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Failed Back Surgery–What You Should Know

Jun 05, 2021
Failed

back

surgery

syndrome is a problem that is bigger than many people realize. It affects between 20 and 40% of patients who have had

back

surgery

. That's not a little. You

know

that one or two in five patients who undergo back surgery will do so. They have

failed

back surgery syndrome and

what

that means is that they will have the same or more pain in the same area that was operated on and some people say that pain occurs anytime after a year or more and other people say that that's pain. that occurs immediately after the procedure and there are many reasons for this and a lot of this has to do with the perioperative and preoperative study of those patients, for example, if they had the correct diagnosis and the studies show that 60% of the time they did .
failed back surgery what you should know
Not having the proper diagnosis were the patient's behavioral qualities. They looked at psychological qualities, where they looked at socioeconomic qualities, whether it's their workers' compensation or personal injuries or if there are other reasons, where they looked at the patient's medical condition. I

know

how deeply it's been looked at that all of these things contribute to

failed

back surgery syndrome and the one thing that I think is important to convey to not only primary care physicians and pain specialists and surgeons as well. but also for patients is that surgery is not a panacea, in some situations it is indicated and, unfortunately, your options are very limited, but in many situations there are other options and we must always look for the options that have the greatest benefit. with the lowest risk for all aspects of life, but definitely also for medicine, so if a patient comes back to a doctor saying you know, doctor, I had surgery and my pain is still there and it's in the same area, I would The first thing the doctor knows to do is take a proper history and physical exam, but also do a little research on

what

was done before the surgery was performed, whether the proper diagnosis was made, and whether the corrective measures were taken. appropriate steps, and these include diagnosis and minimally invasive options. injection therapy, that kind of thing, finally, the doctor

should

also never forget that even if the patient comes back with the same complaints, there may be something else going on, so always keep an eye on the fact that the original problem may still persist and always look at the fact that there may be something else, the treatment options for failed back surgery syndrome revolve entirely around the patient's diagnosis and some of those diagnostic tools include intervention options, for example, if we are concerned by certain nerves that are still pinched, irritated or damaged.
failed back surgery what you should know

More Interesting Facts About,

failed back surgery what you should know...

We

should

perform certain intervention options, different nerve blocks to diagnose whether these problems are real or not. Obviously, there are also conservative options for analyzing non-organic problems, for example, you know that during the study before the patient undergoes surgery, they should do it. be monitored, they should be evaluated for behavioral problems, psychological problems, patients may have other medical problems, including things like central sensitization or central pain conditions, and I can tell you that I have seen that many of those patients are not enthusiastic at all for those conditions and they end up failing these surgeries, you know how much of this pain was an organic problem how much of the pain was an inorganic problem those are important questions that should have been asked before surgery and are not asked before surgery so definitely after someone fails I think it's time to pause and say we really need to look at how many organic problems or damage we have now and how many inorganic problems or how much turkey neck damage we have.
failed back surgery what you should know
They should look at things like anxiety, depression, socioeconomic factors. We should look at things like central pain and really take the time to evaluate those things with all pain patients. The main focus is actually not pain management or reduction. The main focus is functional restoration and to achieve functional restoration we need to reduce pain, so some have 10 out of 10 pain, they say: I can't get out of bed, how are you going to restore your function when you can't get out of bed? bed? They need to reduce their pain so they can participate in activities to be more functional, so that's always the prime directive is to become more functional now, that becomes especially important and failed back surgery syndrome when those patients come back and have the same or more pain, it's not just about saying well, how can we reduce your pain?
failed back surgery what you should know
Just to say: Hello, we have reduced your pain, therefore you are no longer a patient with failed back surgery syndrome. That's not the key, the goal is to reduce their pain so they can become more functional and be able to participate in more activities, develop more strength and get out of that failed back surgery syndrome naturally, not artificially, so they have less pain , that's where you know other options can be included, conservative options like physical therapy, acupuncture, massage, meditation, cognitive behavioral therapy, medications, you know, that kind of thing, as well as interventions. options to diagnose and treat to reduce inflammation so they can participate more in those activities

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