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Related Experiment Video

Updated: May 14, 2026

Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation
04:42

Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation

Published on: June 26, 2018

Interventional pain management for failed back surgery syndrome.

Arif Hussain1, Michael Erdek

  • 1Department of Physical Medicine and Rehabilitation, School of Medicine, Johns Hopkins University, Baltimore, Maryland, U.S.A.

Pain Practice : the Official Journal of World Institute of Pain
|February 5, 2013
PubMed
Summary

Failed back surgery syndrome (FBSS) is persistent pain after spinal surgery. Effective management requires evaluating causes, using diagnostic tools, and employing a multidisciplinary approach including interventional procedures.

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Area of Science:

  • Pain Medicine
  • Neurosurgery
  • Spinal Surgery

Background:

  • Failed back surgery syndrome (FBSS) is a growing challenge with increasing spinal surgery prevalence.
  • It is defined as persistent back and/or leg pain following spinal surgery.

Purpose of the Study:

  • To provide physicians with knowledge on FBSS etiologies, diagnostics, and interventional pain management.
  • To emphasize a systematic approach for managing complex FBSS cases.

Main Methods:

  • Systematic evaluation of common FBSS etiologies (e.g., stenosis, recurrent HNP, fibrosis).
  • Utilizing diagnostic imaging (X-ray, MRI, CT myelography) and confirmatory injections (blocks, intra-articular).
  • Implementing a multidisciplinary treatment approach.
Keywords:
back painback pain with radiationback pain without radiationepidural analgesialow back painneurosurgical procedurespainpain disorderreview

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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation

Published on: December 13, 2024

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Last Updated: May 14, 2026

Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation
04:42

Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation

Published on: June 26, 2018

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
06:28

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation

Published on: December 13, 2024

Main Results:

  • Multidisciplinary management including physical therapy, psychological counseling, medication, and interventional procedures is most effective.
  • Spinal cord stimulation is a highly effective, cost-effective treatment option short of revision surgery.
  • Revision surgery is reserved for specific indications like progressive neurological impairment.

Conclusions:

  • Comprehensive understanding and management of FBSS are crucial for physicians.
  • A multidisciplinary strategy combined with advanced interventions like spinal cord stimulation offers significant patient benefit.
  • Further evidence is needed to support optimal management strategies for FBSS.