Archive For The “Failed Back Syndrome” Category

Post-Laminectomy Syndrome (continued)

By | May 1, 2015

We treat many patients with post-laminectomy syndrome[1] at Schlesinger Pain Centers and they are among the most difficult patients we see. The etiology of the disease is unknown. Many people have postulated that scarring plays a role in the pathogenesis of this condition, but this has never been proven.   We have learned that reoperation almost […]

Read more »

Post-Laminectomy Syndrome

By | April 30, 2015

The first complication of spinal surgery that we will consider is post-laminectomy syndrome (aka failed back syndrome). It was originally described in patients who had undergone lumbar laminectomies but can be seen after any procedure in the lumbar region and more rarely in the cervical region. The overall incidence is on the order of 1%, but […]

Read more »

In Search of the Best Pain Clinic in Los Angeles: Failed Back Syndrome – The Value of Experience

By | May 3, 2012

The best pain clinic in Los Angeles would know that it is especially in the area of failed back syndrome that differences in pain clinics are most pronounced. Making the correct diagnosis and choosing the correct form of therapy requires years of experience. While a part-time pain practitioner may imagine himself to have the skills […]

Read more »

In Search of the Best Pain Clinic in Los Angeles: Failed Back Syndrome – Spinal Cord Stimulation

By | May 2, 2012

The best pain clinic in Los Angeles would know that most of the patients with post-laminectomy syndrome will be best treated with a spinal cord stimulator (SCS) and that the sooner the topic is introduced the sooner that fears and reservations can be dealt with.  As we have said before patients suffering from failed back […]

Read more »

In Search of the Best Pain Clinic in Los Angeles: Failed Back Syndrome – The Role of Intrathecal Pump Therapy

By | May 1, 2012

While the standard treatment for failed back syndrome is spinal cord stimulation, the best pain clinic in Los Angeles would know that for selected patients the implantation of an intrathecal drug delivery system is a viable and at times a superior option.  Patients with primarily axial back pains are often difficult to capture with standard […]

Read more »

In Search of the Best Pain Clinic in Los Angeles: Failed Back Syndrome – Setting Goals

By | April 30, 2012

The best pain clinic in LA would know that the psychological preparation of the patient is at least as important and often more important than the skill of the implanter in determining the long-term success of neuromodulation therapy for the chronic pain of failed back syndrome. Patients need to understand that neuromodulation, whether it be […]

Read more »

In Search of the Best Pain Clinic in Los Angeles: Failed Back Syndrome – Neuromodulation

By | April 29, 2012

While the problem of failed back syndrome is serious advances in therapy over the last 20 years have improved the prognosis considerably. The best pain clinic in Los Angeles would know that standard pain management techniques such as epidurals and median branch rhizotomies are rarely effective in the treatment of post-laminectomy syndrome. At Schlesinger Pain […]

Read more »

In Search of the Best Pain Clinic in Los Angeles: Failed Back Syndrome – Avoiding More Surgery

By | April 28, 2012

The best pain clinic in LA would know that keeping patients with post-laminectomy syndromes away from unscrupulous surgeons can be extremely difficult. Most of these patients still harbor secret hopes of a magical cure and find it hard to believe that the surgeon in whom they had placed their trust not only can’t fix the […]

Read more »

In Search of the Best Pain Clinic in Los Angeles: Failed Back Syndrome

By | April 27, 2012

What do you do when you have had back surgery, but you are no better than before? What do you do when you have had back surgery and you are actually worse? Do you go back to your original surgeon and have another operation? And what if that fails? Estimates are that as high as […]

Read more »