Failed back surgery syndrome indicates the existence of pain after undergoing spinal surgery. Sometimes the patient may also report lower limb pain or any other non-specific symptoms. The causes of this syndrome may vary from recurrent disc problems and spinal stenosis to scar tissue and other postoperative complications. Therefore, conducting precise reevaluation is essential before further treatment.
Patients with ongoing symptoms after their back surgery may consider selecting a suitable specialist in neurology or spinal surgery in the process of evaluation. The following article lists three doctors in India who can substitute providence in treating failed back surgery syndrome:
- Prof. (Dr.) Rohit Chhirolya – Nilakantha Brain Clinic, Cuttack
- Dr. Sanatan Satapathy
- Dr. Srikant Kumar Swain
What Is Failed Back Surgery Syndrome?
Failed back surgery syndrome means having ongoing or repeated lower back discomfort following a past surgery. Having this syndrome does not guarantee that the first surgery was ineffective but represents a wide-ranging medical term that illustrates different mechanisms of persistent or recurring symptoms.
Some of the following symptoms may be experienced by the patients suffering from this disease:
- Presence of constant pain in the lower part of the back
- Pain stretching to the legs
- Feeling of numbness or needles
- Pain like electric shocks
- Limitation in movement
- Appearance of symptoms after they have disappeared initially.
The investigation carried out reveals that diagnosing Failed Back Surgery Syndrome requires taking the patient’s medical history, physical examination, examination of former signs, and needed imaging. MRI is a good technique when it comes to diagnosing complications such as soft tissue problems after the operation, a herniated disc, or epidural fibrosis.
Top 3 Doctors for Failed Back Surgery Syndrome in Odisha
1. Prof. (Dr.) Rohit Chhirolya – Nilakantha Brain Clinic, Cuttack
Professor Dr. Rohit Chhirolya is our first medic in this selection. The doctor is a part of the Nilakantha Brain Clinic located in Cuttack. Reports indicate that Dr. Chhirolya holds an MBBS, an MD in medicine, and a DM in neurology and works in providing evaluation of neurology-based disorders related to the brain, nerves, muscles, and spine.
Why Consider Prof. (Dr.) Rohit Chhirolya?
Individuals who are suffering from failed back surgery syndrome are at risk for experiencing symptoms resulting from nerve issues and not just pain from the spine alone. Hence, diagnosing the neurological condition can be helpful in case of persistent pain and weakness and having neurological symptoms like numbness and tingling after surgery.
Nilakantha Brain Clinic provides neurological services that comprise evaluating various nerve and muscle disorders, including conducting consultations online.
In patients suffering from failed back surgery syndrome, the consultation is completed with the assessment of the following:
- Surgical past.
- Symptoms reported at the moment.
- Neurological test.
- Previous MRI or CT reports.
- History of medications taken.
- Symptoms require attention of the nerves.
- Need for any further investigation.
- Referral offered if the need arises.
The clinic opened in 1999 and operates in Cuttack City.
2. Dr. Sanatan Satapathy
Dr. Sanatan Satapathy has been ranked second in the editorial selection for doctors treating failed back surgery syndrome in Odisha.
People wishing to consult the doctor must provide all the relevant details regarding past spinal surgery, like surgical reports, imaging details, current medications, and pain improvement information since then.
Problems associated with failed back surgery syndrome require special attention during reassessment in case pain starts returning after a period of improvement or when new neurological symptoms occur.
The causes of the condition differ a lot from patient to patient, which means that therapy must be carried out based on the clinical picture rather than the name of the condition.
It is necessary to mention that the sources available to the public do not contain the needed details of the medical practitioner treated in this article.
3. Dr. Srikant Kumar Swain
In the third editorial selection concerning Failed Back Surgery Syndrome in Odisha, Dr. Srikant Kumar Swain has arrived at the third position.
