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Failed Back Surgery Syndrome (FBSS)

Chronic lower back pain is one of the leading causes of permanent disability. Often people with chronic low back pain will try multiple forms of treatment including Physical Therapy, medications, and injection therapy. Once they've exhausted all these efforts, many resort to surgery as the answer for their pain. Unfortunately only 35% of these cases are successful, particularly when Fusion is involved. As such, a group of pain management specialist recently have begun to use the diagnostic "label" of failed back surgery syndrome, or FBSS.

In the article below you can read how many pain specialists feel adding this additional "label" as a beneficial step. I would partially agree that the "label" is beneficial because some Physicians and surgeons are in denial that back surgery can fail. Some surgeons see patients with continued back pain after surgery as fakers or addicted to pain medicine. Physical therapists, as well as modern educated surgeons and Physicians, know that surgery is not always the answer for chronic lower back pain. Moreover, I strongly feel that simply adding a label is not enough.

As a physical therapist, I argue that simply adding a label may not be as beneficial as what occurs in the next steps after a patient is diagnosed or labeled. A large majority of patients with chronic lower back pain never seek psychological counseling. Emerging pain science Concepts are beginning to show that many of these patients with chronic lower back pain, as well as other forms of chronic pain, have larger issues at play. Many of these issues include anxiety, altered pain responses, depression, and chronic systemic inflammation from poor nutrition and lifestyle factors. Physical therapist are being armed with the knowledge of addressing some of these psychological Concepts through cognitive behavioral therapy (CBT) techniques, modern pain science techniques, as well as nutritional counseling.

Our team at Wells Physical Therapy embraces many of these Concepts and can help you or our friend through chronic pain. Contact us today for a consultation and enjoy the below article.

http://www.painmedicinenews.com/Primary-Care/Article/10-17/When-the-Last-Resort-Fails-Failed-Back-Surgery-Syndrome/44735

Back Pain, Manipulation, JAMA

According to a new, large systematic review done by the Journal of American Medicine (JAMA), spinal manipulation or mobilization significantly reduces pain and improves functioning for acute lower back pain. Nearly half of the Articles reviewed were published by physical therapists! 

Doctors of physical therapy are uniquely trained in spinal manipulation. Two weeks ago I had a unique case of a gentleman with lower back pain. He was in so much pain he was crippled forward over a Walker. After performing spinal manipulation, as well as therapeutic execrises, he no longer need of the Walker... after one treatment! 

Fast responses to treatment is it Priority for us. Call or message us today to schedule a consultation.

Article: https://www.ncbi.nlm.nih.gov/pubmed/28399251