Accessibility View Close toolbar

130 Interlachen Road Suite D

Melbourne, FL 32940 US

321-622-6778

Open mobile navigation

Failed Back Surgery Syndrome

By Dr. Gray

I have been in practice for 39 years; I have had tremendous success in fixing the cause of back, neck, arm and leg pain.  As you might imagine I have seen some incredible, horrific back problems during the course of my career. Along with other pathologies that are not of my specialty, which affords me the opportunity to work closely with other disciplines. What I have seen more and more of late in my office are patients who have back, neck or shoulder pain that began pre-surgery and is still with them post-surgery and post physical therapy.

Let me say this up front; I am not a Chiropractor who believes every ailment and situation can be healed by an adjustment. I have always worked closely with ethical Neurologists, podiatrists, pain clinics, dentists, etc. I believe in a multi-disciplinary approach when clinical evidence dictates.

The definition of failed back surgery syndrome per Wikipedia is:

Failed back syndrome or post-laminectomy syndrome is a condition characterized by persistent pain following back surgeries.

Failed back syndrome (FBS), also called "failed back surgery syndrome" (FBSS), refers to chronic back and/or leg pain that occurs after back (spinal) surgery, usually afterlaminectomy. It is characterized as a chronic pain syndrome. Multiple factors can contribute to the onset or development of FBS. Contributing factors include but are not limited to residual or recurrent disc herniation, persistent post-operative pressure on a spinal nerve, altered joint mobility, joint hypermobility with instability, scar tissue (fibrosis), depressionanxiety,sleeplessness and spinal muscular deconditioning. An individual may be predisposed to the development of FBS due to systemic disorders such as diabetesautoimmune disease andperipheral blood vessels (vascular) disease.

Common symptoms associated with FBS include diffuse, dull and aching pain involving the back and/or legs. Abnormal sensibility may include sharp, pricking, and stabbing pain in the extremities. The term "post-laminectomy syndrome" is used by some doctors to indicate the same condition as failed back syndrome.

The treatments of post-laminectomy syndrome include physical therapy, minor nerve blocks, transcutaneous electrical nerve stimulation (TENS), behavioral medicinenon-steroidal anti-inflammatory (NSAID) medications, membrane stabilizers, antidepressantsspinal cord stimulation, and intrathecal morphine pump. Use of epidural steroid injections may be minimally helpful in some cases. The targeted anatomic use of a potent anti-inflammatory anti-TNF therapeutics is being investigated.

So why does the surgery actually fail? I submit the surgery probably did not “fail”, but that it was unnecessary because it did not fix the cause.

Did the 6-8 weeks of physical therapy fail? Again, I believe the wrong protocol is to blame.

A special report on June 20, 2013 featured by USA Today, titled “Under the knife for nothing” is filled with information that will help you determine whether a surgical procedure is a good idea.

“Tens of thousands of times each year, patients are wheeled into the nation’s operating rooms for surgery that isn’t necessary, a USA Today review of government records and medical databases finds.
    “Even more turn to doctors who simply lack the competence or training to recognize when a surgical procedure can be avoided, either because the medical facts don’t warrant it or because there are non- surgical treatments that would better serve the patient. “

The article specifically names “spinal surgeries” As one of the six procedures that are often unnecessary.

The problem with “failed surgery” is not that the surgeon didn’t do what he or she said they would do, it’s because they “failed” during diagnosis, the Triage phase of the assessment of the patient’s pain. It’s the protocol that’s followed when a patient presents with back, leg, neck or arm pain. The protocol is the same for every patient, NSAIDS, PT, stronger meds, more PT, MRI, Epidurals, ablation, surgery then back to PT. What is missing in this circle of treatments? The Chiropractor! The profession that specializes in the correction of spinal mis-alignments. 

 After the round about with the surgery cycle, some are finding the pain is still there and some times worse. So now you have wasted up to 6 months and are still in pain, at which time you are sent back to the MD who schedules you for more surgery.

Another source investigating back surgery results is: From the Division of Epidemiology and Biostatistics, Department of Environmental Health, University of Cincinnati College of Medicine, Milford, OH; Meharry Medical College, Nashville, TN; and Department of Physical Medicine and Rehabilitation, University of Kentucky College of Medicine, Lexington, KY.

They advised; “Researchers reviewed records from 1,450 patients in the Ohio Bureau of Workers’ Compensation database who had diagnoses of disc degeneration, disc herniation or radiculopathy, a nerve condition that causes tingling and weakness of the limbs. Half of the patients had surgery to fuse two or more vertebrae in hopes of curing low back pain. The other half had no surgery, even though they had comparable diagnoses.

After two years, only 26 percent of those who had surgery had actually returned to work.   Another way of saying that is that this form of back surgery FAILS 74% of the time.  
However, 67 percent of patients who had the same exact diagnosis, but DIDN'T have surgery, DID return to work. Statistically, this means you are TWICE as likely to return to work if you DO NOT get surgery.

In another troubling finding, the researchers determined that there was a 41 percent increase in the use of painkillers, particularly opiates, in those who had the surgery. Last year we reported that deaths from addictive pain killers has doubled in the last 10 years.

“The study provides clear evidence that for many patients, fusion surgeries designed to alleviate pain from degenerating discs don’t work”, says the study’s lead author Dr. Trang Nguyen, a researcher at the University of Cincinnati College of Medicine.

The authors of the USA Today article interviewed Nancy Epstein MD, neuro-surgeon and chief of Neurosurgical Spine and Education at Winthrop University Hospital in Mineola, N.Y. She was an investigator in the Surgical Neurology International study. In the USA Today website, the article is accompanied by a video which Dr. Epstein is featured saying, “ Over the course of the year I looked at patients with neck and back complaints coming in who were told they needed surgery and out of those, at least a third…were scheduled for operations I didn’t think they needed.”

