FBSS:Failed Back Surgery Syndrome
There isn't enough evidence in the medical literature to support a specific approach to failed back surgery syndrome. Physicians don't have good guidelines to help them direct patients.
The incidence of FBSS ranges between 5 and 50%, according to a study done in 2005 in Prague, Czech Republic. Doctor always told patents:Scar tissue that forms around the surgery site, interrupting normal neurological functioning.Really?
New research showed: no correlation between excessive fibrosis with lumbar and leg pain, disability or straight leg resistance. The role of fibrosis should be reevaluated.
Zak acupuncture theory: Soft tissue inflammation play main role in FBSS,zak acupuncture is best solution for FBSS.
Discuss:
The reality is that most back pain originates in damaged soft tissue, not really in the spine,some doctor believes that a large percent of all spinal surgeries and injuction are unnecessary.Recent studies show that the failure rate for back surgeries is extremely high (half in some studies),people also notes that most MRIs of the low back are read as abnormal, and that as many as half of people with herniated disks have no back pain, while as many as 70 % of those with degenerated lumbar disks have no pain.Zak believes that sharing this new approaches to the evaluation and treatment of soft tissue could lead to more effective treatments for the majority of back pain patients.Scar tissue is a way overrated cause of pain, and does not need to be removed. It does not cause pain in and of itself, although it can tether the nerve root and cause pain with motion. If the surgery did not work, then patient may need a more accurate diagnosis as to what is the cause of the pain.
Website:www.backachetherapy.co.uk
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reference:Instituto de Neurologia de Curitiba, Abílio César Borges, 79/61, Curitiba, 80730-060, Brazil
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Acupuncture can confirmatively promote the functional recovery for'patients with prolapse of the lumbar intervertebral disc after surgical removal of nucleus pulposus and with intervertebral fusion.---reference:J Tradit Chin Med. 2008 Dec;28(4):250-4
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Failed back surgery syndrome can be due to a number of factors that doctors and researchers are still discussing. These include:
Scar tissue that forms around the surgery site, interrupting normal neurological functioning.
The technicalities of the operation are not successful, the performing surgeon had poor technique, and/or there is iatrogenic injury present.
The surgery is not performed at the site that causes the pain.
The surgery performed is not actually necessary.
The patient is a poor fit for a successful surgery.
The diagnosis was incorrect.
Complications of surgery arise.
Most patients with FBSS have accompanying psychological, social and/or vocational problems indirectly related to the pain. It’s important that these issues be carefully sorted out before any decision to go back for more surgery is made, as they can cloud the evaluation of next steps to be taken.
