Post-Laminectomy Syndrome
Post-laminectomy syndrome occurs when a person continues to experience pain or limited mobility following a laminectomy: a surgical procedure that removes part of the vertebral bone (lamina) to relieve pressure on spinal nerves. While many patients find relief after surgery, some may still suffer ongoing pain, sometimes referred to as “failed back surgery syndrome.”
Common Symptoms
- Persistent pain in the lower back
- Pain radiating into the legs, arms, or other areas depending on the surgery site
- Stiffness or reduced range of motion
- Tingling, numbness, or weakness in the limbs
Why It Happens
This condition can result from:
- Scar tissue forming around spinal nerves after surgery
- Re-herniation of a spinal disc
- Residual bone fragments or bone spurs
- Recurrence of spinal stenosis or nerve compression
Diagnosis
- Medical History Review: Discussing pain patterns and how symptoms affect daily activities.
- Physical Exam: Assessing movement, muscle strength, and reflexes.
- Imaging Tests: MRI or CT scans to detect scar tissue, disc problems, or bone changes.
How We Treat It
Treatment aims to reduce pain, improve function, and support daily living.
Treatment options may include:
- Anti-inflammatory medications
- Medications targeting nerve pain
- Physical therapy to strengthen muscles and restore mobility
- Steroid injections to decrease nerve inflammation