 It is our opinion the Chiropractic profession should be one of the first referrals, or protocols in a triage or diagnostic situation regarding spinal surgery and many shoulder surgeries to. A Chiropractor who has experience with these highly complicated cases is best suited to fix the issues without invasive, life threating costly procedures. A few MD's  have begun to refer to the Chiropractic physician as they have started to recognize the benefit to their patients. Chiropractic has a very high rate of successful treatment for spinal pain conditions. Much more needs to be done to bridge the gap between the MD's and the DC's. The MD's we work with seem to have originated from the common patient and their impressive improvement after treating with us and advising their MD's they no longer need the surgery. 

 Dr. Gray has successfully helped thousands headed for surgery avoid it, he even has a high success rate helping those still in pain after a “failed” spinal or shoulder surgery. The high success rate at our practice is due to the individual whole body approach. Dr. Gray’s patients undergo a lengthy history, including the three main causes of trauma, physical, emotional and environmental.  Diagnostic x-rays are used to confirm involved areas. Patients are then are specifically treated to fix the cause of the pain. NO two patients are the same and each are treated specifically to correct the cause of their pain. The treatments are painless. Follow up treatments are necessary to stabilize the involved regions.

If you or someone you know has been advised to have shoulder or spinal surgery or if you’re in pain and you would like to have a Chiropractic consult please call our office at  

                                                         321-622-6778.

               

References:

http://www.usatoday.com/story/...

http://www.chiro.org/LINKS/ABSTRACTS/Long-term_Outcomes_of_Lumbar_Fusion.shtml

Donald Petersen Jr., BS, HCD(hc), FICC(h) Dynamic Chiropractic Aug 15, 2013

http://en.wikipedia.org/wiki/Failed_back_syndrome

Sign up using the form below or call 321-622-6778 to make an appointment.

Office Hours

Our Regular Schedule

Monday:

9:00 am to 12:30 pm

2:15 pm to 5:00 pm

Tuesday:

3:00 pm

7:00 pm

Wednesday:

9:00 am to 12:30 pm

2:15 pm to 5:00 pm

Thursday:

Closed

Closed

Friday:

9:00 am to 1:00 pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Location

Find us on the map

Testimonial

Reviews By Our Satisfied Patients

  • "Dr. Gray and I would like to extend our appreciation to all of our wonderful patients for your referrals and for those of you who feel compelled to share your stories on how we have been able to help you. Sometimes the most powerful help you can be to someone is to share your story. The first step to healing is walking through the right door! Please know that we strive everyday to do our very best to help you, your friends and loved ones."
    Sincerely, Tricia Gray

Featured Articles

Read about interesting topics

  • Holiday Stress - Take a Deep Breath

    Most of us pay little attention, if any, to the daily functioning of our many physiological systems. Our hearts beat, our digestive systems digest, and our various hormones, such as those deriving from the thyroid gland, adrenal gland, and pancreas, do what they do. It's all good... until it's not. ...

    Read More
  • Proper Overindulgence Over the Holidays

    Proper Overindulgence Over The Holidays The term "overindulgence" is probably best assessed as a red flag, especially with respect to consistent overconsumption of high-calorie comfort food and desserts during the holiday season. An overall healthier perspective could be described as "indulgence" regarding ...

    Read More
  • The 5 Senses

    The 5 Senses The five senses, that is, the sense of sight, touch, hearing, taste, and smell, provide us with necessary information regarding the world around us.1 These precious capabilities enable us to navigate our environment with seemingly instantaneous feedback with reference to our actions and ...

    Read More
  • The Benefits of Sleep for Adults

    Obtaining sufficient restful sleep is an essential requirement for optimal human productivity. Such a practice is a key component of a healthy lifestyle, which includes a nutritious diet, regular vigorous exercise, and a positive mental attitude. How much sleep one needs varies from person to person. ...

    Read More
  • Back to School and Mental Wellness

    Summer is a subjectively fleeting season and school days are upon us once again. For children, this bittersweet time marks the completion of a period of relative freedom and the beginning of a new set of responsibilities. For adults, the onset of late summer and early fall signals yet another turn of ...

    Read More
  • Repetitive Motion Injuries

    A repetitive motion injury (or overuse injury) involves doing an action over and over again, as with a baseball pitcher throwing a baseball, a tennis player hitting a tennis ball, typing at a computer keyboard, and most notoriously, typing with your thumbs on the tiny keypad of your phone. It may be ...

    Read More
  • Left-Handers Day

    Left-Handers Day Left-Handers Day, celebrated on August 15th, was launched in 1992 by the Left-Handers Club, an organization based in the United Kingdom. Since then, Left-Handers Day has become a worldwide event and social media phenomenon. Around the world, approximately one in ten persons is left-handed. ...

    Read More
  • Peak Experiences

    Peak Experiences The American philosopher and naturalist Henry David Thoreau roamed far and wide over the hills and mountains of his native Massachusetts and neighboring New Hampshire. In his masterwork, "Walden," Thoreau famously stated that we must "reawaken and keep ourselves awake, not by mechanical ...

    Read More
  • Dynamic Warm-ups

    In a common occurrence, you bend over to pick up the pencil you inadvertently dropped on the floor. Or you bend over to pick up the soap bar that has slipped through your fingers in the shower. Or you bend over to lift a bag of groceries out of your automobile trunk. These are all daily events. But on ...

    Read More
  • Summer Sports

    Summer Sports In the summertime, everyone's thoughts turn to the outdoors. We want to get out in the sun and have some fun. Some people do exercise outdoors, such as running, walking, and biking, all year long regardless of the weather.1 For others, summer's warmer temperatures make activity outside ...

    Read More

Newsletter Sign Up

Sign up for more articles