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Failed Back Syndrome


The best care for failed back syndrome is to avoid creating it in the first place by performing surgery on the right patients. Those who suffer from FBS should try to avoid returning to the operating room and pursue other more conservative treatment options. There are situations which require re-operation such as the recurrence of a disc herniation or residual disc herniation which is still compromising one or more nerves. Spine surgery is generally performed to accomplish one or more of the following tasks; to remove something that should not be present such as a tumor, to stabilize a painful joint or spinal segment and to decompress (take pressure off) the spinal cord or a nerve that is compressed (pinched).

Back surgery cannot be used to surgically remove pain. It can be used to modify the structural relationship in the back so as to facilitate tissue recovery and to take away what is believed to a significant source of tissue inflammation and/or pains.

Conservative Treatment

  • Physiotherapy
  • Back Strengthening Exercises
  • Transcutaneous nerve stimulation
  • Electroacupuncture
  • Spinal Cord Stimulator

Surgery directed at the primary cause of pain such as:

  • Residual disc herniation
  • Recurrent disc herniation
  • Foraminal stenosis
  • Vertebral instability
  • Excessive adhering scar tissue (fibrosis)


The best way to prevent neck and back pain and to prevent progressive spine compromise is to become familiar with how your spine works and to become an active participant in your spinecare. It is important to learn how to choose a spinecare specialist and to recognize an efficient spinecare team. There are many steps you can take and habits you can develop to better care for your spine and prevent spine injury. It is also important that you learn more about your spine disorder and become aware of the signs and symptoms that warrant intervention and follow up care. Early detection and timely intervention is generally associated with better treatment outcome.

Educational Partners


To learn more about your spine. spinehealth, and available spinecare go to the International Spine Assocition (ISA) at The primary mission of the ISA is to improve spinehealth and spinecare through education. The ISA is committed to disseminating need-to-know information throught the World Wide Web in numerous languages covering many topics related to the spine, including information about spine disorders, spine heath, advances in technology and available spinecare

All health information posted on the site is based on the latest research and national treatment standards, and have been written or reviewed and appoved by the American Acedemy of Spine Physicians and/or International Spine Association physicians or health professionals unless otherwise specified.

The information provided on this site is designed to support. not replace,
the relationship that exists between patient/site visitor and his/her physician.