Revolutionizing Spine Care…Changing Lives


Failed back surgery syndrome (FBSS) refers to chronic back or neck pain, with or without extremity pain, that can occur if a spine surgery does not achieve the desired result.

Contributing factors to pain that returns following spine surgery include but are not limited to recurrent disc herniation, further degeneration causing pressure on a spinal nerve, altered joint mobility, scar tissue around or within the nerves, muscle de-conditioning, facet joint degeneration, or sacroiliac joint degeneration.


Common symptoms associated with Failed Back Syndrome include diffuse, dull, and aching pain involving the back and/or legs. Patients may also complain of sharp, pricking, burning, or stabbing pain in the extremities.


The physician will review the treatment history, particularly the type of surgery (or surgeries) done and for what reason. Particular attention is paid to the result of the surgery and how the patient’s symptoms have evolved following the surgery. A physical examination will also be done. X-rays, MRI and computed tomography (CT), or myelogram-CT may be ordered.


Treatment for failed back surgery syndrome may include physical therapy, nerve blocks, medications, injections, or a chronic pain management program. If the pain is possibly coming from the facet or sacroiliac joints, chiropractic care may be recommended.

Correctable structural problems are sought and, if identified, additional surgery may be recommended to address these issues with Failed Back Syndrome. This may include facet joint or sacroiliac joint rhizotomy, spinal fusion, or sacroiliac joint fusion.

Sometimes no correctable cause of the patient’s symptoms with Failed Back Syndrome is identified. In these cases, spinal cord stimulation (SCS) or narcotic pumps may be used for pain control. It is important to discuss treatment options with your doctor in deciding which treatment, if any, may be best for you.

Leaders in Advanced Spine Procedures

To find out whether you would benefit from artificial disc surgery, make an appointment to visit Texas Back Institute in the Dallas, TX, area for an evaluation. We always reserve surgery as a last resort, so we’ll seek to relieve pain first through conservative treatments such as physical therapy and pain management. If severe pain persists and it is determined that you would benefit from surgery, we can help you determine whether artificial disc replacement is right for you.

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