Failed Back Surgery-What You Should Know
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- Опубликовано: 29 сен 2024
- Up to 40% of patients who undergo spinal surgery for lower back pain will develop postlaminectomy syndrome, or failed back surgery syndrome (FBSS). Dr. Josihi outlines the pathology, causes, diagnosis, and treatment options that primary care should know about.
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Wow. Way to mostly blame the patients. How about if the doctors do a better job with evaluation and diagnosis BEFORE surgery and if they work towards better procedures with lower rates of failure? Or, work on safer techniques or honing their surgical skills?
Sadly spine surgery is a huge profit center for hospitals, so it clouds their judgement.
@@Gpacharlie In the UK the operation come under the NHS and are free, I have 3 back ops so far and now waiting for a spinal cord stimulation implant, to help with the pain, again free but at a cost of over £15,000 for the NHS.
Martyn Koi I hope it works well for you.
Martyn Koi Jm in the U.K. too & im hoping to one day be a candidate after a failed disc surgery in 2012 I’ve been left with no quality of life. Stuck on opioids & mainly bedridden. I truly hope yours is successful. All the best to you : )
@@sheilablake4858 I hope you are doing better now
I suffer from FBSS X2. Cervical and Lumbar Spine. Lots of hardware in both areas. 3 surgeries in each area as well. I suffer on a daily basis. My quality of life just sucks. This is so bad I can't even think straight, I have no idea how to even address the issue. Not depressed or suicidal but I know I'm not going to live long. This is going to cut my life short. Way beyond my time.
THEATRE SORRY FOR YOU.I HAVE CRONIC PAIN FOR 30 YEARS AFTER TWO FAILED BACK SERGURYS.BUT NEVER GIVE UP .
I had 4 back surgeries, spine fusion and a puncture hole on my back that cause csf leak. Till this day I haven't had a solution. I suffer from headaches nerve pain, left leg weak numbness, back pain. I wish I never had this surgeries. Please if you read this pray and don't give up. I'm waiting for a 5th surgery to be approved.
@@nelsonamoreno6841 hi Nelson. How are you.
I just saw your story. I'm so sad for you . Hope you are active here and see my msg. Really wanna know that when your back issues started and at what age? An what kind of surgeries you had? If you get my msg then plz reply.
@@mrtubee007 hi Jose . Hope you are good
I literally shed into tears after knowing these stories. Really wanna know that what your surgeries were about ?????
And how long before you started to have back issues?
@@makeupbykhani8178 gf.me/u/y4ztat
I had a surgery 15 years ago I wish I never had it I was managing find until the war on opioids started the key too helping back pain is moving it’s very hard too keep moving when the pain hinders you they didn’t declare war on addiction the declared war on pain patients
ken seymour Totally correct as a retired nurse, over the years I have seen where the Insurance Companies and the Government tell the Physicians what they can do. New is on pain medication, but they even tell them on other drugs, i.e. antibiotics, how often they can prescribe other drugs, or if they write a script for one drug, but it isn’t the preferred You are penalized, and have to pay more for what was ordered or ask the Dr for one that is. Also the Government dictations how often you have to visit your pain Dr. For people on a fixed income with pain it’s not only difficult sometimes to make their appointments but can also a hardship financially due to the new increased visits. I Love this country, but exactly how many Laws have been enacted for our benefit but are really hardships.
ken seymour There is also the case where a person can have a chronic tissue based problem (cervical stenosis and osteophytes, inflammation and scar tissues) that can’t be treated successfully surgically and these are a trigger for central sensitization flare up. This is a bottom up situation and In this case opioids work to calm and prevent the trigger source pain thus helping to keep the central system calmed down, keeping a lid on all the mind body top down symptoms. Sadly with the overreaction and irrational response to the “opioid crisis” the bottom up sufferers have lost the one tool that works consistently to reduce their top down suffering. Cannabinoids require a lot of experimentation to find the right one that works without the high or sedation. They may not be the best choice in bottom up Central Sensitization. The bottom line is these patients are complex and require an initial investment of time that most primary care practitioners want nothing to do with. So we are misunderstood and left to flounder and suffer.
