Managing Failed Back Surgery Syndrome (FBSS) usually involves the use of nonsurgical interventions, such as injections and physical therapy modalities. The treatment of FBSS presents challenges, requiring a systematic approach to address underlying pain and improve the patient’s quality of life. Physical therapy plays a crucial role in FBSS management, focusing on muscle strength and lower back mobility through tailored exercises.
Typical first-line therapies for FBSS include minimally-invasive spinal treatments, such as transforaminal epidural steroid injections or radiofrequency ablation. These techniques often offer long-term pain relief in FBSS cases. Revision surgery is considered a last resort.
Spinal Cord Stimulation (SCS) has become a very successful option for treatment of FBSS. This modality delivers controlled electric signals near the spinal cord to alleviate pain. The process begins with a trial of stimulation through wires placed by a minimally invasive needle insertion. This stimulator trial will help to determine the effectiveness of stimulation modalities before permanent implantation.
