Chronical Low Back Pain after Spine Surgery

The term "failed back surgery syndrome" is used when a patient continues to experience pain despite having had spine surgery. It's a complex condition that can result from various factors, including those mentioned next.

This are some known causes

Surgical Complications

Sometimes, spine surgeries can lead to complications such as infection, nerve damage, or failed fusion. These issues can result in ongoing pain even after the surgical site has healed.

Scar Tissue Formation

After surgery, scar tissue can form around the surgical site and nearby structures. This scar tissue can sometimes press on nerves or create adhesions that cause pain.

Ongoing Degeneration

Spine surgery can address a specific issue, but it might not prevent other parts of the spine from degenerating over time. This could lead to new sources of pain or discomfort.

Pre-existing Conditions

Patients who undergo spine surgery often have underlying conditions, such as herniated discs or spinal stenosis, that contribute to their pain. Surgery might alleviate some symptoms but not entirely eliminate the conditions.

Muscular Imbalances

Surgery can alter the biomechanics of the spine, which may lead to muscular imbalances and strain on different muscles and structures. This can result in ongoing pain and discomfort.

Psychological Factors

Pain is not solely a physical sensation; psychological factors like anxiety, depression, and fear of re-injury can amplify the perception of pain. These emotions can persist after surgery and contribute to chronic pain.

Incomplete Recovery

Recovery from spine surgery can be a lengthy process. Patients might not follow rehabilitation protocols or might return to regular activities too quickly, leading to incomplete healing and ongoing pain.

Nerve Sensitization

After surgery, nerves can become hypersensitive, a condition known as central sensitization. This can cause the brain to perceive pain signals more intensely than before the surgery.

Postoperative Care

Adequate postoperative care, including pain management, physical therapy,
and lifestyle adjustments, is crucial for a successful recovery.
Insufficient follow-up care might contribute to ongoing pain.

Let’s keep in communication !

It's important for patients to communicate openly with their medical team about any persistent pain they experience after spine surgery.

A comprehensive evaluation can help determine the cause of the pain and guide appropriate treatment strategies, which might include physical therapy, medication, lifestyle modifications, or even revision surgery in some cases.

On the other hand, if the surgery was technically done correctly, the acceptance of persistent pain and trouble by the patient is often not very high among the surgeon and his or her team. Therefore, it could be an important step for the patient to change the treatment team to one that is focused and specialized in treating complex back pain situations before and after surgery. This team may include physiotherapists, medical professionals, and psychologists.

Take control of your body
to get control of the pain

Maintain Good Posture

Practice proper posture while sitting, standing, and walking. Sit with your back straight and well-supported, keeping both feet flat on the floor. When standing, distribute your weight evenly between both feet. Avoid slouching to prevent strain on the lower back muscles and spinal discs.

Engage in Regular Exercise

Engage in regular physical activity to strengthen the muscles that support your lower back. Activities like walking, swimming, and gentle stretching can help improve flexibility and reduce the risk of muscle imbalances. Consult a healthcare professional before starting any new exercise regimen, especially if you have existing back issues.

Lift Objects Safely

When lifting objects, use proper lifting techniques to avoid straining your lower back. Bend at your hips and knees, not your waist, and keep the object close to your body as you lift. Avoid twisting your back while lifting; instead, pivot your feet to change direction.

Maintain a Healthy Weight

Excess body weight can strain the lower back and contribute to pain. Maintain a healthy weight through a balanced diet and regular exercise. Losing excess weight can alleviate stress on your back and reduce the risk of chronic pain.

Boost your physical stability in order to leave the pain behind you.

Remember that these suggestions may not be suitable for everyone, and it's important to consult a healthcare professional before making significant changes to your routine, especially if you're already experiencing low back pain.

Please consider that any pain could potentially develop into a chronic pain syndrome due to various somatic and mental causes and factors. If the pain does not improve within a maximum of 4 weeks after surgery, it's advisable to seek help and support from a specialized team

Frequently Answered Questions

Your low back pain could be caused by factors such as muscle strain, herniated disc, spinal stenosis, etc., difficulties after the surgery, problematic work environments, and much more. Don´t forget mental or social aspects. We must examine the causes in detail. 

We might need to perform a physical examination and potentially order imaging tests like X-rays or an MRI to pinpoint the cause.

Treatment options include [discuss potential treatments: physical therapy, medication, injections, surgery, etc.], based on the underlying cause and severity of your pain.

You can try one of the following (or all) recommendations like rest, gentle exercises, applying ice/heat, maintaining good posture, etc.

Adopting a healthy lifestyle, including regular exercise, maintaining a healthy weight, and avoiding prolonged sitting, can contribute to your recovery.

If your pain becomes severe, is accompanied by numbness or weakness in your legs, or doesn't improve with rest and home care, contact us immediately.

The outlook depends on various factors. We'll work together to manage your pain and develop strategies to reduce the risk of future episodes, such as maintaining a strong core and following proper body mechanics..

Why ask us ?

Specialized team in Europe

We are licensed and approved phycians located in Europe. We treated an amount of nearby 1500 patients with neurological, neurosurgical or mental issues every month. We know the risks and potential of online-treatment.

Treatment based on datas and experiences

The guidelines of our treatments are in every case a combination of the results of scientific research and our own experiences over many years of diagnostic and treatment.

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We can work with you under the strict rules of data protection from the European Community. So your data is secure, we are working under the medical confidentiality by law. Trust us to be an effective help, you can get online. 

"I am incredibly pleased with the exceptional treatment and counseling I received. The medical team's expertise and compassionate care were evident throughout my entire online-journey! I felt well-informed and supported every step of the way. The counselors provided invaluable guidance, helping me navigate not only my physical recovery but also my emotional well-being. "

– Agata W., No-Pain-Patient

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