Often times a person has back surgery and it is successful, only then to have a return of the pain after a few months to a few years. It is extremely disappointing to a patient when this happens, as it is not so easy to get a successful spine surgery result. When the pain occurs, it becomes a failed back surgery, so it can be termed a delayed Failed Back Surgery Syndrome. Why does a person get recurrence of their back or leg pain after an initially successful spine surgery?
There are three main reasons why back or leg pain returns after the initial surgery. The first reason this occurs is due to adjacent segment degeneration. When a level of the spine is fused such as L4 – L5, no more movement occurs at that level. Any stresses that were able to be absorbed at the L4 – L5 level are then shifted either up or down to the level above or below.
Due to this increased stress being seen, those levels may be subject to accelerated degeneration and pain. Within a few years after a successful back surgery, an individual may have an increase in back pain or possibly leg pain because of this degeneration. A lot of the time, treatment with pain management doctors in Arizona can prevent the patient from needing another surgery.
The second reason is if the fusion does not occur, the hardware may loosen or break and a patient’s pain may increase dramatically as a result. The hardware is subject to repetitive stresses occurring when a person walks, bends, or twists. If the fusion does not occur, the hardware continues to see stresses and may actually break from fatigue. If the hardware does loosen or break, this increasing pain may be dramatic and need another surgery. When the Arizona pain management doctor works in conjunction with a spine surgeon, an appropriate course of action can be decided upon which may simply require pain management until the bones fuse. If there is no chance of fusion occurring, then another surgery is typically required.
The third reason a person may have increased back or leg pain after initially successful spine surgery is due to scar tissue. Whenever a surgeon removes tissue from the body, scar tissue fills the void that is created.
This tissue is not needed or wanted, and it can envelop nerve roots that were freed up during surgery initially. It can cause new back and leg pain, which is termed post lumbar laminectomy syndrome. The patient may have substantial pain as a result that is not
amenable to another surgery. The reason is that when scar tissue is removed, typically it will come right back and the person may end up in a vicious cycle with eventual permanent nerve root damage.
Therefore it may be appropriate to treat the problem nonoperatively at an AZ pain center including medications, injections, and possibly a spinal cord stimulator which can help tremendously with the back and leg pain due to scar tissue.
It is very common for person to have a return of back or leg pain after a spine surgery was initially successful. Seeking help from a pain management Phoenix doctor prior to undergoing a repeat spine surgery is best as the results from the revision lumbar procedure are traditionally not as good as the first time around.
If you live in the Phoenix and Scottsdale metropolitan area and have either Failed Back Surgery Syndrome or new back and leg pain after a surgery that was initially successful, Arizona Pain Specialists can help you.
The practice has Board-Certified and Fellowship Trained pain management doctors in Arizona who are well-versed in the treatment of back and leg surgery after spine surgery.
You will be in the best of hands at these Arizona pain centers. The AZ pain clinics serve Phoenix, Scottsdale, Mesa, Glendale, Chandler, Tempe, Casagranda, Maricopa, Goodyear, surprise, Sun City and more.
Call 602-507-6550 to get started with treatment today.