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PT Classroom - Failed Back Syndrome ׀ by Yogendra Bharat, MD |
After completing his residency at the Medical College of Wisconsin, Dr. Yogendra Bharat began practicing at several locations throughout the area. He is a diplomate of the American Board of Anesthesiology and board certified by the American Board of Pain Medicine and the American Board of Anesthesiology. Dr. Bharat has specialized in chronic/acute pain treatment for several years. He is dedicated to the treatment of pain associated with headache/neck problems, back problems and trauma-related pain syndromes. He is currently practicing at Advanced Pain Management in Wisconsin and is also a Clinical Associate Professor at UW Madison teaching area residents the complexity and dedication required for the treatment of chronic pain. He conducts seminars throughout the United States as well. Dr. Bharat has a special interest in percutaneous disc procedures and radiofrequency denervation. |
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What is failed back syndrome? 
The back pain from failed back surgery syndrome is often
described as severe and never-ending. The pain can also
worsen throughout the day. Statistics show that of the
200,000 back surgeries performed each year, 20 to 40 percent
result in various degrees of failed back surgery syndrome.
The most common causes of failed back surgery syndrome are
reherniation, scarring (epidural fibrosis) and adhesions,
instability, damage to nerve roots through compression,
operation on the wrong level, having needed a more extensive
surgery than was performed and not having identified the
true source of pain prior to surgery. How is it treated? The treatment plan for failed back syndrome depends upon many factors, such as the severity of the dysfunction and pain, the type and location of the pain, as well as patient's age, ongoing medical conditions, and ability to tolerate other medical therapies. The doctor will take all of these factors into consideration when prescribing a treatment plan for this condition. In general, the standard course of therapy for the pain that accompanies failed back syndrome will follow the chronic pain treatment continuum. Treatments may include pain medications and physical therapy, opioids, epidural steroid injection and epidural neurolysis. Neuromodulation therapies such as neurostimulation -- particularly spinal cord stimulation -- may also be an option to treat unresolved neuropathic pain.
For more information on pain management treatment options for treating failed back syndrome and to view informative videos, please click here: Animated Educational Videos.
Last revised: April 14, 2009 |
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