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Failed Back Surgery

Failed Back Surgery Syndrome is a disease abbreviated as FBSS. This disease, which is observed in approximately 10% of the population, is a condition that causes serious life problems. It usually occurs after unsuccessful back surgery and causes pain that seriously interferes with daily functions.


What is FBSS?

Unsuccessful lumbar surgery is commonly observed in people who have had surgery for lumbar hernia and similar reasons before, but the surgery was unsuccessful. The most distinctive feature of this syndrome is that there is no decrease in the patient's pain and complaints after the surgery.

The presence of FBSS can be mentioned in patients whose pain condition does not improve despite the operation. This disease, which affects hundreds of thousands of people worldwide, causes even the simplest physical functions to not work properly and, as a result, to disruptions in daily functions.

For this reason, the application of correct diagnosis and treatment methods in the presence of FBSS is of great importance for the patient's quality of life.

Who Gets Unsuccessful Back Surgery?

There are various factors among the causes of FBSS disease. Chief among these are patients who have had unsuccessful back and hernia surgery in the past. However, this problem does not always develop due to previous unsuccessful operations. In the search for the cause of the disease, many factors such as past surgeries, if any, progress after these surgeries, and various vital changes are examined together.

This may occur if the surgery fails, usually in people who have had surgery for reasons such as herniated disc, spinal cord bleeding and stenosis. If there is no relief in the pain and complaints of the person after this type of operation, the existence of unsuccessful back surgery is possible.

There are different factors behind the failure of this type of surgery. Other reasons leading to this problem can be listed as follows:

  • Tissue changes in the nerves in the operated area due to surgery
  • Herniation of the discs in the surgery area or causing similar problems
  • Herniated disc showing herniation again during surgery
  • Application of correct diagnostic methods
  • Inappropriate hospital and surgical conditions
  • Failure to provide an adequate sterile environment
  • Improper and careless execution of the operation
  • Psychological problems

In order to apply the right treatment in FBSS patients, the main source of the problem must be clearly found. Because the cause of the problem is a guiding factor in the treatment.

Why the problem arises in each patient and why previous surgeries have failed is highly variable. For this reason, the patient's history is of great importance in the methods to be applied in the treatment.


How Common Is FBSS?

The main factors in failed back surgery syndrome are misdiagnosis methods and inadequate surgical interventions.

In addition, smoking and alcohol use, unhealthy living standards, drug and substance abuse, and inadequate exercise habits are among the factors that cause the disease.

The increase in the number of low back surgeries performed worldwide also increases the incidence of FBSS disease.

This problem, which is more common every day, usually occurs in countries with a large young population.

How is FBSS Diagnosed?

The most distinctive feature of unsuccessful back surgery is that there is no reduction in problems despite back surgery. If the patient continues to suffer from the same problems as if he had not been operated on, it is necessary to immediately consult a specialist and determine correctly why the operation was unsuccessful.

This may be a different situation for each patient. Therefore, in order to apply the right treatment methods, the diagnosis must first be made correctly.

For FBSS patients, preoperative symptoms and post-operative status changes are factors that help shape the treatment approach. In summary, patient history plays a major role in treatment.

A number of tests and examinations can be applied by the specialist physician in line with the story. In some cases, radiological evaluations such as MRI and tomography and electrophysiological examinations may be required.

All of these are evaluated together and the appropriate treatment approach is decided. Because the main decision about how to treat the patient depends on the cause of the problem.

How Is FBSS Treated?

All of the various factors such as patient history, surgical history, and examination findings are evaluated together. The treatment method to be applied in each FBSS patient may be different from the other.

As a result of all evaluations and tests, if there is no risk of anesthesia in the patient who is decided to have surgery, the definitive treatment is surgical operation.

If there is a health problem unsuitable for surgery, the application of spinal cord battery therapy may be correct. Depending on these, a correct treatment method can be initiated in the patient.

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The first goal for treatment in the presence of FBSS is to eliminate the problems that cause the problem. For this, correct detection is very important. Treating problems such as hernia, stenosis and slippage that cause pain will also eliminate the problem.

However, in some patients, this problem does not develop for any reason or is caused by psychological factors. In such cases, the treatment process is also relatively difficult, as the cause is more difficult to detect.

Because the absence of a physical condition may cause the treatment not to be fully implemented. If the patient has psychological imbalances, he must first be transferred to the relevant department and regain his mental health in order to eliminate the problem.

In some patients, an increase in pain problems may be observed after surgery and this may not be detected with a definite symptom. The presence of diabetes may be a factor affecting the direction of treatment in a substantial number of these individuals. In such cases, it may be preferable to place a battery in the spinal cord. Another treatment approach is to administer an epidural injection to the patient.

The removal of various nerve adhesions around the operation can also relieve the area. For this, a process called epidural lysis must be applied. Administering radiofrequency current to the affected nerve and preventing pain transmission in the area can also be considered as a method to eliminate the problem.

Failed Back Surgery Syndrome and Exercise

Some FBSS patients hesitate to exercise because they are afraid of putting a load on the lumbar region. However, it is of great benefit to practice certain movements that support the waist and help prevent the problem from reoccurring, especially after the surgery. Among the reasons for the emergence of this disease is not doing enough physical activity.

Therefore, it is essential for patients who have undergone surgery to gain regular exercise and healthy eating habits in the next period.

After the surgery, physical therapy can be applied to strengthen the muscles and tissues in the lumbar region and increase endurance. With a simple exercise program that supports and strengthens the area, the lower back muscles become more active over time. This significantly reduces the risk of recurrence of the disease.

However, with a healthy diet program that increases muscle strength, it is necessary to lose excess weight and maintain the form, if any. A healthy nutrition program applied independently of the weight problem is also of great importance in the treatment, as it will strengthen the muscles in the region.

As a result, the recovery interval is much faster and the probability of recurrence of the disease is very low in people who pay attention to what they eat and drink before and after the surgical operation and do regular exercise.

In case of recurrence of disease symptoms, the most accurate treatment can only be determined with correct diagnostic methods. For this reason, a specialist physician should be consulted as soon as possible for the most accurate diagnosis and treatment methods. It is important that the recurrence of the same problems in the post-treatment period is also taken seriously.

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