Back Pain Conditions
Effective Pain Treatments
At ALGOS, we specialize in treating a wide range of chronic pain conditions without the need for surgery to help you achieve lasting relief and regain your mobility.
- Home Page >
- Conditions >
- Backpain >
- Post-Laminectomy Syndrome
Post-Laminectomy Syndrome
Post-Laminectomy Syndrome (PLS), also known as failed back surgery syndrome (FBSS), refers to persistent or recurring pain following spine surgery. It’s a complex condition that can be frustrating for patients who underwent surgery with the expectation of pain relief.
What is Post-Laminectomy Syndrome?
Post-Laminectomy Syndrome occurs when spine surgery, such as laminectomy, does not achieve the desired pain relief or results in new pain. Laminectomy involves removing part of the vertebrae, known as the lamina, to relieve pressure on the spinal cord or nerves. PLS can involve chronic pain in the back or legs and may include a combination of physical and psychological factors.
Causes
Incomplete Decompression
If the surgery does not adequately relieve pressure on the spinal nerves, pain can persist.
Scar Tissue Formation
Scar tissue (epidural fibrosis) can form around the nerve roots and cause irritation or compression, leading to pain.
Recurrent Disc Herniation
A new herniation at the same or adjacent level can cause similar symptoms to those before surgery.
Spinal Instability
Removal of part of the vertebra can lead to instability in the spine, causing pain.
Adjacent Segment Degeneration
Surgery can accelerate degeneration in the spinal segments above or below the operated level.
Nerve Damage
Nerve injury during surgery can result in chronic pain.
Infection or Hardware Failure
Post-surgical infections or issues with surgical implants can cause pain.
Symptoms
Persistent Pain: Continued pain in the back, legs, or neck similar to the pain experienced before surgery.
New Pain: New pain that develops after surgery, which can be in the same area or a different location.
Numbness and Tingling:Sensations of numbness, tingling, or burning in the legs, feet, arms, or hands.
Weakness: Muscle weakness in the affected limbs.
Limited Mobility: Difficulty with movement and reduced range of motion.
Diagnosis of Post-Laminectomy Syndrome
Medical History and Physical Examination:
The physician will assess the patient’s symptoms, surgical history, and perform a physical exam to evaluate pain, reflexes, muscle strength, and sensory function.
Imaging Tests:
X-Rays: Can help assess spinal alignment and hardware placement.
MRI: Provides detailed images of the spinal structures and can identify issues such as scar tissue, recurrent herniation, or nerve compression.
CT Scan: Offers detailed cross-sectional images of the spine.
Diagnostic Injections:
Nerve Blocks or Epidural Steroid Injections: Can help identify the source of pain and provide temporary relief.
When to See a Doctor
Consult a doctor if you have:
Severe pain that doesn’t improve with rest
Pain spreading down one or both legs
Weakness, numbness, or tingling in your legs
Unexplained weight loss along with back pain
Treatment Options
Conservative Treatments:
- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), pain relievers, muscle relaxants, or anticonvulsants to manage pain and inflammation.
- Physical Therapy: Exercises to strengthen the muscles supporting the spine, improve flexibility, and reduce pain.
- Heat/Ice Therapy: Application of heat or ice to reduce pain and inflammation.
- Lifestyle Modifications: Weight management, smoking cessation, and ergonomic adjustments to reduce stress on the spine.
Advanced Pain Management Techniques:
- Spinal Cord Stimulation (SCS): An implanted device that sends electrical impulses to the spinal cord to block pain signals.
- Intrathecal Pain Pump: An implanted pump that delivers pain medication directly to the spinal cord.
Pain Interventions
Epidural Steroid Injections: To reduce inflammation and pain around the affected nerves.
Nerve Blocks : Injections to block pain signals from the affected nerves.
Radiofrequency Ablation : A procedure that uses heat to disrupt the nerves transmitting pain signals from the facet joints or other areas of the spine.
Conclusion
Post-Laminectomy Syndrome can be a challenging condition for patients who expected relief from their initial surgery. However, with proper diagnosis and a comprehensive treatment plan, many patients can achieve significant pain relief and improved function.
At ALGOS, we are dedicated to providing advanced care for spinal conditions, utilizing the latest diagnostic tools and a range of treatment options tailored to each patient’s needs. If you’re experiencing symptoms of PLS, contact us to schedule a consultation and take the first step towards managing your pain effectively.
Located centrally on Cunningham Road in Bengaluru, our clinic is easily accessible from all parts of the city, ensuring high-quality pain management services are available to everyone.
- 7975896550
- algospainclinic@gmail.com
Contact us
Fill the form to get in touch with us