Pain After EMG: Understanding Failed Back Surgical Syndrome (FBSS)

Failed Back Surgical Syndrome (FBSS) is a condition characterized by persistent pain after back surgery that was technically flawless. It's often described as a dull, sharp, or electric-like sensation in the legs, which can reach unbearable levels and last for years if left untreated.

Unlike typical post-injury pain, FBSS is not caused by constriction or narrowing of spinal nerves. Instead, it's believed to be related to neuropathic pain (NP), where nerve fibers become overactive and send inappropriate pain signals to the spinal cord and brain. Imaging tests such as MRIs and CTs may not reveal any significant abnormalities that would indicate a need for repeat surgery.

Unfortunately, FBSS can occur even if the original surgery was performed perfectly and without complications. The condition is often associated with chronic pain, which can be debilitating and affect daily life.

The anatomical source of pain in FBSS cases is not always clear, making it a challenging problem to diagnose and treat. However, involving a pain specialist early in the recovery period can maximize chances for good pain control and recovery.

Treatment for FBSS requires a team approach and effective communication between patients and doctors. A person's medical conditions, past surgical history, and coping mechanisms can all influence the development of FBSS.

In some cases, pain may persist beyond the three to six month period considered normal healing time after back surgery. If you're experiencing persistent or new types of pain after back surgery, it's essential to consult with a pain specialist who can help develop a comprehensive treatment plan.

By understanding the causes and symptoms of FBSS, individuals can take steps to manage their pain and improve their quality of life. Early intervention by a pain specialist can make a significant difference in achieving successful outcomes.

Pain after emg