Failed Back Surgery Syndrome Treatment (FBSS)

Spinal surgery is not always the answer for your low back pain

Lets look and understand why?  

A REAL LIFE RESULT in my practice and also seen in many MSK specialist who are doing Prolotherapy,  it is know that about 70% of low back pain is NOT coming from the spine but from the sacral iliac area.

These patients suffering with chronic low back pain tend to go to their doctor for help and other specialist. They all end up doing many different diagnostic test (MRI, X-rays etc) that can also show low back pathology. The problem is that many times the visiting physician doesn’t apply a meticulous clinical visit to help him understand that maybe these patients don’t actually need spinal surgery or they might not have a spinal issue.

Well, the clinical exams that a Prolotherapy doctors does on his patients with chronic low back pain is very meticulous and different then many others.

This is why Prolotherapy physicians may help many patients that have HAD FAILED SPINAL SURGERY. The spinal surgery in low back patients involves, removing supporting structures, such as a lamina, facet, or disc.

These structures either removed or fused weaken their spinal bio-tensegrity.

This will definitely hurt the patient if NOT FUNCTIONALLY NEEDED Prolotherapy, is an injection therapy that seeks to stabilize the structures of the spine through healing soft tissue damage caused by the surgery or not fixed by the surgery. Prolotherapy is an injection technique that accelerates healing of connective tissues. Sometimes hardware failure can be also a terrible consequence of failed back surgery syndrome.

When chronic back pain continues after back surgery, some doctors are hopeful that they can help their patients with simple dextrose Prolotherapy injections

Here is an updated NEW RESEARCH.

Some hope on avoiding revision surgery and understanding regeneration injections therapies

In new research from May 2019, researchers at the Gulhane Training and Research Hospital, Traditional and Complementary Medicine Practice Center, University of Health Sciences, Ankara, Turkey wrote in the European Spine Journal :

  • “Patients with chronic low back pain, who do not respond to conservative treatment methods, generally undergo surgical revision operations, and sometimes an undesirable condition called failed back surgery syndrome (FBSS) may be inevitable. Hereby, dextrose (Prolotherapy injections) is one of the regenerative methods that has gained popularity in the treatment of many musculoskeletal problems, and we aimed to present and evaluate the outcomes of (Prolotherapy injections) for the treatment of FBSS.
  • A total of 79 patients with failed back surgery syndrome, who had minimum 6 months of symptoms and did not respond to 3 months of conservative methods between May 2014 and March 2016, participated in the study.”

What did the researchers find?

  • Prolotherapy injections provided significant pain relief and improvement in disability scores.

The conclusion of this research? The physicians reported:

These results may be the first step giving a lead to an undiscovered field (of pain relief and spinal stability). This treatment method should be kept in mind for FBSS patients before giving a decision of revision surgery.”

  • “These results may be the first step giving a lead to an undiscovered field (of pain relief and spinal stability). This treatment method should be kept in mind for FBSS patients before giving a decision of revision surgery.”

What this research is showing is that if you inject dextrose prolotherapy solution into the supportive soft tissue structures of the spine, meaning the spinal ligaments, tendons, and fascia, there is a good chance that the patient with chronic pain following failed back surgery syndrome can get relief and a strengthen spine.