Sometimes even after back surgery there is no pain relief in some patients.
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.
Interventional pain management can help patients with failed back surgery, with the following.
1. Medications.
2. Physical therapy.
3. Interventions like transforaminal epidural injections, Facet injections Radiofrequency denervations , Racz procedure or advanced interventions like spinal cord stimulator.
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