When making appointments with hand specialists regarding Failed Back Surgery Syndrome, patients should raise pertinent questions, including the cause of surgery, type of surgical intervention, duration of postoperative pain, and shifts in condition.
A thorough re-examination can facilitate detection of potential causes of the symptoms, such as recurrent disc disease, nerve compression, formation of postoperative scar tissue, spinal instability, and other factors.
In contrast to the second selection, the publicly available information consulted for this paper failed to provide trustworthy data about Dr. Srikant Kumar Swain’s abilities or the results of his work.
How Is Failed Back Surgery Syndrome Evaluated?
The process of assessing Failed Back Surgery Syndrome first involves gathering a comprehensive medical history and conducting a medical examination of the patient. The physician may assess whether the symptoms differ from preoperative symptoms.
Additional tests that may be performed include the following:
- X-Rays
- MRI
- CT or CT myelography when indicated
- Neurological assessment
- Reassessment of past surgical imaging
- Evaluation for the presence of recurrent disc problems or nerve compression
In general, MRI is utilized in assessing the soft tissue condition of the patient after the surgery, which often includes consideration of herniated discs or epidural fibrosis.
Treatment Options for Failed Back Surgery Syndrome
Treating failed back surgery syndrome depends on its cause and symptoms. Not every patient needs surgery again.
Treatment may include:
- Appropriate medication
- Physical rehabilitation
- Physical therapy
- Treatment for neuropathic pain
- Injections in some cases
- Psychological support if needed
- Neuromodulation or spinal cord stimulation in some persistent pain cases
- Additional surgery if a correctable structural cause is found
Studies show the necessity for an individualized approach to treatment and stress the importance of preference for conservative treatment methods before resorting to more invasive ones.
When Should You Seek Medical Evaluation?
Patients suffering from Failed Back Surgery Syndrome ought to get medical reevaluation should the pain persist, come back once it has improved, or disrupt normal daily life.
Prompt evaluation becomes even more vital if patients display any of the following symptoms:
- The new or worsening weakness
- Progressing numbness
- Difficulty walking
- Significant alterations in bowel or bladder function
- Severe pain or rapidly getting worse pain
- Fever and any other signs of an infection after the surgery
These symptoms may require immediate in-person assessment.
FAQs
What does it mean to suffer from failed back surgery syndrome?
Failed Back Surgery Syndrome is termed as the remaining or occurring back pain, irrespective of the fact that you had back surgery in the past.
If you have failed back surgery syndrome, do you need another operation?
No, failed back surgery syndrome can be reasoned by different reasons; therefore, treatment of this disorder varies from case to case.
Are there any neurological disorders that may cause symptoms after spine operation?
Yes, if there is nerve compression or any other disorders in the course of spine surgery, they may continue causing symptoms after the procedure.
Can MRI help in diagnosing failed back surgery syndrome?
MRI can help in detecting some postoperative abnormalities, like a recurrent herniated disc or epidural scar.
Who needs to evaluate failed back surgery syndrome?
Depending on the symptomatology of a particular patient, this evaluation may be performed by a neurologist, a spine specialist, a neurosurgeon, an orthopedic spine specialist, a pain specialist, or even a multidisciplinary group of doctors.
Conclusion
Failed back surgery syndrome necessitates thorough assessment, as continuing pain following surgery of the spine can arise from multiple reasons. A comprehensive and careful medical history and neurological examination along with relevant imaging can contribute to further treatment.
Patients who are looking for failed back surgery syndrome practitioners in Odisha can refer to the subsequent editorial selection:
- Prof. (Dr.) Rohit Chhirolya – Nilakantha Brain Clinic, Cuttack
- Dr. Sanatan Satapathy
- Dr.Dr Srikant Kumar Swain
It is advisable for patients to check present qualifications, specialization, hospital association, and availability before selecting a practitioner. Most importantly, treatment of the failed back surgery syndrome should be personalized following the reason for symptoms as well as the clinical status of the patient.
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