Chuck W The war on patients is correct. Bill Gates, Tony Fauci and the CDC Morons are culling the herd. We are the new holocaust victims. Georgia Guidestones day 1/2 billion population world wide. We are where they are starting.
Chuck W that’s a shame I can’t believe how they are treating people opioid is the one tool that works for chronic pain some pain might reach better to other types of pain but opioid is a must have for a lot of pain and I believe it’s a crime to keep these meds away from patients there’s a illegal drug problem in my opinion not a doctor patient drug problem there’s a few doctors that give out to much but it was not enough to take away meds from people that are be treated with no signs of misuse God bless I hope you find the right doctor there out there
I agree, it’s hard to move when it equals severe pain. His suggestions are very costly and not covered by insurance. I really wish people like this would have to live with severe, debilitating pain for a month before they deal with pain patients. They would lose their f***in minds and have an idea that some people have already tried everything on the market before being so desperate to succumb to surgery.
yes..when its worse after the surgery it is hell...wish i would of seen this before mine on 2016
How's you're back doing now?
Tammy Murphy I feel your pain and it makes me sad for you. But there is always hope that things will get better. Don’t lose hope.
Dinara Farina No doctor or surgeon has ever even mentioned it. I haven’t had much success with doctors but then I only began to consider arachnoiditis recently as I wasn’t familiar with it. I don’t know how they would treat it even if it were the diagnosis? I know my cervical spine is a mess.
Me, too! Mine was in 2012 now have no quality of life.
@@sheilablake4858 hi sheila. How are you . I hope you are active here. I really wanna know that what happened with you???
I agree, it’s hard to move when it equals severe pain. His suggestions are very costly and not covered by insurance. I really wish people like this would have to live with severe, debilitating pain for a month before they deal with pain patients. They would lose their f***in minds and have an idea that some people have already tried everything on the market before being so desperate to succumb to surgery.
Hi Marie my name is Dizzy i am moved by your comment by plenty of comments on this thread actually because i feel someone else finally gets it my doctor give me the run around get needles i did needles dr try them again tried them again doctor they dont have the answers 😔
I agree Marie. I had cervical spinal fusions years ago. I had no choice. The herniated disc was flattening out my spinal cord. The pain was worse after surgery and continues to get worse. My main symptom is pain radiating from my neck to my head and it never ceases. I had no pain prior to surgery. This guy needs to really experience some non-stop pain before he can be giving others medical advice. I wish the best for you. Believe me, as one pain person to another I can understand you battle. Peace from New Hampshire ✌
So so true brother!
I wish no harm but I do wish they would live with my pain for one month, then talk to me.
Just want to mention that sometimes surgery is needed but doesn’t always guarantee your pain will be gone. In your case you needed to stop the compression but doesn’t mean the pain will stop. Some patients don’t hear this and some doctors don’t say this.
His conclusion is appalling to me after experiencing the agony of failed back surgery. Eventually pain damages you psychologically and this guy wants to claim its the patients fault 1/5 to 2/5 of the time… Clearly there is something they haven’t learned about the nerves around the spine for this high of a failure rate.
My failed back surgery is definitely impacting me mentally. I did absolutely everything 100% post op. I was so careful every step of the way.
@tsurkscc maybe you need a spinal fusion?
My failed back surgery was due to the surgeon not fixing the problem. He was supposed to do a foraminotomy with the fusion. My post op MRI showed my foraminal stenosis is worse. Did he pack more bone in there while I was sleeping??? I talked with my PCP, I can’t seem to get a second opinion as my surgeon will not release my records and without them no one will see me. My fear is that I’ll wake up paralyzed or incontinent, diapers and wheelchair in my future.
Your surgeon CANNOT refuse to release your records. They are YOURS. Talk to the Medical Board in your State and/or the health system that employs your surgeon (unless he/she is private practice). File complaints if need be. See if you can find a local attorney whose specialty is malpractice and see if you can get them to write a letter demanding that your records released (nothing has to be said about a lawsuit, but the surgeon will recognize the names). If having the OR report is the most important thing to piece together, that can come from the hospital where it was performed, it doesn't have to come from the surgeon - but that may not be the only thing you need. Good luck.
