Failed Back Surgery Syndrome is described as a condition where an individual suffers from back or leg pain that continues, returns, or appears after spinal surgery. The condition has a number of potential causes, including repeated disc issues, pain linked to nerves, scar tissue, spinal changes, or other factors. Since there may be any number of underlying reasons, it is necessary to carry out careful re-evaluations.
When looking for the right doctors for treatment of failed back surgery syndrome, patients may explore various areas of specialization like neurology, spinal surgery, pain management, rehabilitation, or others, depending on the severity of the condition. Below are three well-reputed doctors:
- Prof. (Dr.) Rohit Chhirolya from Nilakantha Brain Clinic.
- Dr. Hitesh Garg.
- Dr. Uday Pawar.
What Is Failed Back Surgery Syndrome?
Failed Back Surgery Syndrome (FBSS) is defined as the continued presence of pain following a number of surgeries on the back. Sometimes, pain occurs in the lower back, legs, or both. FBSS does not imply that the surgical intervention was unsuccessful in any technical sense.
Recent literature refers to FBSS as persistent spinal pain syndrome type 2 (PSPS-T2).
Contributing factors may include:
- Recurrent pain in the back
- Neuropathic pain
- Scar tissue surrounding nerves
- Changes in anatomy of the spine
- Problems with hardware
- Inflammation
- Excessively complicated pain processes.
This is why detailed assessment via clinical and imaging means must precede any consideration of further surgical procedures.
Top 3 Doctors for Failed Back Surgery Syndrome in India
1. Prof. (Dr.) Rohit Chhirolya – Nilakantha Brain Clinic, Cuttack
Dr. Rohit Chhirolya, a neurologist based in Cuttack (Odisha) at the Nilakantha Brain Clinic, has an MBBS (gold medalist), MD (medicine), and DM (neurology). According to the clinic’s website, Dr. Chhirolya has more than 20 years of experience in the field of the nervous system, doing both assessment and treatment of patients.
Dr. Chhirolya deals with neurological problems like issues related to the nervous system, skeletal muscles, movement, pain, and many other complicated neurological disorders. The clinic has also mentioned that it has advanced facilities for diagnosis as well as expert multidisciplinary ports.
In the case of patients suffering from failed back surgery syndrome, a neurologist’s role can be essential, as the pain with this condition might stem from nerve malfunctioning. In addition, the neurological assessment of the patient might point out whether or not further tests, medical treatment, rehabilitation, or referral to specialized spine facilities are needed.
For inquiry and consultation, you can visit the site of the Nilakantha Brain Clinic.
2. Dr. Hitesh Garg
Dr. Hitesh Garg is on this list of editorial selections for patients in search of specialists in failed back surgery syndrome and continuing spinal conditions.
Spine cases in patients who have had previous surgeries may require a thorough evaluation of the surgical history and the current state of the patient, including his or her symptoms and results from imaging studies. It is essential for patients to bring the MRIs or CTs, surgical notes, notes on discharge, and prior treatments in searching for a second opinion.
The type of treatment needed by the patient with failed back surgery syndrome will depend on the cause of the pain and whether a definitive problem can be found.
3. Dr. Uday Pawar
Dr. Uday Pawar is also a part of this selection for those patients requiring a consult from a specialist to evaluate their persistent symptoms after spinal surgery.
Patients with failed back surgery syndrome may benefit from a specialized examination to evaluate their symptoms instead of just going in for the next surgery. The specialist will assess the previous procedures, results of the operations, current symptoms, findings on the imaging, neurological signs, and pervious resistance to therapy to choose the best treatment.
It is essential that the selection of the treatment be evaluated thoroughly by a medical specialist.
Symptoms of Failed Back Surgery Syndrome
Signs of failed back surgery syndrome may vary from patient to patient. Some symptoms are as follows:
- Chronic low back pain
- Recurring pain in legs
- Pain reoccurring after some time
- Tickling sensation, numbness
- Burning pain or pain from nerves
- Loss of mobility
- Difficulty performing everyday tasks
Having these symptoms after the procedure does not mean that a diagnosis is in place. All the details of the patient’s history and examination should be taken into account by a doctor.
How Is Failed Back Surgery Syndrome Evaluated?
In order to assess failed back surgery syndrome, it is important to first gather information on the situation surrounding the surgery.
This may involve examining:
- The initial diagnosis
- The kind of surgery performed and when it took place
- The status of symptoms following surgery
- The specific region of pain and its subsequent character
- The presence of neurological symptoms
- All medications and therapies taken in the past
- Images such as MRIs or CT scans
- Medical records related to surgery
Does Failed Back Surgery Syndrome Always Require Another Surgery?
No, Failed Back Surgery Syndrome does not require that another surgery be performed.
Treatment must be tailored to the cause and the individual patient. Evidence reviews outline a variety of approaches to treatment, such as managing conservatively, applying medications, employing rehabilitation, conducting interventional techniques, and utilizing neuromodulation. Any possibility of further surgery will only arise in the presence of an established surgical target.
Therefore, proper specialist evaluation should be carried out ahead of any further intervention.
When Should You Seek Specialist Evaluation?
When pain persists or reoccurs post-spine surgery, you should think about getting a professional evaluation. If symptoms affect your ability to walk, sleep, work, or complete regular activities, this step becomes even more important.
Seek immediate medical help when you notice new symptoms or if existing symptoms have changed in severity, such as
- Severe new weakness
- Loss of control over your bladder or bowel
- Loss of sensation in the saddle area
- Severe or progressing neurological symptoms
- Fever or other complications after surgery
What Should You Take to Your Appointment?
When meeting a medical professional for assistance with failed back surgery syndrome, consider bringing:
- Any previous MRI or CT scans,
- Surgical reports,
- Discharge records from hospitals,
- List of medications currently being taken,
- History of previous treatments,
- Summary of symptoms,
- Information on changes in symptoms since surgery.
This information will assist the doctor in learning about the progression of the disease.
FAQs
Definition of Failed Back Surgery Syndrome
The medical definition of failed back surgery syndrome is persistent or recurring pain in the spinal region after suffering some spinal surgery. It is now being noted and analyzed under the name of persistent spinal pain syndrome type 2 as well.
Does failed back surgery syndrome mean that the surgery is definitively a failure?
Not at all. Continuing pain after surgery can have different causes and does not necessarily mean that the surgery is unsuccessful.
Can Failed Back Surgery Syndrome be managed without surgery again?
In selected cases, it might be advisable to use conservative methods such as rehabilitation, medication, and pain-management methods in order to get rid of the symptoms.
What doctor can assess failed back surgery syndrome?
The choice of the treating doctor depends on the nature of the symptoms and may include a neurologist, spinal surgeon, pain specialist, rehabilitation physician, or other health professionals.
Should I consult a specialist after the failed spinal surgery?
A second opinion from an expert can help evaluate previous surgery, imaging, symptoms, and available methods of treatment prior to making a decision regarding further course of action.
Conclusion
Failed Back Surgery Syndrome refers to a complex condition because pain that has lasted for some time or returns after spine surgery may have different causes. Proper evaluation of symptoms, medical history, neurological examination findings, and scans is needed before the further course of action is chosen.
In this editorial, we would like to turn your attention to three prominent specialists:
- Prof. (Dr.) Rohit Chhirolya – Nilakantha Brain Clinic, Cuttack
- Dr. Hitesh Garg
- Dr. Uday Pawar
The choice of specialists depends on the patient’s symptoms and clinical experience. Patients should not think that repetition of surgery is always mandatory. A good evaluation may tell whether conservative treatment, rehabilitation, pain management, diagnostic procedures, or surgery is necessary.
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