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Understanding persistent pain after spinal surgery and alternative care options

Persistent or recurring pain following spinal surgery can be frustrating and concerning. Many people undergo surgery expecting relief, only to find that symptoms continue or return over time.

This is sometimes referred to as Failed Back Surgery Syndrome (FBSS) or Persistent Spinal Pain Syndrome.  At the Devon Disc Centre, we help people understand why symptoms may continue after surgery and explore appropriate alternative care options where suitable.

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We specialise in assessing whether non surgical approaches may be appropriate, helping you make informed decisions about your care.

We offer a calm place to explore your options, providing a considered, ethical environment for people facing serious decisions about spinal health care.  We do not pressure decisions, or rush treatment.  We provide detailed assessment, perspective, and appropriate options to consider your next step forward.

Find out about other conditions we can help >>

 

Failed Back Surgery

What is Failed Back Surgery Syndrome

Failed Back Surgery Syndrome is a term used when spinal pain or nerve related symptoms continue after spinal surgery, or when new symptoms develop following surgery.

This does not necessarily mean that the surgery was unsuccessful. Rather, it reflects that spinal symptoms can be influenced by multiple factors that may not always be resolved through surgery alone.

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Common symptoms of Failed Back Surgery Syndrome

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Symptoms vary depending on the individual and the type of surgery performed.

Common symptoms include:

  • Persistent back or neck pain

  • Sciatica or leg pain

  • Arm pain

  • Tingling or numbness

  • Weakness

  • Fluctuating symptoms

  • Reduced tolerance to sitting or walking

Symptoms may remain similar to those experienced before surgery, or new symptoms may develop.

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Why Symptoms Persist after Spinal Surgery

Why symptoms may persist after spinal surgery

There are several reasons symptoms may continue after surgery. These may include:

  • Ongoing disc compression

  • Scar tissue formation

  • Adjacent segment changes

  • Degenerative disc disease

  • Spinal stiffness or reduced movement

  • Nerve sensitivity

  • Muscle guarding

Often, more than one factor contributes.

Why symptoms can return after surgery

Spinal surgery typically addresses a specific structural issue. However, the spine continues to adapt and change over time.

Factors that may contribute to symptom recurrence include:

  • Adjacent segment loading

  • Ongoing disc changes

  • Reduced movement

  • Lifestyle factors

  • Nervous system sensitivity

This is why some people experience improvement initially, followed by a return of symptoms.

How non-surgical spinal decompression
may help

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In suitable cases, non surgical spinal decompression may be considered following spinal surgery.

This can help by:

  • Reducing compressive load

  • Supporting disc space

  • Improving movement tolerance

  • Reducing nerve irritation

 

At the Devon Disc Centre, decompression is delivered using biofeedback monitored technology, allowing care to be adjusted based on how your body responds during treatment.

 

This may be particularly helpful where symptoms are related to ongoing compression.  spinal decompression is designed to gently reduce pressure within the spine and support disc recovery.

How Spinal Decompression Can Help

Understanding Assessment before decisions are made

Not everyone with previous spinal surgery is suitable for decompression. Careful assessment is essential.

Assessment helps determine:

  • The cause of ongoing symptoms

  • The type of previous surgery

  • Whether decompression is appropriate

  • When alternative pathways may be more suitable

Safety and suitability always come first.

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Understanding adjacent segment changes

After spinal surgery, surrounding spinal segments may experience increased load. This is sometimes referred to as adjacent segment changes.

This may contribute to:

  • New pain above or below surgery

  • Reduced movement

  • Disc changes

  • Nerve symptoms

This is a recognised pattern following some spinal procedures.

Frequently Asked Questions

Doctor and Patient

A calm place to explore your options

Devon Disc Centre exists to provide a considered, ethical environment for people facing decisions about spinal care.

We do not rush treatment.
We do not pressure decisions.
We do not promise outcomes.

We provide assessment, perspective, and appropriate options.

Taking the next step

If you are experiencing persistent symptoms following spinal surgery, assessment is the appropriate place to begin.

Book an assessment with the Devon Disc Centre to explore the most appropriate way forward.

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