Pills and more pills. Interesting discussion which seems to push people towards anything but surgery. I avoided an S1 fusion for nearly 10 years out of bias fear. It gave me my life back having that surgery done. It’s not all doom and gloom. Properly screened candidates benefit from surgical intervention.
Hi Noah, Glad your is a success story. If you don't mind me asking, how many years since your surgery?
If you recall, how would you rate your pain prior and post surgery? I'm a candidiate for L4-S1 fusion.
I've levoscoliosis, spinal stenosis and radiculopathy. I'm quite scared if I'm honest.
@@TitiJo wow. I'll tell you the fear is a good thing and it's protecting you. My wife has just begun to recover from spinal fusion. She feels she has not improved. It's a difficult thing to face for her and myself as her caregiver. Her quality of life is still an issue in doubt. We really know nothing now. She had the surgery 8 weeks ago and may have convinced herself it was a mistake. If you do have the procedure follow instructions EXACTLY AND DO NOT ADD OR TAKE AWAY from them.
@@hansmueller3029 Thank you sharing your personal news. Will absolutely send a prayer / send good energy for your wife and yourself. Unknown seasons can be so quiet. Hoping you both beautiful breakthroughs as you wait to recover. 🙌🏽✨
Hi Joann I had fusion L3-5 due to spondylithesis but actually had the surgery because of the instability. I had bilateral leg/buttock pain for at least 5 years. Had all the injections, pt, ablations etc. then it came down to stability and the choice was no longer mine. I went into the surgery being told this is for stability of the spine if we get pain relief it’s a bonus. It so happened as soon as I woke my pain was gone. My back pain was through the roof but the leg pain was thankfully gone. A week later I was doing great. 31/2 mos later it’s doing fantastic I still have issues but they are all due to atrophy from my muscles from walking around the way I was. It’s a long road but I’m hopeful. And I was petrified out of my mind. I’ve had every procedure you could think of and was never even nervous. This I was petrified almost cancelled 2 days before. Lol. So it’s real and normal. 🤞 good luck 🍀
@@hansmueller3029 sorry to hear about your wife how is she doing now. I am in agony and told to get fusion and I am scared
Had L3-4 laminectomy L4-5 partial laminectomy in 1994 to relieve severe leg pain. Immediately Pain got worse post-op. Was back in surgery a week later to remove a subdural hematoma (surgeon nicked the dura with his equipment during the first surgery causing a bleed) on the spine at L4-5. The L4-5 partial laminectomy became a complete. Took a year to get back on track. In 2007 the back had become unstable. Had lumbar fusion with instrumentation L2-L5 at UCLA. Now in 2020 i have blown discs below and above the previous fusion and lose hardware floating in my back. In November 2020 will have fusion from T11-S1 with new hardware. It’s a bad road to start down. PS. Surgery was to be done April 2, 2020, but thanks to covid19 it was postponed as all non emergent surgery was. Been on disability for a year waiting for this BS to be completed.
I would commit suicide man. My mother is in same severe pain after surgery and nobody can relieve her pain
@B L How are you doing now brother ? I hope some of your pain in being relieved 🙏
So sorry thank u for sharing. Very helpful not sure if my Back is recovering or if the guy messed up. Time
Will tell
I went back after my surgery to tell them the pain was no better. They told me to get lost
You could try a spinal fusion surgery it helps more 😊😊
I feel if surgery is the last alternative for relief of pain or to increase quality of life these statistics would relate more favorable outcomes
Ive got a back surgery done Dec 9th of 2019 and here i am in worse pain than when i started and now i have new symptoms such as morning sickness and i cant stand on my left leg at all really its too painful stretching and excercising causes painful sciatica so i really wish my dr would just come out and say there's nothing we can do for you i can accept that over lets repeat step 1 2 and 3 over again 😔 ladies and gentlemen am i doomed? Cause my depression is only getting worse because i feel nothing can be done for me and i tried it all
You didn't say what kind of surgery you had.. If you had a fusion then it's not looking good if you just had a budging disc repaired then it probably blew out again causing nerve compression
@@johnmitchell8925 the surgery I had was a laminectomy disectomy sorry about that 😅 I’m still looking for answers March 1st 2021 I exhausted every option I have left you name it I’ve done it except a 2nd surgery I even thought maybe this is just what I have to live with and that’s the hard part I’ve come to accept because I’ve had several doctors opinions they all said I was born with one problem it was congenital I think the term was and the other one was wear and tear my doctors can’t figure out why nothing they tried have been successful
@@DizzyHempstead516 how your conditions right now
You’re not alone. Same story and I’m only 27! Did the surgery for back pain which got worse after the surgery. Now my back hurts, knee hurts, feet hurts, can’t walk/stand/sit for more than 10-15min, can’t exercise because it would result in a horrible backpain!
