Postlaminectomy syndrome, or Failed Back Surgery Syndrome (FBSS), is when back or leg pain continues after spinal surgery meant to relieve it. Causes include scar tissue around nerves, residual nerve compression, instability, or new disc and spine problems at the next "adjacent level." Diagnosis typically involves reviewing surgical history, a physical exam, and imaging tests like MRI or CT scans to check for ongoing compression, scar tissue, or structural issues causing pain.

Symptoms include persistent or new pain in the back, legs, or arms, along with numbness, tingling, or weakness that can hinder daily activities. Limited mobility or difficulty standing for long periods can also occur.

Treatment aims to reduce pain and restore function. Medications like anti-inflammatories, nerve pain relievers, or muscle relaxants manage discomfort. Physical therapy improves strength and flexibility. Targeted injections like epidural steroid injections or nerve blocks may ease inflammation and provide longer-lasting pain relief. For cases unresponsive to conservative treatments, spinal cord stimulation (SCS) may manage chronic nerve pain.

If imaging reveals issues like instability or persistent nerve compression, revision surgery might be considered, but more surgery doesn't always relieve pain.

For those preferring non-surgical options, regenerative medicine treatments, such as platelet-rich plasma (PRP) injections or biologic therapies using cells from fat or bone marrow, can promote healing and reduce inflammation.

Managing postlaminectomy syndrome often involves a multidisciplinary approach. Working with specialists can enhance function and quality of life. Talk to our team to find the best treatment plan for you.