Spinal Cord Stimulation for the Treatment of Intractable Pain from Failed Back Surgery Syndrome
Introduction: Failed back surgery syndrome (FBSS) is a debilitating chronic neuropathic pain condition, affecting approximately 10–40% of patients after lumbosacral spine surgery. Treatment of FBSS is challenging as conservative therapies and repeat surgery often fail in providing adequate pain reli...
Main Authors: | , |
---|---|
Format: | Article |
Language: | English |
Published: |
SAGE Publishing
2010-09-01
|
Series: | Proceedings of Singapore Healthcare |
Online Access: | https://doi.org/10.1177/201010581001900304 |
id |
doaj-31c16ea8fe974f74b113a78b226d075c |
---|---|
record_format |
Article |
spelling |
doaj-31c16ea8fe974f74b113a78b226d075c2020-11-25T03:16:32ZengSAGE PublishingProceedings of Singapore Healthcare2010-10582059-23292010-09-011910.1177/201010581001900304Spinal Cord Stimulation for the Treatment of Intractable Pain from Failed Back Surgery SyndromeKoravee Pasutharnchat MDKok-Yuen Ho MBBS, MMed (Anaes), FIPP, DAAPMIntroduction: Failed back surgery syndrome (FBSS) is a debilitating chronic neuropathic pain condition, affecting approximately 10–40% of patients after lumbosacral spine surgery. Treatment of FBSS is challenging as conservative therapies and repeat surgery often fail in providing adequate pain relief. Spinal cord stimulation (SCS) has been proven to be a successful therapeutic option in FBSS patients. Case Report: A 23 year-old male presented with persistent low back pain and bilateral radicular pain after spinal surgery. He was also wheelchair-bound because of his severe pain. Conservative treatment with oral analgesics and interventional pain procedures were unsuccessful in improving his pain. Subsequently, we performed a permanent implantation of epidural leads for SCS after a successful trial of SCS. He reported good coverage of pain without complications after the procedure. Three months after surgery, and after intensive physiotherapy and rehabilitation, he could walk and return to work. Conclusion: We describe our first successful case of treating intractable pain from FBSS in a patient after implantation of SCS leads in our institution.https://doi.org/10.1177/201010581001900304 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Koravee Pasutharnchat MD Kok-Yuen Ho MBBS, MMed (Anaes), FIPP, DAAPM |
spellingShingle |
Koravee Pasutharnchat MD Kok-Yuen Ho MBBS, MMed (Anaes), FIPP, DAAPM Spinal Cord Stimulation for the Treatment of Intractable Pain from Failed Back Surgery Syndrome Proceedings of Singapore Healthcare |
author_facet |
Koravee Pasutharnchat MD Kok-Yuen Ho MBBS, MMed (Anaes), FIPP, DAAPM |
author_sort |
Koravee Pasutharnchat MD |
title |
Spinal Cord Stimulation for the Treatment of Intractable Pain from Failed Back Surgery Syndrome |
title_short |
Spinal Cord Stimulation for the Treatment of Intractable Pain from Failed Back Surgery Syndrome |
title_full |
Spinal Cord Stimulation for the Treatment of Intractable Pain from Failed Back Surgery Syndrome |
title_fullStr |
Spinal Cord Stimulation for the Treatment of Intractable Pain from Failed Back Surgery Syndrome |
title_full_unstemmed |
Spinal Cord Stimulation for the Treatment of Intractable Pain from Failed Back Surgery Syndrome |
title_sort |
spinal cord stimulation for the treatment of intractable pain from failed back surgery syndrome |
publisher |
SAGE Publishing |
series |
Proceedings of Singapore Healthcare |
issn |
2010-1058 2059-2329 |
publishDate |
2010-09-01 |
description |
Introduction: Failed back surgery syndrome (FBSS) is a debilitating chronic neuropathic pain condition, affecting approximately 10–40% of patients after lumbosacral spine surgery. Treatment of FBSS is challenging as conservative therapies and repeat surgery often fail in providing adequate pain relief. Spinal cord stimulation (SCS) has been proven to be a successful therapeutic option in FBSS patients. Case Report: A 23 year-old male presented with persistent low back pain and bilateral radicular pain after spinal surgery. He was also wheelchair-bound because of his severe pain. Conservative treatment with oral analgesics and interventional pain procedures were unsuccessful in improving his pain. Subsequently, we performed a permanent implantation of epidural leads for SCS after a successful trial of SCS. He reported good coverage of pain without complications after the procedure. Three months after surgery, and after intensive physiotherapy and rehabilitation, he could walk and return to work. Conclusion: We describe our first successful case of treating intractable pain from FBSS in a patient after implantation of SCS leads in our institution. |
url |
https://doi.org/10.1177/201010581001900304 |
work_keys_str_mv |
AT koraveepasutharnchatmd spinalcordstimulationforthetreatmentofintractablepainfromfailedbacksurgerysyndrome AT kokyuenhombbsmmedanaesfippdaapm spinalcordstimulationforthetreatmentofintractablepainfromfailedbacksurgerysyndrome |
_version_ |
1724635549298327552 |