Is this even worth living?
I one of them, I’ve had 13 surgeries and ultimately am fused from my sacrum to L-1
what causes fusion not to fuse? I am 4 months post L4/L5 fusion and felt great after surgery 99% of sciatic pain was gone. I could walk stand and sleep before surgery I could not. Now although I can walk and sleep I can not do anything athletically or even house chores, like raking, lifting groceries or anything like that? It feels like the spacer they put in is digging into my bones or something. I can't standup after I bend over 2 inches... or lean at all... without extreme pain. What could be happening. I have a high pain tolerance but this shuts me down. Rolling in bed hurts, going from bending slightly to straight kills.. Any advice.
I'm going thru the same thing that your going thru. I had 4 back surgeries l4 l5 I also have a csf leak and at this moment they still haven't repaired the puncture hole on my lumbar. They made many attempts but fail. I also have a spine fusion. I suffer from headaches, pain, numbness left leg, back pain pain. Suxs all surgeries fail. Is been 8 months and disability denied me
You need to bet new x-rays to see if you're having hardware issues maybe a loose or broken screw
@@mrtubee007 Any updates on your back Jose? When was your fusion? I am heading back for revision and probably fusion at L5/S1.
@@KBradAdams don’t get a fusion man get artificial disc replacement your going to be stiff for every and be in pain trust me
@@Borntohustlee It's a little late now, I already had a fusion over a year ago. What holds the replacement disc in place do they screw it into the bone above and below?
He says to do things to make sure the patients issues are exactly real?? Only we know our own bodies! I know mine!!!
Keep trying. Fire your doctors and search for new ones. Sometimes it’s best to go to a university hospital even if it’s far.
My doctor did not care the funny part is he told me it’s going to be a permanent injury there is no surgical thing I could do
Same as me ,,WTF ,is what I said ,try spinal cord stemalater implant,might be the only way .hope you look I to it .god bless .
There is also the case where a person can have a chronic tissue based problem (cervical stenosis and osteophytes, inflammation and scar tissues) that can’t be treated successfully surgically and these are a trigger for central sensitization flare up. This is a bottom up situation and In this case opioids work to calm and prevent the trigger source pain thus helping to keep the central system calmed down, keeping a lid on all the mind body top down symptoms. Sadly with the overreaction and irrational response to the “opioid crisis” the bottom up sufferers have lost the one tool that works consistently to reduce their top down suffering. Cannabinoids require a lot of experimentation to find the right one that works without the high or sedation. They may not be the best choice in bottom up Central Sensitization. The bottom line is these patients are complex and require an initial investment of time that most primary care practitioners want nothing to do with. So we are misunderstood and left to flounder and suffer.
I felt that when you said we are bound to flounder and suffer you have my sympathy im in the same shoes I just dont know whats wrong with me
Dizzy Alexander
It could be an over stressed neurology. It depends on symptoms. Sit in a quiet place with a pad of paper and do a top down bottom up “inventory” of symptoms. Check your breathing and if your mind is full of racing thoughts or stuck on something you are “ruminating” on. Do you have pain every day. Do you have a variety of pains and discomforts? Do they move around and increase and decrease throughout your week. How is your gut?
If you do have a “sensitized neural system” it takes time to come to a confident conclusion that it is the main problem. Most doctors are now aware that this does happen to some people and that’s good but they aren’t all ‘up’ on the specifics of it.
@@Gpacharlie well the pain ive been having was a work related incident was working in a warehouse the people i was working with stopped working so i kept going since i was a temp at the job working toward permanent and then snap it started off as acute pain but became chronic when i realize no medicine was working flexeril lorzone traumadol i had it all the only one that works is oxycodone but since some people were abusing it im forced to live a life of pain i suffer everyday chuck with no relief i tried stretching sciatica come and trickles down my ass to my legs and its unbearable tried physical therapy didnt work chiropractor 5 mins of relief and then back to reality i dont know what to do honestly im honestly at the point of drinking again
Dizzy Alexander Do you have a primary care MD or ARNP?
