Failed back surgery syndrome: An update
Journal Title: Medpulse International Journal of Surgery - Year 2017, Vol 3, Issue 3
Abstract
The treatment of failed back surgery syndrome (FBSS) can be equally challenging to surgeons, pain specialists, and primary care providers alike. The onset of FBSS occurs when surgery fails to treat the patient’s lumbar spinal pain. Minimizing the likelihood of FBSS is dependent on determining a clear etiology of the patient’s pain, recognizing those who are at high risk, and exhausting conservative measures before deciding to go into a revision surgery. The workup of FBSS includes a thorough history and physical examination, diagnostic imaging, and procedures. After determining the cause of FBSS, a multidisciplinary approach is preferred. This includes pharmacologic management of pain, physical therapy, and behavioral modification and may include therapeutic procedures such as injections, radiofrequency ablation, lysis of adhesions, spinal cord stimulation, and even reoperations.
Authors and Affiliations
Sanjeev Attry, Vijay Kumar Gupta, Saurabh Kumar Verma, Nishtha Vashisth, Ekata Gupta, Saurabh Bhargav
Comparison of UWIN score vs international prostatic symptom score in patients with LUTS
Benign prostatic hyperplasia (BPH), one of the most common diseases of aging men. The AUA Symptom Index or the identical IPSS is recommended for symptom assessment in each patient presenting with BPH. To decrease the bur...
A study of effectiveness of ceftriaxone and metronidazole versus ciprofloxacin and metronidazole for the prevention of post-surgical wound infections
Background: post-operative surgical site infections are more commonly seen worldwide. Antibiotics with different action spectrums were studied for the prevention of post-operative surgical site infections. This study com...
A study to analyse the association between hypothyroidism and gall stone disease
Background: Thyroid disorder is a prevalent condition among adult population; however, it is frequently over looked. Hypothyroidism causes low bile flow and sphincter of Oddi dysfunction and hence promotes gall stone for...
Clinical Profile of Thyroid Carcinoma Cases Attending Tertiary Care Hospital
Background: Thyroid cancer constitutes about 1% of all malignant tumors and highly differentiated types account for 0.8% of all human malignancies. Thyroid cancer ranks among the 5 most frequent cancers in the 15 to 40 a...
A study of risk factors, clinical presentation and management in incisional hernia
Background: Incisional hernia is the one true iatrogenic hernia.Incisional hernia occurs in 10- 20 % of patients subjected to abdominal operations. Incisional hernia is a challenge for surgeon. Aim and Objective: To stud...