support: Counseling and cognitive-behavioral therapy to address emotional factors.

Conclusion
FBSS is a complex condition requiring a comprehensive treatment plan to manage pain and restore function. With proper intervention, many patients can achieve significant relief and improve their quality of life. If pain persists after spinal surgery, consulting a healthcare provider is essential to determine the best treatment approach.