Failed back surgery / post laminectomy pain syndrome

Sometimes even after back surgery there is no pain relief in some patients. No relief of original pain for which the surgery was performed (back pain or radicular pain). Development of New pain after surgery. Development of New pain in addition to old pain. New symptoms other than the pain that come on after surgery like tingling numbness, heaviness, weakness etc. Causes Of Back Pain Due to Surgery a) Scarring (fibrosis) which is normal reaction of the body to any surgery. The nerve can be entrapped in the fibrosis. b) The swelling of tissues in the spinal canal in reaction to the surgery. c) This scarring can compromise the blood supply in the area.   Advantage of Pain Management for Failed Back Surgery Interventional pain management can help patients with…
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Procedure: Transforaminal epidural injection

Epidural gluco-corticoid injections are commonly given to patients with leg and/or back pain to relieve pain and improve mobility without surgery. These steroid injections buy time to allow healing to occur and/or as an attempt to avoid surgery after other conservative (non-surgical) treatment approaches have failed. During a trans-foraminal injection, a thin needle is inserted into the epidural space through the bony opening of vertebral column from where a nerve root exits. (See Figure 1, Neuroforamen). The drug is delivered exactly in the area where disc is compressing nerve and causing inflammation. The procedure is performed with the patient lying on their belly using fluoroscopic (real-time x-ray) guidance, which helps to prevent damage to the nerve root. A radio-opaque dye is injected to enhance the fluoroscopic images and to confirm…
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