Optimal medical, rehabilitation and behavioral management in the setting of failed back surgery syndrome

Desai, Mehul; Nava, A; Rigoard, Philippe; Shah, Binit J.; Taylor, Rod S

doi:10.1016/j.neuchi.2014.09.002

Cited by 25 publications

(20 citation statements)

References 36 publications

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“…The gold standard for visualization of the spine is Gadolinium-enhanced MRI 36. Gadolinium-enhanced T1-weighted images allow the practitioner to differentiate disc herniation from postsurgical fibrosis as a cause of back pain 37.…”

Section: Diagnosismentioning

confidence: 99%

Failed back surgery syndrome: current perspectives

Baber¹,

Erdek²

2016

JPR

171

146

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The treatment of failed back surgery syndrome (FBSS) can be equally challenging to surgeons, pain specialists, and primary care providers alike. The onset of FBSS occurs when surgery fails to treat the patient’s lumbar spinal pain. Minimizing the likelihood of FBSS is dependent on determining a clear etiology of the patient’s pain, recognizing those who are at high risk, and exhausting conservative measures before deciding to go into a revision surgery. The workup of FBSS includes a thorough history and physical examination, diagnostic imaging, and procedures. After determining the cause of FBSS, a multidisciplinary approach is preferred. This includes pharmacologic management of pain, physical therapy, and behavioral modification and may include therapeutic procedures such as injections, radiofrequency ablation, lysis of adhesions, spinal cord stimulation, and even reoperations.

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Section: Diagnosismentioning

confidence: 99%

Failed back surgery syndrome: current perspectives

Baber¹,

Erdek²

2016

JPR

171

146

View full text Add to dashboard Cite

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“…4,19,20,23 This chronic condition is described as failed back surgery syndrome (FBSS) or postlaminectomy syndrome and remains difficult to treat with conventional medical management alone. 8…”

Section: Introductionmentioning

confidence: 99%

Multicolumn spinal cord stimulation for predominant back pain in failed back surgery syndrome patients: a multicenter randomized controlled trial

Rigoard

Basu

Desai

et al. 2019

Pain

108

107

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“…Most patients undergoing rehabilitation for neurological diseases complain of pain. Both pain and side effects of the drugs used to provide relief from pain from pain may interfere or have a negative effect within the rehabilitation process (Gallagher, 2005 ; Pongparadee et al, 2012 ; Singh et al, 2013 ; Desai et al, 2015 ). Moreover, pharmacological therapies are effective only in a minority of patients with neuropathic pain (NP) or pain associated with neurological conditions.…”

Section: Introductionmentioning

confidence: 99%

Psychological Treatments and Psychotherapies in the Neurorehabilitation of Pain: Evidences and Recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation

et al. 2016

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Background: It is increasingly recognized that treating pain is crucial for effective care within neurological rehabilitation in the setting of the neurological rehabilitation. The Italian Consensus Conference on Pain in Neurorehabilitation was constituted with the purpose identifying best practices for us in this context. Along with drug therapies and physical interventions, psychological treatments have been proven to be some of the most valuable tools that can be used within a multidisciplinary approach for fostering a reduction in pain intensity. However, there is a need to elucidate what forms of psychotherapy could be effectively matched with the specific pathologies that are typically addressed by neurorehabilitation teams.Objectives: To extensively assess the available evidence which supports the use of psychological therapies for pain reduction in neurological diseases.Methods: A systematic review of the studies evaluating the effect of psychotherapies on pain intensity in neurological disorders was performed through an electronic search using PUBMED, EMBASE, and the Cochrane Database of Systematic Reviews. Based on the level of evidence of the included studies, recommendations were outlined separately for the different conditions.Results: The literature search yielded 2352 results and the final database included 400 articles. The overall strength of the recommendations was medium/low. The different forms of psychological interventions, including Cognitive—Behavioral Therapy, cognitive or behavioral techniques, Mindfulness, hypnosis, Acceptance and Commitment Therapy (ACT), Brief Interpersonal Therapy, virtual reality interventions, various forms of biofeedback and mirror therapy were found to be effective for pain reduction in pathologies such as musculoskeletal pain, fibromyalgia, Complex Regional Pain Syndrome, Central Post—Stroke pain, Phantom Limb Pain, pain secondary to Spinal Cord Injury, multiple sclerosis and other debilitating syndromes, diabetic neuropathy, Medically Unexplained Symptoms, migraine and headache.Conclusions: Psychological interventions and psychotherapies are safe and effective treatments that can be used within an integrated approach for patients undergoing neurological rehabilitation for pain. The different interventions can be specifically selected depending on the disease being treated. A table of evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation is also provided in the final part of the paper.

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Optimal medical, rehabilitation and behavioral management in the setting of failed back surgery syndrome

Cited by 25 publications

References 36 publications

Failed back surgery syndrome: current perspectives

Failed back surgery syndrome: current perspectives

Multicolumn spinal cord stimulation for predominant back pain in failed back surgery syndrome patients: a multicenter randomized controlled trial

Psychological Treatments and Psychotherapies in the Neurorehabilitation of Pain: Evidences and Recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation

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