@@Gpacharlie whats an arnp? Never heard of that before i have a spine surgeon i go to and now he wants me to go to pain management for needles and stuff I've done before surgery so im telling them if i did this before surgery and it didnt work why would it work after surgery?
Difference between syndrome and symptom….back pain post surgery is a symptom reflecting different possible causes, indeed wrong diagnosis or wrong decision of surgery (as surgery is a good business and creates good incomes), another cause which is totally missed or denied: allergies or extreme sensitivity to metal implanted. German surgeons have published more realistic statistics: 20 % of joint post surgery (with implanted material) are allergic reactions…but because Melisa test is not famous (not really appreciated by surgeons for any reason…)tests are not done before surgeries…. Allergies are causing tremendous pain….all over the body…and are only considered real if redness or heat are appearing around the wound…. Allergic reaction is inflammation in the joints, thereafter circulating in the entire body, becoming a metabolic cause…
I’m fused from C2-C4 & C5-C7. I have Fractures of L1-L5 and S1. I used to be controlled with 60-80 mgs.of Methadone.My dose was cut to 40mgs. By the CDC/DEA/DOJ. I’ve experienced kidney failure from NSAIDS and weight gain from Neurontin. HELP!
I I had a magical wand ✨ I would help all of us,I'm really sorry for you're suffering
I have to say reading these comments made me feel a lot better as I'm not suffering alone i had neck and back fusion and as bad as my back hurts the neck is a real special pain my doctor gave me a prescription for antidepressants said they'll help with your pain that's the best i can do
Is your neck pain worse after the fusion? They want me to do a fusion. But im not sure.
I had a laminectomy surgery and I think now I am worse than I was before
Same here had surgery in March 2020 I hurt everyday all day chronic pain
I am facing the same ... I have cervical stenosis and several herniations and bulges. I am scared.
You might need a full spinal fusion. Those are much better 😊
I have an appointment with my new Primary Sports Dr. I wanna show him this video. I'm tired of living in pain. These Dr's think we're exaggerating. Then once or if he send's me to a new Chronic Pain specialist, i'll also show him this video.
I hate having to justify my pain. One week post-OP from ALIF L5S1.... I had to justify my request for meds 12hrs after surgery!!!
@@renrick How are you now ?
Just look into getting a spine fusion they help 😊
Sorry unable to watch due to the background music
Leave then hun
I had a op on my back twice and the last time he said he can't know more but he took out 5bolts from my back and the next time there is nothing I can do so I am in agony with this bulge in my spine I can't sleep at night night although I sleep on my side but sometimes touch the bed and wow What can I do 😢😢
40% ...OMG. Giving me second thoughts.
same. Im trying to push off surgery as long as possible.
@@imveryhungry112 I've been making improvements with exercise, an inversion table and joint supporting supplements. Several months of chiropractic care helped a lot also. Doing whatever I can to stay off the operating table.
So somebody has broken back and have some psychiatric problems they have to live the rest of their life with a broken back that doesn't make sense so what kind of psychiatric problems they talk is he talking about like someone's a little stressed out a little depressed a little angry are they bouncing their head off of padded walls
Yea, I had no idea depression causes herniated discs and 10/10 pain. I'd love a DR to look at my MRI and say "look, see, you have mental problems at L5S1". It's fucking ridiculous.
@@smmoffat 0
Hi. I think what they were saying is that when U get bad spine problems it can screw up your life and maybe eventually your head!
What hes saying is that it might be good to look at other patient factors. Rather than doing surgery 1, then surgery 2, then surgery 3, then surgery 4. And the patient still be in pain after all these surgeries. Is that really bad medical advice? Statistically 40 percent of people are saying that they still have pain AFTER the surgery.
This sounds to me like some patient blame but that could just be me.
Wish I knew this in 2012 when I had mine. Ugh. The chronic pain is affecting me physically and mentally. I cant d anything anymore. So frustrating.
