5 Facts About The Post-Laminectomy Syndrome

Post-laminectomy syndrome, also known as, the failed back syndrome is a condition in which a patient persistently experiences chronic back pain after the surgery. The surgery is often performed to correct an anatomical spine problem that causes pain, such as deformed spinal structures, pinched spinal nerves and unstable spine movement. Aside from feeling chronic pain, a patient may also experience stiffness, numbness and weakness near the surgery area. 

This type of syndrome is one of the major causes of chronic back pain, which often leads to a decreased quality of life, psychological and disability disorders. 

There are approximately 500,000 spinal surgeries performed in the United States each year. Unfortunately, 20% from that number report that they are experiencing persistent back pain after their surgery. 

In this article, pain clinic in Pembroke Pines has listed the 5 facts about post-laminectomy syndrome. 

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1. Types of post-laminectomy syndrome 

There are three types of post laminectomy syndrome, it mostly affects the three major regions of our spine: 

  • Thoracic post-laminectomy syndrome
  • Cervical post-laminectomy syndrome
  • Lumbar post-laminectomy syndrome


2. Post-laminectomy syndrome causes

Persistent pain after a spinal surgery may be due to several causes which include: 

  • Nerve root compression
  • Recurring herniated disc 
  • Joint hypermobility
  • Scar tissue build-up
  • Facet joint problems 
  • Failed spinal fusion
  • Spinal instability

In some cases, post-laminectomy syndrome is being caused by conditions such as diabetes, peripheral vascular disease and autoimmune disorders. It may also possibly be caused by sleep disorders, anxiety attacks, depression, ongoing release of inflammatory mediators and smoking.

Pembroke Pines pain management is dedicated to provide accurate diagnosis of post-laminectomy syndrome by properly identifying the underlying cause of the condition. 

3. Symptoms of post-laminectomy syndrome

The common symptom of the post-laminectomy syndrome includes the following: 

  • Continued dull back, or leg pain 
  • Persistent dull neck, or arm pain
  • Stabbing, sharp and pricking pain in the extremities. 

The pain is often associated with nerve injury, or irritation and inflammation of the root nerve following a laminectomy surgery. 

4. Post-laminectomy syndrome diagnosis

A physician, or a pain management doctor can perform an accurate diagnosis using the following tests:

  • Physical examination
  • X-ray
  • Magnetic resonance imaging (MIR)
  • Electromyogram (EMG) 

The following tests are done to identify the main cause of the back pain and create a viable treatment plan for the patient. 

5. Post-laminectomy syndrome treatment

The main goal of the treatment plan is to help patients gain long-lasting relief from chronic to severe back pain and regain normal function and quality of life. Patient’s treatment plan may be a combination of innovative procedures and conservative treatment methods including: 

  • Spinal cord stimulation
  • Epidural steroid injections
  • PRP for chronic back pain
  • Physical therapy 
  • Non-steroidal anti-inflammatory drugs (NSAIDs) 
  • Nerve block injections

Studies have shown that spinal cord stimulation (SCS) resolve chronic pain that is caused by a post-laminectomy syndrome without having the need to repeat the surgery. As a matter of fact, 40% of patients were able to manage their pain through SCS. 

Know more about Pain Care Specialists of Florida:

Pembroke Pines Pain Management clinic offers comprehensive and interventional pain management services. Our pain specialists are expert in performing procedures such as spinal cord stimulation, platelet-rich plasma injections, epidural steroid injections and other innovative techniques to help relieve your pain and regain your quality of life. 

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The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment.  Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.