Failed Back Surgery Syndrome

Failed back surgery syndrome. Neurosurgeon Dr Arun L Naik explains in this video. After a spine surgery, you expect your back or neck problem to be resolved. In majority of you, pain subsides in some time. But, sometimes, that doesn’t happen. May be immediately or months after your operation, your old pain and numbness may return. This may be a condition called failed back surgery (FBS). Also called failed back surgery syndrome (FBSS).
I am in spine surgery for the last 23 years friends. Abdominal surgery, urological surgery, heart surgery or eye surgery. In none of these operations they have anything like a failed surgery, then why failed back surgery came to existence? Friends, failure of a spinal surgery is seen more and more these days. As such, more and more patients are undergoing surgery. This is not a good trend. If you undergo spinal surgery for unindicated conditions, then your surgery definitely fails. It may be any surgery. Having failed back surgery doesn’t suggest that your surgery or your surgeon have failed. Many factors that lead to FBS are out of your control. 
What Is Failed Back Surgery?
After a spinal surgery, you expect to improve your back function, quality of life, and ease of daily activities in addition to your pain. If you fail in any of these also, you may end up in FBS umbrella. Simply put, failed back surgery means you have persistent back or neck pain after your spine surgery. Simply put, your and your surgeon’s expected surgery outcome—that your pain would be minimized or eliminated—didn’t happen.
What are the symptoms of FBS
In addition to neck and back pain, numbness, weakness, tingling sensations) leg pain, and radicular pain  can be seen. Your walking may become difficult or you may trip and fall. Your balancing may be an issue. You may have weakness of hands or legs.

Pre-operative FBS risk factors
Presence of mental and emotional disorders (eg, depression, anxiety)
Obesity:
Diabetes:
Smoking.
Patients with chronic pain such as fibromyalgia
Poor patient selection:
Poor surgical planning:
Surgery specific factors:
Post-operative FBS risk factors:

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References for the medical info of the video can be found here
Bontrup C, Taylor WR. Low back pain and its relationship with sitting behaviour among sedentary office workers. Appl Ergon. 2019 Nov;81:102894.
Ye S, Jing Q. Risk factors of non-specific neck pain and low back pain in computer-using office workers in China: a cross-sectional study. BMJ Open. 2017 Apr 11;7(4):e014914.
Waongenngarm P, Areerak K. The effects of breaks on low back pain, discomfort, and work productivity in office workers: A systematic review of randomized and non-randomized controlled trials. Appl Ergon. 2018 Apr;68:230-239.
Celik S, Celik K. Determination of pain in musculoskeletal system reported by office workers and the pain risk factors.Int J Occup Med Environ Health. 2018 Jan 1;31(1):91-111.
Sihawong R, Janwantanakul P. A prospective, cluster-randomized controlled trial of exercise program to prevent low back pain in office workers. Eur Spine J. 2014 Apr;23(4):786-93.

Spine :
Lower back pain, Neck pain, Back pain, Sciatica pain, Tingling numbness, Pins and needle sensation, Radiating pain, Mechanical back pain, Posture related pain, Spinal disc prolapse, Intervertebral disc prolapse, Intervertebral disc herniation, Disc bulge, Spinal canal stenosis, Spinal myelopathy, Compressive myelopathy, Pinched nerves in the neck, Pinched nerves in the back, Pinched nerves in the lower back, Spinal stenosis, Spinal arthritis, Spinal fractures, Spinal osteoporosis, Spondylitis,
Spondylosis, Spinal degeneration, Spondylolisthesis, Tethered cord syndrome, Spinal dysraphism, Spinal myelomeningocele, Spinal bifida, Spinal cord injury, Spinal degeneration, Spinal tumors, Spinal infections,

Surgery
Microdiscectomy, Discectomy, Anterior cervical discectomy, Lumbar discectomy, Lumbar spinal decompression, Cervical canal decompression, Cervical laminectomy,
Lumbar laminectomy, Spinal fusion procedure, Spinal stabilisation procedure, Minimal invasive spine surgery, Endoscopic spine surgery,Microscopic spine surgery, Vertebroplasty, Kyphoplasty, Foraminotomy