I’m so sorry
I'm in the vary same place ,day after day,,pain never stops ,even with the meds ,had hardware removed "hoping to have a good outcome,put still can't get outta bed much , doctor said he could do no more for me ,I need a spinal cord stemalater implant,so now I'm on list for that ....with luck this new year be easier .
Calling it failed back surgery is really deceiving and confusing. If you had fusion and it didn't fuse, then it's a failed fusion. But if you just still have back pain doesn't mean that the surgery failed. The fusion may look great.
Do you desire a spinal fusion? 😊
Definitely sounds like blaming patients. 2 failed laminectomies here. My initial pain was different then it is now. Now it's debilitating!
Is what he saying wrong tho? You just said you had surgery and now your pain is worse than before.
I got AA adhesive arachnoiditis from fbs … very painful disease…
Me too! It’s horrible.
Had my L5-S1 fused in 2018. Pain went from 7/8-10 to 3/10. In 2019 it started rising again. Im not at 7/8-10 but more like 5/6-10. I wonder if thata qualifies for FBSS
How are you now Kelly
He just emphasises psychology issues. That is misleading.
Do not consider psychological. Just go straight for spinal fusion 😊 fusion fix all 😊
I had spinal fusion surgery last april. Biggest mistake ever! In the hospital 2 months. Sent home from the hospital infect. Surgery to remove infected area and on a wound vac for 2 months. Just think twice before you choose to have surgery. I never used a walker before surgery and almost a year and am still on a walker. Also have gone through rehab 3 times!
Can you sue?
Maybe you need an updated spinal fusion? 😊
I am facing a laminectomy and fusion for multiple problems... Cervical stenosis, herniations, disc bulging. I am scared and trying to research my options. I am 57 and have intermittent pain, weakness and stiffness but no " pins and needles" incotinence or gait problems.
I am in a similar boat! I differ in spinal stenosis, radiculopathy (leg) and levoscoliosis. I'm so terrified.
If you can handle this pain with medicine don't do surgeries unless that's the only option. Back surgery creates more complications. I got linectomy now I am in more pain and now I have only option of fusion
@@noshm1092 How are you doing now ?
I'm 6 weeks post op Laminectomy L4 L5 s1. Should I be feeling relief at this time? I'm still having the pain and burning down the right leg only it's a bit worse than before surgery. I'm a health care worker how am I going to go back to work like this?? I'm hoping it will improve. Praying it's not a failed Laminectomy.
Are you better now? They want me to do spine surgery. Im really not sure I want to do it at least I want to push it off as long as I can.
@imveryhungry112 I'm better than i was when i made the last post but worse than i was before surgery. Surgery failed and now he wants to do a fusion. I'm not doing that.
@@donnaholmes1917 yeah I don't wanna do a fusion either. They want me to but im not sure. Truthfully I'm just worried the fusion is going to make it feel even worse.
From the point of view of a failed back surgery, i assure you, Dr., that i did EVERYTHING you could possibly do to prevent and prolong surgery. I dont appreciate stating it may be mental. I assure you my pain is real and would put you on your knees. It IS up to the surgeon to make sure everything possible has been done and the correct diagnosis made. I’m 38, almost 39, and know what my future holds. I would never go to a Dr. Like you. You’d be the one telling me its all in my head. In fact, i just had X-rays that confirm that my back is continuing to degenerate. I don’t know how you’ve gotten 302 likes on this video. Hope you have a blessed day.
Did you get spine surgery? They want me to do spine surgery but im not sure.
Mine failed at 6 months :(
Same here
YES , I HAVE TWO FAILED BACK SERGURYS IN MY L5 S1 , THE LAST ONE WITH FUSION.NOT GOOD
THIS HAPPENED IN 1991 AND 2011 .
Hi Nelson. Can we talk? Hope you are still active here. I really wanna know that after 1991 microdiscectomy or laminectomy have you been able to stay normal for 20 years before you started to have problem again in 2011????
Plz reply
@@makeupbykhani8178 who are you ? you are a doctor , attorney or what not one interesting in my case like you.
@@nelsonamoreno6841 I'm a sufferer like you.
@@nelsonamoreno6841 I really want to know experience of people who have had back surgeries.
I respect a lot those suffering from back issues .