At Triangle Integrative Physicians, we understand how frustrating it can be to undergo back surgery only to experience persistent pain afterward. If you or a loved one are dealing with Lumbar Post Laminectomy Syndrome (PLS), it’s important to remember that you are not alone. PLS is a condition where individuals continue to experience chronic back pain even after undergoing a laminectomy.
For those seeking pain relief without relying solely on medication, exercise, therapy, and advanced treatments like Spinal Cord Stimulation (SCS) can provide new relief for managing symptoms.
What is Lumbar Post Laminectomy Syndrome?
A laminectomy is a surgical procedure where part of the vertebra (the lamina) is removed to relieve pressure on the spinal cord or nerves. This surgery is often performed to treat conditions like:
- Herniated discs
- Spinal stenosis
- Nerve compression disorders
However, some patients continue to experience persistent or new pain after surgery, a condition known as Post Laminectomy Syndrome (PLS). This syndrome includes not just those who have had a laminectomy but also those who have had a fusion of their spine. The pain may resemble pre-surgery symptoms, radiate into the legs, or manifest as numbness, weakness, or tingling.
Why Does Pain Persist After Surgery?
Many individuals with PLS turn to pain medications, including opioids, to manage their discomfort. However, medication alone is not always a sustainable solution, as it does not address the underlying causes of pain. Fortunately, there are alternative approaches that provide long-term relief.
There are several reasons why a person may continue to experience pain after a laminectomy:
- Incomplete Healing – The spine and nerves may take longer to fully recover than expected. Some patients may also develop new issues over time.
- Scar Tissue Formation – After surgery, scar tissue can form around nerves, leading to irritation and chronic pain.
- Recurrent Spinal Problems – The initial spinal issue may return, or new complications, such as additional herniated discs, may develop.
- Nerve Damage – Surgery can sometimes result in nerve damage, causing long-term pain or heightened sensitivity in the affected area.
Exercise: A Natural Approach to Pain Relief
Before considering additional medical interventions, it’s important to explore movement-based therapies that can help strengthen the body and reduce pain. Exercise is medicine, and for individuals with PLS, a structured exercise routine can offer numerous benefits.
Regular movement can:
- Improve blood circulation to promote healing and tissue repair
- Increase flexibility and reduce stiffness in muscles and joints
- Strengthen core and back muscles to provide spinal support
- Reduce inflammation, which is often a key contributor to chronic pain
- Improve mental well-being, reducing stress and anxiety associated with pain
While exercise may not eliminate pain entirely, it can make daily activities more manageable and reduce dependence on medication. However, when exercise alone is not enough, Spinal Cord Stimulation (SCS) may be a promising option.
Spinal Cord Stimulation: What it is and How it Works
For individuals who don’t experience significant pain relief from physical therapy, medications, or additional surgeries, Spinal Cord Stimulation (SCS) can be a game-changing solution.
What it is
SCS is a minimally invasive procedure that involves implanting a small device under the skin. This device delivers mild electrical pulses to the spinal cord, disrupting pain signals before they reach the brain. By modifying how the nervous system processes pain, SCS can provide significant relief for many individuals suffering from Lumbar Post Laminectomy Syndrome.
How it Works
The SCS process typically involves two key stages:
- Trial Phase: A temporary stimulator is placed in the spine for a few days to determine if the treatment effectively reduces pain.
- Permanent Implantation: If the trial is successful, a small pulse generator is implanted under the skin, usually in the lower back or buttock area. The patient receives a remote control that allows them to adjust stimulation levels as needed.
While SCS is not a cure, it is an effective tool for managing pain, especially for those who have exhausted other treatment options. Many individuals with chronic back pain have found relief through Spinal Cord Stimulation. Some benefits are:
- Significant pain reduction
- Decreased reliance on opioids
- Improved mobility and daily function
- And an over all better quality of life
Who is a Good Candidate for Spinal Cord Stimulation?
SCS is typically recommended for individuals who experience chronic pain despite previous back surgery, have not responded well to medications or physical therapy and want to reduce dependence on opioids and other medications.
Not everyone is an ideal candidate for SCS, so it is essential to consult with a pain specialist to determine if this approach is suitable for your specific needs.
Exploring Your Options for Pain Relief
At TIP, we are committed to helping our patients explore comprehensive, evidence-based pain management strategies. Whether through exercise, therapy, or cutting-edge treatments like Spinal Cord Stimulation, we are here to support you in finding a path to relief.
If you are struggling with Lumbar Post Laminectomy Syndrome, know that you don’t have to live in pain. There are effective solutions available, and we are here to help you find the one that works best for you. Take control of your health and explore the options beyond medication with us.
Schedule Today
Ready to start your journey to relief? Contact TIP today and schedule your consultation. Together, we’ll develop a tailored plan to help you live life on your terms. Call us at 919-794-8817, or visit our website.
At Triangle Integrative Physicians, your care is our priority. Let us help you move forward.
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