Why Spinal Decompression May Be the Answer to Your Failed Back Surgery Syndrome (FBSS)
If you’re reading this, chances are you’re one of the thousands of people who underwent back surgery hoping for relief, only to find yourself dealing with persistent or even worsened pain. As a spinal decompression specialist with over two decades of experience helping patients find pain relief, I understand the frustration, disappointment, and sometimes desperation that comes with Failed Back Surgery Syndrome (FBSS).
The good news? You’re not out of options. Let me walk you through what we know about this challenging condition and how targeted decompression therapy might be the solution you’ve been searching for.
What Is FBSS – And How Common Is It?
Failed Back Surgery Syndrome, also known as post-laminectomy syndrome, describes the persistent or recurring pain experienced after spinal surgery. Despite the name, it doesn’t necessarily mean your surgery was performed incorrectly. Rather, it’s a complex condition that can occur even after technically successful procedures.
The statistics might surprise you. Research published in the Journal of Neurosurgery shows that FBSS affects between 10-40% of patients depending on the type of surgery performed. Dr. Charles Burton’s landmark study found that fusion surgeries tend to have higher failure rates, with some procedures showing success rates as low as 60%.
What Causes FBSS?
Understanding why FBSS occurs is crucial to finding effective treatment. The causes typically fall into three categories that we evaluate carefully during our initial consultation.
Pre-Operative Factors
Sometimes the foundation for FBSS is laid before the patient even enters the operating room. Misdiagnosis remains a significant factor – if the root cause of pain wasn’t correctly identified, surgery might address symptoms rather than the underlying problem.
Psychological factors also play a role that’s often underestimated. Research by Dr. Eugene Carragee at Stanford University demonstrates that patients with untreated anxiety or depression have significantly higher rates of poor surgical outcomes. Additionally, lifestyle factors like smoking and obesity can impair healing and contribute to surgical failure.
Intra-Operative Factors
During surgery, several complications can set the stage for FBSS. Wrong-level surgery, while rare, does occur and leaves the actual problem unaddressed. More commonly, we see cases where decompression was incomplete or technical errors led to unintended consequences.
Post-Operative Issues
Perhaps the most frustrating aspect of FBSS is that problems can develop months or even years after initially successful surgery. Epidural fibrosis – scar tissue formation around nerve roots – is one of the most common culprits. This fibrous tissue can bind and irritate nerves just as effectively as the original disc herniation.
We also frequently see recurrent herniation at the same level, adjacent segment disease (where segments above or below the surgery develop problems), and hardware failure in fusion cases. Each of these complications can trigger the cycle of pain all over again.
Signs and Symptoms of FBSS
Recognizing FBSS isn’t always straightforward. The hallmark symptom is persistent or new pain, but the presentation varies significantly between patients. Some experience primarily back pain, others have predominantly leg pain, and many deal with both.
Neurological symptoms often accompany the pain. Numbness, tingling, and weakness in the legs are common complaints we hear during consultations. These symptoms can be constant or intermittent, and they may differ from what you experienced before your original surgery.
It’s important to note certain red flags that require immediate medical attention. Signs of cauda equina syndrome – such as loss of bowel or bladder control, severe weakness in both legs, or numbness in the saddle area – constitute a medical emergency. Constitutional symptoms like fever, unexplained weight loss, or night pain might indicate infection or other serious complications.
The Role of Non-Surgical Spinal Decompression
This is where our expertise really shines. Non-surgical spinal decompression therapy offers a unique solution for many FBSS patients. Unlike surgical decompression, this treatment uses precisely controlled distraction forces to create negative pressure within spinal discs and joints.
The beauty of this approach lies in its ability to address multiple FBSS mechanisms simultaneously. It can help reduce disc pressure, improve circulation to healing tissues, and even help break up some types of scar tissue through gentle, repetitive motion.
Research published in the American Journal of Pain Management demonstrates that spinal decompression can provide significant relief for patients with post-surgical pain, particularly when combined with other therapeutic modalities.
Note: Regardless of the method you choose, it’s essential to consult leading experts who have strong expertise and a thorough understanding of your medical history.
Your Next Steps
If you’re dealing with Failed Back Surgery Syndrome, the most important thing to understand is that you have options. The decision between revision surgery and alternative treatments requires careful consideration of your specific situation, overall health, and personal goals.
When choosing a provider, look for someone with specific experience treating FBSS patients. This is a complex condition that requires specialized knowledge and a multi-disciplinary approach.
At Newport Center Family Chiropractic in Newport Beach, we’ve dedicated our practice to helping patients find relief from complex spinal conditions, including Failed Back Surgery Syndrome. With over two decades of experience, we understand that every FBSS case is unique and requires an individualized approach.
Don’t let Failed Back Surgery Syndrome define your future. While the journey to recovery may be challenging, the right combination of treatments can help you reclaim your life and find the pain relief you deserve. Contact us today to schedule a comprehensive evaluation and take the first step toward a pain-free tomorrow.
Newport Center
Family Chiropractic
359 San Miguel Drive
Suite #203
Newport Beach, CA 92660
Monday | 9:00 AM - 5:00 PM |
Tuesday | 9:00 AM - 5:00 PM |
Wednesday | 9:00 AM - 5:00 PM |
Thursday | 9:00 AM - 5:00 PM |
Friday | 9:00 AM - 5:00 PM |
Saturday | 9:00 AM - 12:00 PM |
Sunday | Closed |