Post-Laminectomy Syndrome

Post-laminectomy syndrome (PLS), also known as failed back surgery syndrome, is a chronic condition that can develop following spinal surgery. It is characterized by pain that persists after back or neck surgery, sometimes accompanied by symptoms of weakness, numbness, and difficulty with movement.

The exact cause of PLS is not fully understood, but it is believed to be related to nerve damage or inflammation in the spinal area. Risk factors for developing PLS include a history of chronic pain, smoking, and certain medical conditions such as diabetes or obesity.

Post-Laminectomy Syndrome Treatment

Treatment options for PLS are varied and often involve a combination of medication and non-pharmacologic approaches. The goal of treatment is to manage pain, improve function, and improve overall quality of life. Some commonly used treatment options for PLS include:

• Medications: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help to manage mild to moderate pain. In more severe cases, prescription medications may be necessary.
• Physical therapy: Physical therapy can be helpful in managing symptoms associated with PLS, as it can help improve mobility, strength, and flexibility. Modalities such as heat therapy or electrical stimulation may also be used to help manage pain.
• Injection therapies:
• Epidural steroid injections are a type of injection that delivers a steroid medication directly into the spinal canal to help reduce inflammation and relieve pain.
• Nerve blocks and radiofrequency ablation (RFA) can be used to disrupt nerve signals and reduce pain.
• Spinal cord stimulation (SCS): SCS involves the placement of a small device that delivers electrical impulses to the spinal cord to help manage pain. It has been shown to be effective in managing pain associated with PLS in some patients.
• Psychological interventions: Psychological interventions such as cognitive-behavioral therapy or relaxation techniques may be helpful in managing the psychological aspects of chronic pain associated with PLS.

Most interventional pain procedures are done at the onsite procedure suite. 

Don’t let post-laminectomy syndrome keep you from living your life. Lakeshore Pain and Spine Center is dedicated to providing personalized and compassionate care to help you achieve pain relief and improve your overall well-being. Call Lakeshore Pain and Spine Center or book an appointment online today.