Accident Injury Doctors

Revision Surgery or Failed Back Surgery

Have you had neck or back surgery? Does the pain still persist?

Revision Surgery Doctors: Georgia, Florida

Accident Injury Doctors specialize in revision surgery and pain management for injuries that persist after treatment. Whether it’s revisiting a previous complication or addressing problems that have developed since your operation, our MDs are experienced in providing excellent care and effective treatment for getting you back to a state of good health. Revision surgery addresses persisting complications that continue after surgery and treatments. Because surgery is complex and has many variables contributing to its success, sometimes surgeries require revision work. In many cases, revision surgery is not due to an error or mistake from a previous operation. IN cases such as the spine, contributing factors include, but are not limited to, residual or recurrent disc herniation, persistent post-operative pressure on a spinal nerve, altered joint mobility, joint hypermobility with instability, scar tissue (fibrosis), lack of complete fusion, painful retained hardware and spinal muscular deconditioning. As with most surgical cases, revision surgery is handled on a case by case basis and each patient must be evaluated and treated in a very unique manner, best diagnosed by a surgeon who understands the causes and how best to address them. If you or a loved one believe that you have a case that qualifies for revision surgery, therapy or treatment, call our specialists for a free consultation at 678.253.PAIN.

Failed Back Surgery Doctor Georgia

Many patients improve without surgery. Your physician will usually try non-surgical treatments for the first few weeks. These treatments may include a short period of rest, oral medications, physical therapy, exercise, or epidural steroid injection therapy. Additional therapies such as ultrasound, electric stimulation, hot packs, cold packs, and manual (“hands on”) therapy may be prescribed to reduce your pain and muscle spasm, which will make it easier to start an exercise program. Traction may also provide pain relief for some patients. Bracing, such as a lumbar corset, may help relieve your back pain. The goals of nonsurgical treatment are to reduce the irritation of the nerves and disks and to improve the physical condition of the patient to protect the spine and increase overall function.

Spine Surgery Pain—Doctor in Alpharetta

If your chronic pain prevents normal lifestyle activities, your doctor may recommend surgery.  Physical Therapy is an exercise program used to treat common back problems with conditioning before and/or after surgery. A range of modalities may be used to help alleviate, correct or prevent your pain from reoccurring, including massage, aquatic therapy, electrical stimulation, ultrasound, stretches and strengthening, traction, heat and cold therapy. Rehabilitation programs are customized to the patients’ specific needs. The therapist, whose training and experience provides expert guidance in recuperation, teaches the patient how to utilize therapy at home. Honest patient feedback and a good working relationship between therapist and patient are crucial to recovery.

Pain Management after Back Surgery by Spine Injury specialists in Georgia & Florida

Medical Pain Management and Injection Therapy Your doctor may recommend that you see a pain management specialist for injections or management of your medications. This is usually a board certified anesthesiologist and/or pain management specialist. Any of the medications/injections listed below may be recommended/administered. All medications should be taken as directed. Trigger Point Injections are injections of local anesthetics (sometimes combined with corticosteroids) directly into painful soft tissue or muscles along the spine or over the back of the pelvis. While occasionally useful for pain control, trigger point injections do not help heal a herniated lumbar disc.

Epidural Injections or “blocks” may be recommended if you have severe leg pain. These are injections of corticosteriod into the epidural space (the area around the spinal nerves), performed by a doctor with special training in this technique. The initial injection may be followed by one or two more injections at a later date, and should be done as part of a comprehensive rehabilitation and treatment program. Selective Nerve Root Sleeve Block is an injection like an epidural, but it is injected around the nerve root sheath. This is used for leg and arm pain and for determining which nerve root is responsible for your pain. It can be therapeutic and diagnostic. You will need a driver to take you home and no pain medications should be taken after midnight the night before your injection.

Facet Injections are injections of corticosteroids and local anesthetics directly into the painful facet joints of your low back. This helps reduce pain and inflammation. If helpful, they can be followed by a Facet Rhizotomy, in which the sensory nerve in this joint is disabled giving long-term relief.

Sacroiliac Joint Blocks are injections that are primarily used for diagnosing and treating the low back pain associated with sacroiliac (SI) joint dysfunction. The SI joint lies next to the spine and connects the sacrum (bottom of the spine) with the pelvis (hip). In an SI joint block approach, a physician uses fluoroscopic guidance (live x-ray) and inserts a needle into the sacroiliac joint to inject lidocaine (a numbing agent) and a steroid (an anti-inflammatory medication). It takes a highly skilled and experienced physician to be able to insert a needle into the sacroiliac joint. An SI joint block may be repeated up to three times per year. For the treatment to be successful, the injection should be followed by physical therapy and/or chiropractic manipulations to provide mobilization and range of motion exercises.

If you continue to have back pain despite surgical intervention, your doctor may recommend you for consideration of a Dorsal Column Stimulator (DCS). This stimulates the cord for symptomatic pain. Performed by a surgeon in conjunction with a pain management specialist. Oral Medications used to control pain are called analgesics. Most pain can be treated with non-prescription medications such as aspirin, ibuprofen, naproxen, or acetaminophen. If you have severe persistent pain, your doctor might prescribe narcotics for a short time. Sometimes, but not often, a doctor will prescribe muscle relaxants.

All medication should be taken only as directed. Nonsteroidal anti-inflammatory medications (NSAIDS) are analgesics and are used to reduce swelling and inflammation. These include aspirin, ibuprofen, naproxen, and a variety of prescription drugs. If your doctor gives you anti-inflammatory medications, you should watch for side effects such as stomach upset or bleeding. Chronic use of prescription or over-the-counter NSAIDS should be monitored by your physician for the development of any potential problems. Corticosteroid medications – taken orally or by injection – are sometimes prescribed for more severe back and leg pain because of their very powerful anti-inflammatory effect. Corticosteroids, like NSAIDS, can have side effects.

Risks and benefits of this medication should be discussed with your physician. Antidepressants – These drugs may be effective treatments for specific types of pain, or pain with specific causes. For example, antidepressants will be prescribed to help relieve certain types of neuropathic pain — it doesn’t necessarily mean your doctor thinks you are depressed. There are risks, side effects and drug interactions with any medication, so a medical professional should always be consulted prior to taking medications.